@article{ref1,
title="Time-series analysis of trends in the incidence rates of successful and attempted suicides in Thailand in 2013-2019 and their predictors",
journal="BMC psychiatry",
year="2022",
author="Arunpongpaisal, Suwanna and Assanagkornchai, Sawitri and Chongsuvivatwong, Virasakdi and Jampathong, Nattakorn",
volume="22",
number="1",
pages="e579-e579",
abstract="BACKGROUND: Suicide rates are of increasing concern worldwide. There are approximately 4000-5000 deaths by suicide each year in Thailand. This study examined trends in annual incidence rates and predictors of successful and attempted suicides in Thailand (2013-2019). <br><br>METHODS: Secondary data analysis was conducted on data from two national-level databases: The National Health Security Office and the National Death Certification Registry System. Time-related trends and predictors of successful and attempted suicides were calculated using joinpoint regression and multivariable logistic regression analyses, respectively. <br><br>RESULTS: Of all successful suicide cases from 2013 to 2019, about 80% involved men, with an average age of 45.37 (± 16.43) years. Predictors of successful suicide included male sex, older age, using highly lethal methods, and no prior psychiatric treatment. Among individuals admitted to hospitals following a suicide attempt from 2013- to 2019, the average age at first admission was 38.83 ± 22.47 years, with women more heavily represented than men. Only 2.3% of these patients received psychiatric treatment in the hospital. Predictors of attempted suicide included female sex; adolescent or adult; and mental, alcohol, or substance-related disorder(s). Age-standardized annual rates per 100,000 people showed that, through 2019, suicide incidence increased slightly, and attempts decreased. <br><br>CONCLUSIONS: There was a significantly increasing trend in successful suicide during the 7 years; the increase was more notable among men. The study highlights sex-related gaps in public health owing to an identified higher incidence of suicide among men, and a higher incidence of suicide attempts in women adolescents, emphasizing the need to consider sex-sensitive issues in individual as well as societal contexts.<p /> <p>Language: en</p>",
language="en",
issn="1471-244X",
doi="10.1186/s12888-022-04125-5",
url="http://dx.doi.org/10.1186/s12888-022-04125-5"
}