Suicide attempts, suicide and their association with socio-demographic variables in Iran: a retrospective, registry-based, cohort study (2016-2021)

INTRODUCTION: Suicide is recognized as one of the most significant concerns in healthcare and a serious psychological health issue in many countries throughout the world. Suicide attempts occur in all social sectors and demographics. It is important to know what are the causes for people to try to commit suicide for an effective prevention and control. The aim of this review was to find out the levels and predictors of suicide attempts. MATERIAL AND METHODS: A cross-sectional descriptive-analytical research looked for suicide attempt reported cases at Dr. Moaven Hospital in Sahneh, Iran, during the 2016–2021 period. Data was collected via checklists completed by supervisors during referrals and subsequently analyzed using the SPSS Statistics software tool (version 24). Descriptive statistics and the Chi-square test were used. A significance threshold of 0.05 was used. RESULTS: A total of 1,059 cases of suicide attempts were found. The highest prevalence rate was reported in the group ages 16–25. Males had higher rates of cases (57.4%), which were twice more prevalent in cities and more common in lower-socioeconomic-status families Furthermore, the most common method used (79.5%) was medication intake. There was also a significant association between marital status, job, and suicide-attempt rates (p < 0.05). CONCLUSIONS: Suicide attempts are among the most important issues in terms of psychosocial healthcare in all countries and communities, and their prevalence rates may be determined by a variety of factors, such as mental health status, family and living conditions, financial problems and unemployment rate. Preventive control of these factors can contribute to reducing the prevalence of these acts

Mapping 123 million neonatal, infant and child deaths between 2000 and 2017

Since 2000, many countries have achieved considerable success in improving child survival, but localized progress remains unclear. To inform efforts towards United Nations Sustainable Development Goal 3.2—to end preventable child deaths by 2030—we need consistently estimated data at the subnational level regarding child mortality rates and trends. Here we quantified, for the period 2000–2017, the subnational variation in mortality rates and number of deaths of neonates, infants and children under 5 years of age within 99 low- and middle-income countries using a geostatistical survival model. We estimated that 32% of children under 5 in these countries lived in districts that had attained rates of 25 or fewer child deaths per 1,000 live births by 2017, and that 58% of child deaths between 2000 and 2017 in these countries could have been averted in the absence of geographical inequality. This study enables the identification of high-mortality clusters, patterns of progress and geographical inequalities to inform appropriate investments and implementations that will help to improve the health of all populations

Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019

Background: In an era of shifting global agendas and expanded emphasis on non-communicable diseases and injuries along with communicable diseases, sound evidence on trends by cause at the national level is essential. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides a systematic scientific assessment of published, publicly available, and contributed data on incidence, prevalence, and mortality for a mutually exclusive and collectively exhaustive list of diseases and injuries. Methods: GBD estimates incidence, prevalence, mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) due to 369 diseases and injuries, for two sexes, and for 204 countries and territories. Input data were extracted from censuses, household surveys, civil registration and vital statistics, disease registries, health service use, air pollution monitors, satellite imaging, disease notifications, and other sources. Cause-specific death rates and cause fractions were calculated using the Cause of Death Ensemble model and spatiotemporal Gaussian process regression. Cause-specific deaths were adjusted to match the total all-cause deaths calculated as part of the GBD population, fertility, and mortality estimates. Deaths were multiplied by standard life expectancy at each age to calculate YLLs. A Bayesian meta-regression modelling tool, DisMod-MR 2.1, was used to ensure consistency between incidence, prevalence, remission, excess mortality, and cause-specific mortality for most causes. Prevalence estimates were multiplied by disability weights for mutually exclusive sequelae of diseases and injuries to calculate YLDs. We considered results in the context of the Socio-demographic Index (SDI), a composite indicator of income per capita, years of schooling, and fertility rate in females younger than 25 years. Uncertainty intervals (UIs) were generated for every metric using the 25th and 975th ordered 1000 draw values of the posterior distribution. Findings: Global health has steadily improved over the past 30 years as measured by age-standardised DALY rates. After taking into account population growth and ageing, the absolute number of DALYs has remained stable. Since 2010, the pace of decline in global age-standardised DALY rates has accelerated in age groups younger than 50 years compared with the 1990–2010 time period, with the greatest annualised rate of decline occurring in the 0–9-year age group. Six infectious diseases were among the top ten causes of DALYs in children younger than 10 years in 2019: lower respiratory infections (ranked second), diarrhoeal diseases (third), malaria (fifth), meningitis (sixth), whooping cough (ninth), and sexually transmitted infections (which, in this age group, is fully accounted for by congenital syphilis; ranked tenth). In adolescents aged 10–24 years, three injury causes were among the top causes of DALYs: road injuries (ranked first), self-harm (third), and interpersonal violence (fifth). Five of the causes that were in the top ten for ages 10–24 years were also in the top ten in the 25–49-year age group: road injuries (ranked first), HIV/AIDS (second), low back pain (fourth), headache disorders (fifth), and depressive disorders (sixth). In 2019, ischaemic heart disease and stroke were the top-ranked causes of DALYs in both the 50–74-year and 75-years-and-older age groups. Since 1990, there has been a marked shift towards a greater proportion of burden due to YLDs from non-communicable diseases and injuries. In 2019, there were 11 countries where non-communicable disease and injury YLDs constituted more than half of all disease burden. Decreases in age-standardised DALY rates have accelerated over the past decade in countries at the lower end of the SDI range, while improvements have started to stagnate or even reverse in countries with higher SDI. Interpretation: As disability becomes an increasingly large component of disease burden and a larger component of health expenditure, greater research and developm nt investment is needed to identify new, more effective intervention strategies. With a rapidly ageing global population, the demands on health services to deal with disabling outcomes, which increase with age, will require policy makers to anticipate these changes. The mix of universal and more geographically specific influences on health reinforces the need for regular reporting on population health in detail and by underlying cause to help decision makers to identify success stories of disease control to emulate, as well as opportunities to improve. Funding: Bill & Melinda Gates Foundation. © 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licens

Exploring the Reasons for single-hood among Girls Aged Over 33 Years Living in Tehran: A Qualitative Study

Introduction: Both increase in the age of marriage and the prolonged singlehood among girls have become a major problem in Iranian society, leading to psychological and social harm. Therefore, the present study aimed to explain the reasons for singlehood among girls aged over 33 years living in Tehran.Methods: This study was a qualitative content analysis. The study population consisted of single girls aged over 33 years old in Tehran, Iran. A total of 18 unmarried girls aged over 33 years were purposefully selected and studied using semi-structured interviews. Conventional content analysis was used to analyze the data.Results: Data analysis resulted in 10 main categories including “university education”, “obsession with the choice of their life’s partner”, “economic problems”, “single girls’ distrust of men”, “instrumental view of marriage”, “other alternatives to marriage”, “appearance”, “escaping from responsibility”, “excessive parental strictness”, and “increase in girls’ expectations of their suitors”.Conclusion: It is necessary to take steps to prevent the increase in the age of marriage among girls by applying appropriate interventions such as changing girls’ attitudes toward marriage, educating parents to facilitate their adult children’s marriage, providing welfare facilities, and employing young persons

Exploring the challenges of men who married to adolescent girls in Western Iran: A qualitative study

Abstract Background and Aims Men face many challenges in their lives with adolescent girls that need to be identified. No research has been conducted in this field in Iran. This research aimed to explore the challenges of men married to adolescent girls in western Iran using a qualitative approach. Methods This research was conducted using qualitative methods and a conventional content analysis approach. Participants were 28 men in western Iran who had the experience of marrying girls under 18 years of age. Semi‐structured interviews were used both face‐to‐face and over the phone to collect data. Also, snowballing and purposeful sampling were used to select the participants. The data were also analysed using Granheim and Lundman's approach. Results From the data analysis, 1 category, 9 subcategories, and 103 primary codes were obtained. The main category was lack of empathy and consensus, which includes the subcategories of sexual dissatisfaction, girls' dependence on the family, inability to fulfill the roles of a wife, not being understood in life, remaining in the world of childhood, emotional divorce, limiting progress and preventing the achievement of goals, betrayal, and chaotic life. Conclusion Young couples problems can be solved by measures such as giving sex education and teaching skills necessary for married life, such as problem solving skills and anger control, to adolescent men and girls, as well as training families on how to properly support adolescent couples

