A retrospective Analysis and Epidemiological Study of Potential Factors Contributing to Suicidal behavior
Keywords:
Suicidal behavior, suicide prevention, mental health, risk factors, demographic patterns, psychiatric comorbiditiesAbstract
Background: Suicide is a significant public health concern in Armenia, with the country reporting one of the highest suicide rates in the world. The province of Gyumri, in particular, has been identified as an area with elevated suicide risk.
Objective: To conduct a retrospective analysis and epidemiological investigation of potential factors contributing to suicidal behavior in Gyumri, Armenia.
Methods: This study utilized a mixed-methods approach, including both quantitative and qualitative data. A total of 220 cases of completed suicides, suicide attempts, and associated factors were analyzed, drawing from local health records, suicide registries, psychiatric service data, and other relevant sources in the province of Gyumri, Armenia. Demographic characteristics, psychiatric diagnoses, psychosocial stressors, and other relevant variables were collected and examined.
Results: The study found that the majority of cases involved individuals between the ages of 18-45, with a higher proportion of males. Mood disorders, substance abuse, and interpersonal conflicts emerged as significant risk factors for suicidal behavior. Socioeconomic challenges, such as unemployment and financial hardship, were also strongly associated with increased suicide risk. Qualitative data provided further insight into the lived experiences and precipitating factors leading to suicidal acts.
Conclusion: The findings of this study highlight the complex and multifaceted nature of suicidal behavior in the province of Gyumri, Armenia. The results underscore the importance of comprehensive, community-based interventions that address both individual-level risk factors and broader socioeconomic determinants of mental health. Strengthening mental health services, improving access to crisis support, and implementing targeted suicide prevention strategies are crucial next steps in addressing this critical public health issue.
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References
Borges G, Nock MK, Haro Abad JM, et al. Twelve-month prevalence of and risk factors for suicide attempts in the World Health Organization World Mental Health Surveys. J Clin Psychiatry. 2010;71(12):1617–1628
Brener ND, Kann L, McManus T, et al. Reliability of the 1999 youth risk behavior survey questionnaire. J Adolesc Health. 2002;31(4):336–342
Brener ND, Kann L, Shanklin S, et al; Centers for Disease Control and Prevention (CDC). Methodology of the youth risk behavior surveillance system–2013. MMWR Recomm Rep. 2013;62(RR):1–20
Bridge JA, Asti L, Horowitz LM, et al. Suicide trends among elementary school-aged children in the United States from 1993 to 2012. JAMA Pediatr. 2015;169(7):673–677
Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry. 2006;47(3–4):372–394
Bridge JA, Horowitz LM, Fontanella CA, et al. Age-related racial disparity in suicide rates among US youths from 2001 through 2015. JAMA Pediatr. 2018;172(7):697–699
Bridge JA, McBee-Strayer SM, Cannon EA, et al. Impaired decision making in adolescent suicide attempters. J Am Acad Child Adolesc Psychiatry. 2012;51(4):394–403
Cash SJ, Bridge JA. Epidemiology of youth suicide and suicidal behavior. Curr Opin Pediatr. 2009;21(5):613–619
Centers for Disease Control and Prevention. Combining YRBS Data Across Years and Sites. Washington, DC: US Department of Health and Human Services; 2018
Centers for Disease Control and Prevention. WISQARS. Leading causes of death reports, 1981 - 2017. Available at: https://webappa.cdc.gov/sasweb/ncipc/leadcause.html. Accessed July 11, 2019
Centers for Disease Control and Prevention. WISQARS. Nonfatal injury reports, 2000 - 2017. Available at: https://webappa.cdc.gov/sasweb/ncipc/nfirates.html. Accessed September 16, 2019
Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance System (YRBSS). 2018. Available at: https://www.cdc.gov/healthyyouth/data/yrbs/index.htm. Accessed January 1, 2019
Cha CB, Franz PJ, M Guzmán E, et al. Annual Research Review: suicide among youth - epidemiology, (potential) etiology, and treatment. J Child Psychol Psychiatry. 2018;59(4):460–482
Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A. Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry. 2003;60(8):837–844
Glenn CR, Nock MK. Improving the short-term prediction of suicidal behavior. Am J Prev Med. 2014;47(3 suppl 2):S176–S180
Joe S, Scott ML, Banks A. What works for adolescent black males at risk of suicide: a review. Res Soc Work Pract. 2018;28(3):340–345
Lowry R, Crosby AE, Brener ND, Kann L. Suicidal thoughts and attempts among U.S. high school students: trends and associated health-risk behaviors, 1991-2011. J Adolesc Health. 2014;54(1):100–108
O’Carroll PW, Berman AL, Maris RW, et al. Beyond the Tower of Babel: a nomenclature for suicidology. Suicide Life Threat Behav. 1996;26(3):237–252
Olfson M, Marcus SC, Bridge JA. Focusing suicide prevention on periods of high risk. JAMA. 2014;311(11):1107–1108
Pirkis J, Rossetto A, Nicholas A, et al. Suicide prevention media campaigns: a systematic literature review. Health Commun. 2019;34(4):402–414
Sheftall AH, Asti L, Horowitz LM, et al. Suicide in elementary school-aged children and early adolescents. Pediatrics. 2016;138(4):e20160436
Sheftall AH, Davidson DJ, McBee-Strayer SM, et al. Decision-making in adolescents with suicidal ideation: a case-control study. Psychiatry Res. 2015;228(3):928–931
Silverman JG, Raj A, Mucci LA, Hathaway JE. Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. JAMA. 2001;286(5):572–579
Silverman MM, Berman AL, Sanddal ND, O’carroll PW, Joiner TE. Rebuilding the tower of Babel: a revised nomenclature for the study of suicide and suicidal behaviors. Part 1: background, rationale, and methodology. Suicide Life Threat Behav. 2007;37(3):248–263
Silverman MM, Berman AL, Sanddal ND, O’carroll PW, Joiner TE. Rebuilding the tower of Babel: a revised nomenclature for the study of suicide and suicidal behaviors. Part 2: suicide-related ideations, communications, and behaviors. Suicide Life Threat Behav. 2007;37(3):264–277
Torok M, Calear A, Shand F, Christensen H. A systematic review of mass media campaigns for suicide prevention: understanding their efficacy and the mechanisms needed for successful behavioral and literacy change. Suicide Life Threat Behav. 2017;47(6):672–687
US Department of Health and Human Services. Mental Health: Culture, Race, and Ethnicity-A Supplement to Mental Health: A Report of the Surgeon General. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services; 2001
Wu P, Hoven CW, Bird HR, et al. Depressive and disruptive disorders and mental health service utilization in children and adolescents. J Am Acad Child Adolesc Psychiatry. 1999;38(9):1081–1090–1092