Determining the Burden of Suicidal Behaviors Using the DALY Approach: A Case Study in Iran (2018-2021)

Document Type : Original Article


1 Neuroscience Research Center , Kerman University of Medical Science ,Kerman,Iran

2 Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

3 Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran



Background: Suicide is a significant and growing concern in health systems worldwide. It is considered a crucial part of the 
comprehensive mental health action plan in every country. Kerman, one of the largest provinces of Iran with a relatively high 
population, has witnessed an increasing trend in this phenomenon, especially during the COVID-19 pandemic. 
Methods: This was a cross-sectional study conducted in urban and rural areas of Kerman. Suicide data for 2018–2021 were acquired 
from the Psychosocial Health and Addiction Prevention Group of the Deputy for Health at Kerman University of Medical Sciences. 
The burden resulting from suicide during these years was measured using the disability-adjusted life years (DALY) index.
Findings: During these four years, 23701 suicide attempts were recorded in Kerman, with 59% and 41% of the suicide attempts 
made by men and women, respectively, and 668 (2.82%) attempts leading to death. The highest rate (68%) was observed in the 
15–29 age range and the lowest rate (1.1%) was seen in people older than 60. Poisoning (89.3% of the attempts) was the most 
common suicide method. The suicide burden in Kerman in 2021 was 4417 according to the DALY index, which is 162.6 per 
100000 people; men and women endure 38% and 62% of this burden, respectively. The highest DALY rates were seen in the 15–29 
and 30–44 age groups.
Conclusion: The burden resulting from suicide highlights the necessity of taking immediate measures to prevent this behavior, 
especially among vulnerable groups. 


Ali Bahram Nejad: (Google Scholar) (PubMed)

Anahita Behzadi: (Google Scholar) (PubMed)

Zakieh Ostad-Ahmadi: (Google Scholar) (PubMed)

Mohsen Barouni: (Google Scholar) (PubMed)


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