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Main arrow Archive of previous Issues arrow №5 2014 (39) arrow Suicide mortality in irkutsk region as indicator of society ill-being
Suicide mortality in irkutsk region as indicator of society ill-being Print
Wednesday, 26 November 2014

Zaykova Z.A.
Irkutsk State Medical University, Ministry of Health of the Russian Federation

Abstract. Indicators of suicide mortality are used for analysis of demographic situation and assessment of society social ill-being. The problem of suicide mortality is still a pressing challenge in some Russian regions because of its high rates and its significant input into mortality of working population resulting in reduced population and considerable economic damage.

The aim was to study current suicide mortality trends in the Irkutsk region and to determine its relationship with other factors especially social and economic ones.

The study applied direct standardization using European standard, correlation analysis, ranking, forecasting and other methods.

Despite reduction of suicide mortality in 2000-2013, in the Irkutsk region the rates are still high: in 2013, the standardized rate was 1.6 times higher the Russia’s average. The WHO crucial level was exceeded by 3-5 times (20 deaths per 100,000) in half of the districts of the Irkutsk region (average for 2010-2013).

Similarly to the Russia’s average, the rates of rural suicide mortality in the region was 2.1 times higher compared to the urban rates; the reduction rates of suicide mortality for the whole population are also similar – annual average reduction rates during the research period equaled to 4.9%.

Gender differences are less pronounced in the Irkutsk region – male mortality is 5.3 times higher the female one, while the Russia’s average is 6.0 times.

The study showed strong correlation between suicide mortality and social and economic factors: per capita population income, average monthly earnings, living minimum wage, per capita living area etc.

Affect of social stress is confirmed by coefficients of medium correlation with activity rates (r = -0.44) and unemployment (r = 0.68).

To estimate society ill-being we used both individual indicators of suicide mortality and in the relation to homicide mortality indicator, for instance, to determine Gilinski’ “civility and sociality” and Leshchenko’ psychological (intellectual) ill-being of the society.

Due to insufficient statistical reporting in the region the estimates may not be reliable.

Analysis of mortality from external causes in the Irkutsk region in 2012 found out that the rates of suicide mortality were underestimated by approximately 7.3% i.e. it was close to actual figures and could be used for estimation of society ill-being.

The determined current peculiarities and trends in suicide mortality in the Irkutsk region allow for more effective planning and implementation of preventive activities among the population.

Keywords: suicide mortality; social and economic factors, demographic factors; correlation; social ill-being.

References

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Comments (1)
1. 16-01-2015 22:58
Работа не понравилась. Я не отношу себя к специалистам, имеющим право публиковать свои научные труды в столь авторитетном издании. Но я отслеживаю статистику насильственной смертности уже более 30 лет и знаю наверняка, что уровень смертности от суицида и динамика её развития чрезвычайно зависят от уровня и динамики развития алкоголизации населения. Степень корреляции чрезвычайно высокая. В 1984 году до антиалкогольного указа 1985 года в Новокузнецке было совершено 311 самоубийств при уровне потребления алкоголя в 11 литров абсолютного алкоголя на душу населения. В самом трезвом 1987 году в Новокузнецке уровень алкопотребления был 5,5 литра 100% алкоголя на каждую душу и смертность от суицида была зафиксирована на уровне 183 случаев при 81 случае суицида в пьяном состоянии. Начиная с 1988 года началось свёртывание антиалкогольных программ, в связи с чем начался постепенный рост количества потребления алкогольной наркотической дури. Одновременно с этим происходил и рост суицида. Пика показателей по убийствам и самоубийствам мы достигли в 1994 году. Самоубийства - 402, в том числе в пьяном виде 310. Убийств в трезвом 1987 году было 102, а в 1994 - 659. А в вашей статье почти никакого внимания не уделяется алкогольному наркотическому фактору. Это главный убийца. Я это знаю ещё и потому, что мне довелось 30 лет назад пройти через период алкогольных запоев и я знаю, как раскручивается маховик проблем у человека с такой зависимостью от алконаркотика. С утра на полупьяную голову начинаешь понимать, что живёшь подло и уйма проблем от пьянки. Опохмелился и проблемы, как бы растворились. Добавил и проблемы до утра не возвращаются, но ... На следующий день понимаешь, что к позавчерешним проблемам добавились вчерашние и сегодняшние.... Опохмелился и нет проблем... Но утром.... И так маховик проблем набирает инерцию, которая подводит человека к мысли о том, что надо разрубить этот "гордиев узел" одним махом, потому что сил в себе человек не видит остановиться, а проблемы то не шуточные-угроза потери своих деток малых. Так и уходят люди тысячами в угоду российскому пьяному бюджету. И вина за это лежит прежде всего на государстве. Это я вам теперь уже как профессионал с тридцатилетним стажем антиалкогольной и трезвеннической работы говорю и как юрист с таким же стажем. Очень рекомендую отказаться от употребления алкогольных наркотиков даже по великим праздникам, потому что это не позволило вам увидеть главного фактора депопуляции нации. Абсолютная трезвость это необходимое условие для правильной оценки роли различных факторов по их влиянию на развитие данного трагедийного явления.
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