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Affiliation
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Modeling in Health Research Center, Institute for Future Studies in Health, Kerman Medical Science University, Kerman, Iran. |
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Abstract
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OBJECTIVES: Rates of Deliberate Self-Poisoning (DSP) attempts are subjected to under-counting, under-reporting, and denying suicide attempts. In this study, therefore, we seek to estimate the rate of under-reported DSPs, which is the most common way of suicide attempts in Iran.
METHODS: Using truncated count models, we estimated rates and numbers of under-counted DSP attempts in western part of Iran in 2015. By this method, n0, namely the number of people attempted DSP, but not referring to any health care centers, was calculated through data connection. Then, crude and adjusted age rates of DSP attempts were estimated directly using average population of respective city and standard world population with and without taking under-reporting into account. Monte Carlo method was used to determine confidence level.
RESULTS: Completeness of data recorded to estimate the number of people attempting DSP was obtained in the range of 46.6%_53.2% by using different methods Rates of under-reported cases were higher among women than men and decreased as age increased. Rates of under-reported decreased with an increase in potency and intensity of toxic factors. Maximum under-reported rates of 69.9%, 51.2% and 21.5% were observed with oil and detergents (x66), medications (x60_64) and agricultural toxins (x68, 69), respectively. Crude rates, with and without considering under-reporting, were obtained by mixture method at 167.5 and 331.7 per 100,000 in order, which decreased to 129.8 and 251.3 per 100,000, respectively, after adjusting age on the basis of standard population given by WHO.
CONCLUSION: Nearly half of individuals attempted DSP did not referred to the hospital for treatment or denies SA for political and social-cultural reasons. Individuals without any consultation services are at higher risks of repeated suicide attempts and fatal suicides.
Language: en |