Journal of Education and Health Promotion

Abstract Introduction: Disease mapping includes a set of statistical techniques that provides maps based on estimates of diseases rates. Bayesian ones are the most important models in this field. They consider prior information on changes in the disease rates in overall map and spatial pattern of the disease. These include a broad range of models with their own formulation, characteristics, strengths, and weaknesses. In the present study, we explain and compare three important and widely-used Bayesian models in the study of evaluating relative risk of suicide in Ilam province. Materials and Methods: In this applied-ecological research, suicide incidence in Ilam province in 2008 and 2009 was analyzed by use of Gamma-Poisson, Log-normal, and BYM Bayesian models. Models were fitted to data using WinBUGS software. Results: Fitting the three models showed that Darehshahr and Shirvan-Chrdavol had the highest and the lowest relative risk of suicide, respectively (relative risks based on Gamma-Poisson, Log-normal, and BYM models were 2.243, 2.275, and 2.279 for Dareshahr and 0.321, 0.321, and 0.319 for Shirvan-Chrdavol, respectively). Conclusion: Despite some differences in estimates, the ranks of relative risks in counties in all three models are the same. The counties based on the relative risks of suicide from the most to the least are: Darehshahr, Ilam, Dehloran, Eyvan, Abdanan, Mehran, Malekshahi, and Shirvan-Chrdavol.  

Abstract Introduction: Suicide is committed by a person himself or herself and whether conscious
or semiconscious it is aimed to end one`s life. This action is not committed inadvertently or
incongruously. However, it could be related to one`s unmet needs and feelings of despair. Studies
on the prevalence of suicide are related to environmental and seasonal circumstances. As there
are diverse populations in Bandar Abbas of different races due to its geographical position, and as
its weather condition is different from the other parts of country there is no study with this regard.
Hence, the aim of this research is to investigate the correlations between and among demographical
variables and suicide in different seasons of the year. Materials and Methods: This study is a
cross‑sectional one. Participants included 80 persons who had attempted suicide and were
hospitalized within 2011 in the Ebnesina Hospital of Bandar Abases, Iran. The variables under
investigation are the suicidal patients` demographic characteristics, where, when, and how the
person had committed suicide. All of these data were available in their profiles. These data were
analyzed by using the SSPS software. Results: The results showed that 45% of the suicidal
people were the young and adolescent. Also, 75.5% of these people were single and 22.5% of
them were married. Most suicides occurred in summer, which makes up 41.3% of all the suicidal
people. On the other hand 11.3% of the suicides were committed successfully and 88.7% of them
had been unsuccessful; 42.5% of suicidal people had used drugs and 38.8% of them had used
pesticides to commit suicide — 78.8% of these patients had psychotic disorders and 12.5% of
them suffered from mental disorders such as schizophrenia. Furthermore, a significant relationship
was found between seasons in which suicide was committed, marital status, age, mental illness,
and educational and occupational characteristics of suicidal patients. Conclusion: This study
showed that the most vulnerable people
committing suicide were from among the
young and adolescent. Singles had attempted
suicide more than the married. Most of suicide
attempters had used drugs to commit suicide.
Generally, in the current study, some variables
including season, marital status, age, history
of mental illnesses, and educational and
occupational variables were all associated
with committing suicide.

Abstract Background: There are few diverse studies that have reported the case fatality rates of different
methods of suicide, none of them are originated from developing countries. The aim of the
present article is to report the case fatality rates of different methods of suicide in Ilam province
of Iran. Materials and Methods: Data on 611 cases of suicide and 1807 cases of deliberate
self harm (DSH) that were recorded in a comprehensive registry during 1995 through 2002
were analyzed for both genders together and for males and females, separately. Findings: For
both genders together, the two most fatal methods were hanging (75.4%) and self-immolation
(68.3%); for males, hanging (76.3%) and self-immolation (64.7%); and for females, firearms
(75%) and hanging (73.7%), respectively. The least fatal methods for both genders together and
for females and males separately were drug ingestion and cutting. Conclusion: The results of
present study, which for the first time has reported the case fatality rates of suicide methods in
a developing world, would not only help to better plan the local suicide prevention strategies
and clinical assessment of suicidal cases but to shed light on overall understanding of this
mysterious human phenomenon.