TY - JOUR PY - 2022// TI - Spatio-temporal distribution of suicide risk in Iran: a Bayesian hierarchical analysis of repeated cross-sectional data JO - Journal of preventive medicine and public health A1 - Hashemi Nazari, Seyed Saeed A1 - Mansori, Kamyar A1 - Nazari Kangavari, Hajar A1 - Shojaei, Ahmad A1 - Arsang-Jang, Shahram SP - 164 EP - 172 VL - 55 IS - 2 N2 - OBJECTIVES: We aimed to estimate the space-time distribution of the risk of suicide mortality in Iran from 2006 to 2016.

METHODS: In this repeated cross-sectional study, the age-standardized risk of suicide mortality from 2006 to 2016 was determined. To estimate the cumulative and temporal risk, the Besag, York, and Mollié and Bernardinelli models were used.

RESULTS: The relative risk of suicide mortality was greater than 1 in 43.0% of Iran's provinces (posterior probability >0.8; range, 0.46 to 3.93). The spatio-temporal model indicated a high risk of suicide in 36.7% of Iran's provinces. In addition, significant upward temporal trends in suicide risk were observed in the provinces of Tehran, Fars, Kermanshah, and Gilan. A significantly decreasing pattern of risk was observed for men (β, -0.013; 95% credible interval [CrI], -0.010 to -0.007), and a stable pattern of risk was observed for women (β, -0.001; 95% CrI, -0.010 to 0.007). A decreasing pattern of suicide risk was observed for those aged 15-29 years (β, -0.006; 95% CrI, -0.010 to -0.0001) and 30-49 years (β, -0.001; 95% CrI, -0.018 to -0.002). The risk was stable for those aged >50 years.

CONCLUSIONS: The highest risk of suicide mortality was observed in Iran's northwestern provinces and among Kurdish women. Although a low risk of suicide mortality was observed in the provinces of Tehran, Fars, and Gilan, the risk in these provinces is increasing rapidly compared to other regions.

Language: en

LA - en SN - 1975-8375 UR - http://dx.doi.org/10.3961/jpmph.21.385 ID - ref1 ER -