The survival rate of self-immolators in Kermanshah Province 2010- 2011

Farid Najafi; Touraj Ahmadijouybari; Mehdi Moradinazar; Maria Ataie; Behzad karamimatin; Reza karamimatin; Masoumeh Hatami; Afshin Almasi

Journal of Kermanshah University of Medical Sciences

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The survival rate of self-immolators in Kermanshah Province 2010- 2011

Author(s):

Farid Najafi¹,

Touraj Ahmadijouybari^2,*,

Mehdi Moradinazar³,

Maria Ataie²,

Behzad karamimatin⁴,

Reza karamimatin³,

Masoumeh Hatami³,

Afshin Almasi³

1Research Center for Environmental Health, School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran

2Dept. of Internal Medicine, Clinical Research Development Center, Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran

3Clinical Research Development Center, Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran

4Dept. of Health Services Management and Public Health, University of Medical Sciences, Kermanshah, Iran

Journal of Kermanshah University of Medical Sciences:Vol. 17, issue 9; e74342

Published online:Dec 29, 2013

Article type:Research Article

Received:Apr 28, 2013

Accepted:Oct 08, 2013

How to Cite:Farid NajafiTouraj AhmadijouybariMehdi MoradinazarMaria AtaieBehzad karamimatinReza karamimatinMasoumeh HatamiAfshin Almasiet al.The survival rate of self-immolators in Kermanshah Province 2010- 2011.J Kermanshah Univ Med Sci.17(9):e74342.

Abstract

Background: Self-immolation is one of the most violent methods of suicide, which is spreading in Iran. The highest rate of deaths due to committing suicide and self-immolation in Iran is observed in Kermanshah province. This research was conducted to study the survival rate and the factors that influence survival among the ones who commit self-immolation in Kermanshah province.

Methods: In this study, all the cases who did not survive, as well as all the ones who were hospitalized due to self-immolation in Kermanshah province during 2010 and 2011 were examined. The Kaplan-Meier method was used to estimate the survival function, and in order to do the comparisons, Logrank test and Cox Regression were employed using Stata 12 software.

Results: The results indicated that during 2010 and 2011, 343 individuals committed self-immolation in Kermanshah Province, while, 288 (84%) were women. Also, it was found that 184 (53%) did not survive, the mean and median of survival time in those who committed suicide deliberately, were 33±2.6 and 11±2 days respectively. Estimation of survival rate using Logrank test indicated that survival rate had a significant relationship with age, mental disorders, drug addiction, and TBSA (Total Body Surface Area), while it did not suggest a statistically significant relationship with gender, marital status and cause of injury. After multivariate analysis using Cox regression, only two variables of age and TBSA could remain in the model and the other variables were excluded from the model.

Conclusion: The death toll due to self-immolation is very high and the mean and median of survival time among the people who committed self-immolation is very low. Therefore, it is recommended that remedial action be performed quickly without wasting time.

Keywords

Survival

Self-Immolation

TBSA

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