Challenges and Opportunities Experienced by Iranian Researchers during the COVID-19 Pandemic: A Qualitative Study

The COVID-19 pandemic has caused new conditions, problems, and different research platforms for qualitative research. The aim of the present study was to analyse the challenges and opportunities facing qualitative researchers during the COVID-19 pandemic in Iran. This qualitative research was conducted with a conventional content analysis approach with twenty-four Iranian health sciences researchers. The participants were selected by snowball and purposive sampling. Data collection was carried out using semi-structured face-to-face and online interviews until reaching saturation. Data analysis was also carried out using the Graneheim & Lundman approach in MAXQDA-2018 software, and to improve the trustworthiness of the results, Guba and Lincoln’s criteria were used. Data analysis led to the identification of two main categories, 13 subcategories, and 69 primary codes: The challenges were in areas such as data collection methods, access to participants and how to conduct interviews. Opportunities also included formation of new topics for qualitative research, highlighting the importance of qualitative research, strengthening the technological knowledge of researchers, research cost-effectiveness, and presenting further information on sensitive topics. It is also possible to strengthen qualitative research by supporting qualitative researchers at universities and research centres, facilitating the administrative processes, providing communication infrastructure such as suitable Internet in universities, ensuring more diversity in data collection methods, developing an appropriate protocol during the COVID-19 pandemic, and dedicating some university rooms to qualitative researchers to conduct interviews

Identification of causes and consequences of Kolberi among Iranian Kurdish women: a grounded theory study

Abstract Background Women turn to Kolberi for various reasons, which cause numerous challenges for them. Thus, it is imperative to identify these causes and problems. Since no study has ever been undertaken to deal with this participant, the present research aims to identify the causes and consequences of Kolberi among Kurdish women in Iran. Method The present research uses the grounded theory approach to investigate 28 female Kurdish Kolbers. To achieve several participants, purposive, snowball, and theoretical sampling methods were used, while face-to-face semi-structured interviews were used to gather data. The process of data collection and analysis took 10 months, from April to December 2022. The data were analyzed using the Strauss and Corbin method and MAXQDA-20018 software. The Guba and Lincoln criteria were also met to increase the trustworthiness of the results. Findings Analysis of the data led to 143 initial codes, 31 subcategories, and 9 main categories: Causal condition (individual characteristics and economic factors); predisposing conditions (social and cultural factors, familial factors); intervening conditions (advantages and characteristics of Kolberi); strategies (strengthening compatibility with Kolberi); and consequences (individual problems, social problems and positive consequences). Conclusion Measures such as training occupational skills for women and providing employment conditions for them, increasing social, financial, and mental support for women without guardians, creating border markets, and expanding women's handicrafts can help prevent female Kolberi

Exploring the Consequences of Early Marriage: A Conventional Content Analysis

Early marriage is one of the most important social issues for young women and can have many consequences. The present study aimed to explore the consequences of early marriage among Kurdish women in western Iran who were married under the age of 18. This qualitative study was conducted with the approach of conventional content analysis. The data were collected through semi-structured interviews with 30 women selected by purposeful sampling. Data analysis was performed using Graneheim and Lundman’s method. A total of 389 codes, 12 subcategories, 4 sub-categories, and 2 main categories were extracted from the data analysis. Negative consequences of early marriage include: 1—physical and psychological problems (high-risk pregnancy and childbirth, physical illnesses, depression, and emotional distress); 2—family problems (dissatisfaction with married life, experience of having lots of responsibility, lack of independence in family life); 3—social problems (risky social behaviors, lack of access to social and health services, social isolation, lack of access to a job, and educational opportunities); and 4—positive consequences, including receiving intra-family support, improving living conditions, and opportunities for progress and empowerment. It is possible to reduce problems and challenges after early marriage by increasing the awareness and knowledge of young women about contraceptives and providing appropriate social and health facilities, and services during pregnancy. Providing the necessary training and psychological counseling for them and their husbands on how to deal with personal problems and marital life will be effective to a great extent