Background: Suicide is a cause of avoidable mortality occurring as a result of a self-destructive act done intentionally by a person being aware that it would result in his/her death. Biopsychosocial, environmental or sociocultural risk factors varying with age, gender and geographical distribution can act in different ways in several regions. Objective: To describe geographical trends in suicide rates in Italy over the period 1997-2001. Methods: Death rates were analysed on the basis of age-standardized mortality rates by gender and age (compared with 2001 Italian population), for regions and province. Mortality data, obtained from the Italian Population Register (ISTAT), are based on the ICD-9-CM. Results: Suicides were committed by 20,944 persons (15,849 males and 5,095 females). Males had a higher risk than females (RR=3.11): the mean annual rate per 100,000 was 11.5 male and 3.5 female. Rates showed a downward trend. The most frequent method used is hanging (46%) and firearms (18%) for men and jumping (39%) and hanging (30%) for females. Regional rates were highest in the North (by region, the highest suicide rates was seen in Val d’Aosta, 26.8/100,000 male and 7.6/100,000 female) and in Sardegna (20.8/100,000 only in males), followed by Trentino Alto Adige, Friuli Venezia Giulia, Piemonte (especially in the northern border province), Emilia Romagna, Marche, Umbria with rates between 13.2 and 15.9/100,000 male and between 4.1 and 4.9/100,000 female. The South has the lowest risk in both sexes (8.9/100,000 males, 2.6/100,000 female). Rates increase gradually with age in both sexes and are higher for males, especially among the elderly (over 65). Conclusions: Prevention strategies should be focused on those vulnerable people exposed to a number of risk factors - such as unemployment, social class, isolation, misuse of alcohol, prior suicide attempt, immigrant, previous loss, psychiatric illness, severely stressful life events - acting in a synergistic ways in different regions.
Geographical distribution on suicide mortality in Italy, 1997-2001 / Pucci, Daniela; Paone, M; Mondillo, V; D'Alessandro, Daniela; Fara, Gaetano. - In: EUROPEAN JOURNAL OF PUBLIC HEALTH. - ISSN 1101-1262. - STAMPA. - 16:(2006), pp. 153-153. (Intervento presentato al convegno Politics, policies and/or the public’s health, 14th EUPHA Conference tenutosi a Montreux, Switzerland nel 16-18 November 2006).
Geographical distribution on suicide mortality in Italy, 1997-2001
PUCCI, DANIELA;MONDILLO V;D'ALESSANDRO, Daniela;FARA, Gaetano
2006
Abstract
Background: Suicide is a cause of avoidable mortality occurring as a result of a self-destructive act done intentionally by a person being aware that it would result in his/her death. Biopsychosocial, environmental or sociocultural risk factors varying with age, gender and geographical distribution can act in different ways in several regions. Objective: To describe geographical trends in suicide rates in Italy over the period 1997-2001. Methods: Death rates were analysed on the basis of age-standardized mortality rates by gender and age (compared with 2001 Italian population), for regions and province. Mortality data, obtained from the Italian Population Register (ISTAT), are based on the ICD-9-CM. Results: Suicides were committed by 20,944 persons (15,849 males and 5,095 females). Males had a higher risk than females (RR=3.11): the mean annual rate per 100,000 was 11.5 male and 3.5 female. Rates showed a downward trend. The most frequent method used is hanging (46%) and firearms (18%) for men and jumping (39%) and hanging (30%) for females. Regional rates were highest in the North (by region, the highest suicide rates was seen in Val d’Aosta, 26.8/100,000 male and 7.6/100,000 female) and in Sardegna (20.8/100,000 only in males), followed by Trentino Alto Adige, Friuli Venezia Giulia, Piemonte (especially in the northern border province), Emilia Romagna, Marche, Umbria with rates between 13.2 and 15.9/100,000 male and between 4.1 and 4.9/100,000 female. The South has the lowest risk in both sexes (8.9/100,000 males, 2.6/100,000 female). Rates increase gradually with age in both sexes and are higher for males, especially among the elderly (over 65). Conclusions: Prevention strategies should be focused on those vulnerable people exposed to a number of risk factors - such as unemployment, social class, isolation, misuse of alcohol, prior suicide attempt, immigrant, previous loss, psychiatric illness, severely stressful life events - acting in a synergistic ways in different regions.File | Dimensione | Formato | |
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