DOI: 10.21045/2071-5021-2018-59-1-4
Shelygin K.V., Sumarokov Yu.A., Malyavskaya S.I.
Northern State Medical University, Ministry of Health of the Russian Federation, Arkhangelsk
Contacts: Kirill Shelygin,
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Information about authors:
Shelygin K.V., http://orcid.org/0000-0002-4827-2369
Sumarokov Yu.A., http://orcid.org/0000-0002-6693-838X
Malyavskaya S.I., http://orcid.org/0000-0003-2521-0824
Acknowledgments.The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interest.
Abstract
Significance. Considering the prospects of developing
the circumpolar and arctic territories of Russia and a socio-demographic
significance of mortality from suicide, it seems relevant to carry out
an analytical monitoring of this mortality with the aim of developing
preventive measures.
Purpose and objectives. To characterize death rates
from suicide in the Arctic zone of Russia. Objectives included
description of the dynamic trends in suicide mortality in 1993-2015,
evaluation of the suicide mortality input into the total mortality from
external causes, identification of seasonality and age-specific
characteristics of suicide mortality, and determination of the
connection between changes in death rates from suicide and alcohol
consumption.
Methods. Official statistics on mortality in the Arctic
zone of Russia were used. The indicators were standardized by the
European standard of population by a direct method. For convenient
description of trends, the dynamic series were smoothed using the 4253H
method, the mortality cycle analysis was carried out using an
autocorrelation function and seasonal decomposition by the Census I
method. The time series relationship was estimated through constructing a
cross-correlation function of the residuals of the "bleaching" models
by the autoregressive method of the integrated moving average.
Results. The study showed that the overall dynamics in
deaths from suicide in the Russian Arctic territories is consistent with
the general one for the whole country, differing in a greater intensity
of indicators; deaths from suicide in the Nenets and Chukotka
autonomous districts contribute the maximum to the total mortality from
external causes, while the infant mortality rates from suicide are
regular in the Republic of Sakha and the Arkhangelsk region, otherwise,
the age-specific distribution of mortality is similar to the average
Russian indicators, differing in larger size of indicators. The gap in
indicators is measured, in most cases, by hundreds of percent. Seasonal
mortality, with the exception of the indicators of the Murmansk region
and the Nenets Autonomous District (NAD), corresponds to the all-Russian
trend with a maximum of indices in spring and summer and a minimum in
autumn and winter. A significant correlation between death rates from
suicides and alcohol consumption indicator has been established in the
Chukotka Autonomous District only. Lack of communication in other
territories may account for distortions and underestimation of suicide
mortality rates.
The obtained results allow to evaluate effectiveness of measures
aimed at improving the socio-demographic situation in the Arctic zone of
Russia.
Key words: suicide mortality; Arctic; alcohol consumption.
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