Unveiling the silent crisis: global burden of suicide-related deaths among children aged 10-14 years.

IF 6.1 2区 医学 Q1 PEDIATRICS World Journal of Pediatrics Pub Date : 2024-04-01 Epub Date: 2024-01-19 DOI:10.1007/s12519-023-00781-z
Irmina Maria Michalek, Pawel Koczkodaj, Marzena Michalek, Florentino Luciano Caetano Dos Santos
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Abstract

Background: The rise in suicides among children aged 10-14 years demands urgent attention globally. This study aims to assess the global burden of suicide-related deaths in this age group from 1990 to 2019, considering factors such as sex, geography, and sociodemographics, to inform prevention strategies and interventions.

Methods: The data from Global Burden of Disease 2019, encompassing 204 countries and territories, were analyzed to investigate deaths and years of life lost (YLLs) due to suicide among children aged 10-14 years. Statistical analyses, including mortality rates, YLLs, and the sociodemographic index (SDI), were conducted using standardized tools.

Results: In 2019, a total of 8327 [95% uncertainty interval (UI) = 7073-9685] children aged 10-14 years died globally due to suicide, with a mortality rate of 1.30 (95% UI = 1.10-1.51) per 100,000. The rates varied across countries/territories ranging between 0.05 (95% UI = 0.02-0.10) in South Africa and 7.49 (95% UI = 5.13-10.57) in Greenland. The contribution of suicide-related deaths to all-cause mortality ranged from 0.07% (95% UI = 0.04%-0.15%) in South Africa to 33.02% (95% UI = 24.36%-41.53%) in Greenland. Worldwide, there were approximately 636,196 (95% UI = 540,383-740,009) YLLs due to suicide, with a rate of 99.07 (95% UI = 84.15-115.23) per 100,000. The association between SDI and suicide-related deaths was evident, with higher contributions observed in countries with higher SDI.

Conclusions: This study reveals a concerning global burden of suicide-related deaths among children aged 10-14 years. Despite progress in reducing mortality rates, suicide remains a significant issue. While overall rates have declined, the percentage of deaths caused by suicide in this age group is increasing.

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揭开无声危机的面纱:10-14 岁儿童自杀相关死亡的全球负担。
背景:10-14 岁儿童自杀率的上升亟需全球关注。本研究旨在评估 1990 年至 2019 年期间该年龄组自杀相关死亡的全球负担,同时考虑性别、地域和社会人口等因素,为预防策略和干预措施提供参考:分析了《2019 年全球疾病负担》(Global Burden of Disease 2019)的数据,其中包括 204 个国家和地区的数据,以调查 10-14 岁儿童因自杀导致的死亡人数和生命损失年数(YLLs)。使用标准化工具进行了统计分析,包括死亡率、生命损失年数和社会人口指数(SDI):2019 年,全球共有 8327 [95% 不确定区间 (UI) = 7073-9685]名 10-14 岁儿童死于自杀,死亡率为每 10 万人 1.30 (95% UI = 1.10-1.51)。不同国家/地区的死亡率各不相同,南非为 0.05(95% UI = 0.02-0.10),格陵兰为 7.49(95% UI = 5.13-10.57)。自杀相关死亡占全因死亡率的比例从南非的 0.07% (95% UI = 0.04%-0.15%) 到格陵兰的 33.02% (95% UI = 24.36%-41.53%) 不等。在全球范围内,约有 636,196 人 (95% UI = 540,383-740,009) 因自杀而永生,自杀率为 99.07 (95% UI = 84.15-115.23)/100,000。SDI与自杀相关死亡之间存在明显联系,SDI越高的国家,自杀相关死亡越多:这项研究揭示了全球 10-14 岁儿童中与自杀相关的死亡负担令人担忧。尽管在降低死亡率方面取得了进展,但自杀仍是一个重要问题。虽然总体自杀率有所下降,但这一年龄段儿童因自杀死亡的比例却在上升。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
World Journal of Pediatrics
World Journal of Pediatrics 医学-小儿科
CiteScore
10.50
自引率
1.10%
发文量
592
审稿时长
2.5 months
期刊介绍: The World Journal of Pediatrics, a monthly publication, is dedicated to disseminating peer-reviewed original papers, reviews, and special reports focusing on clinical practice and research in pediatrics. We welcome contributions from pediatricians worldwide on new developments across all areas of pediatrics, including pediatric surgery, preventive healthcare, pharmacology, stomatology, and biomedicine. The journal also covers basic sciences and experimental work, serving as a comprehensive academic platform for the international exchange of medical findings.
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