关键词: Epidemiology Iraq Kurdistan Psychiatric disorders Suicide

Mesh : Female Humans Age Factors Iraq / epidemiology Mental Disorders Suicidal Ideation Suicide / psychology Male Adolescent Young Adult Adult

来  源:   DOI:10.1016/j.jad.2024.02.016

Abstract:
OBJECTIVE: The suicide rate has increased in Iraq in recent years, making it a major public health concern. This systematic review examines the prevalence of suicidal behaviours in the Iraq and Kurdistan region.
METHODS: This study adhered to the PRISMA guidelines, conducting searches on PubMed, MEDLINE, Web of Science, and Google Scholar. Out of 153 initially identified publications, only 18 full articles met the inclusion criteria, with 135 articles excluded due to reasons such as eligibility criteria, duplication, predatory publications and lack of relevance and lack of quality data.
RESULTS: The suicide crude rate in Iraq (excluding Kurdistan) rose from 1.09 to 1.31 per 100,000 between 2015 and 2016, while Kurdistan had an estimated rate of 3.83 per 100,000 during the same period. Limited data on reference group sizes and population figures make specific rate calculations challenging. Suicide is more prevalent among women, those aged 15-40, and individuals with mental disorders. Contributing factors include domestic violence, mental health issues, and traditional norms. Urban residents generally have higher suicide rates than rural residents. Common suicide behaviours include self-immolation, hanging, firearms, jumping from heights, and self-poisoning with pesticides.
CONCLUSIONS: The prevalence of suicide in Iraq, as indicated by this systematic review, requires urgent attention and effective public health initiatives. The interplay of social, economic, cultural, and psychological factors emphasizes the need for comprehensive prevention programs. Additionally, a crucial requirement is the implementation of a standardised method for collecting suicide data to improve epidemiological understanding.
摘要:
目标:近年来,伊拉克的自杀率有所增加,使其成为一个重大的公共卫生问题。本系统评价研究了伊拉克和库尔德斯坦地区自杀行为的患病率。
方法:本研究遵循PRISMA指南,在PubMed上进行搜索,MEDLINE,WebofScience,谷歌学者。在最初确定的153种出版物中,只有18篇完整文章符合纳入标准,由于资格标准等原因,排除了135篇文章,重复,掠夺性出版物和缺乏相关性和缺乏质量数据。
结果:在2015年至2016年期间,伊拉克(不包括库尔德斯坦)的自杀率从1.09升至1.31/100,000,而库尔德斯坦的自杀率估计为3.83/100,000。关于参考组规模和人口数字的有限数据使得具体的费率计算具有挑战性。自杀在女性中更为普遍,那些15-40岁的人,以及有精神障碍的人。促成因素包括家庭暴力,心理健康问题,传统规范。城市居民的自杀率普遍高于农村居民。常见的自杀行为包括自焚,悬挂,火器,从高处跳跃,用杀虫剂自我中毒.
结论:伊拉克的自杀率,正如本系统审查所表明的,需要紧急关注和有效的公共卫生举措。社会的相互作用,经济,文化,心理因素强调需要全面的预防方案。此外,一个至关重要的要求是实施一种收集自杀数据的标准化方法,以提高对流行病学的了解。
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