title: Suicide Attempts in Ilam Province, Western Iran, 2010-2014: A Time Trend Study.
abstract: BACKGROUND
  Suicide has become an increasingly widespread form of morbidity in the developing countries. There has been an increasing trend in morbidity and mortality due to suicide in Iran over the past few decades. This study surveyed attempts and completed suicide over a 5-year period.
  
  
  METHODS
  Through a cross-sectional study, overall identified suicides by systematic registration suicide data (SRSD) in Ilam Province, western Iran from 21 March 2010 to 11 December 2014 were enrolled. Multiple logistic regression analysis was used for measuring the association between the risk factors of interest and suicide. The statistical software package was Stata 11.2.
  
  
  RESULTS
  A Suicide attempts have slightly increased in Ilam during 2010-2014, during which, 6,818 attempted suicides occurred of which 546 were completed. The odds of completed suicide was higher among older age groups than younger ones so that the crude OR estimates of completed suicide among people aged 50 to 59 yr against people aged <20 yr was (OR=6.99; 95% CI: 3.02, 11.07). The crude and adjusted odds ratio (OR) estimates of completed suicide in males against females were (OR=3.22; 95% CI: 2.58, 3.93) and (OR=3.66; 95% CI: 3.03, 4.11), respectively. Significant excess risk also appeared with academic against illiterate attempters (OR=2.31; 95% CI: 1.35, 3.95). Results showed no increasing trend in the suicide method. Some methods such as self-immolation had decreasing trend over time, although it was not statistically significant (P=0.089).
  
  
  CONCLUSIONS
  We observed the variety of suicide risk factors that calls for more diversity in preventative programs. Distribution of suicide methods is diverse across the period of the study.
authors: Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran.
authors: Yousef
authors: Y
authors: Veisani
authors: Department of Clinical Epidemiology, Ilam University of Medical Sciences, Ilam-Iran. alidelpisheh@yahoo.com.
authors: Ali
authors: A
authors: Delpisheh
authors: Department of Social Medicine, School of Medicine, Ilam University of Medical sciences, Ilam, Iran.
authors: Kourosh
authors: K
authors: Sayehmiri
authors: Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
authors: Ghobad
authors: G
authors: Moradi
authors: Research Center for Health Sciences, Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
authors: Jafar
authors: J
authors: Hassanzadeh
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000367:Age Factors; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007492:Iran; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D012307:Risk Factors; D017678:Sex Distribution; D012737:Sex Factors; D013405:Suicide; D013406:Suicide, Attempted / Q000706:statistics & numerical data* / Q000639:trends; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Iran; Suicide; Suicide attempt