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Int. J. Environ. Res. Public Health 2018, 15(2), 391; https://doi.org/10.3390/ijerph15020391

Sharply Reduced but Still Heavy Self-Harm Burdens in Hubei Province, China, 1990–2015

1
Institute of Chronic Non-Communicable Disease Control and Prevention, Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China
2
School of Health Sciences, Wuhan University, Wuhan 430071, China
*
Author to whom correspondence should be addressed.
Received: 4 January 2018 / Revised: 7 February 2018 / Accepted: 23 February 2018 / Published: 24 February 2018
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Abstract

The aims of this study were to describe fatal and non-fatal self-harm burdens, as well as burdens from the main preventable risk factors, and to investigate the different suicide methods in Hubei province in central China utilizing data from both Global Burden of Disease Study 2015 and Hubei Disease Surveillance Points system. All self-harm burdens including mortality, years of life lost (YLLs), prevalence, years lived with disability (YLDs), and disability adjusted life-years (DALYs) consistently demonstrated downward trends in Hubei from 1990 to 2015, with a bigger decline gap observed among females and narrower decreasing amplitudes among the elderly. Hubei experienced much higher age-standardized rates for self-harm mortality (22.0 per 100,000), YLLs (560.1 per 100,000) and DALYs (563.9 per 100,000) than the national (9.0, 292.3 and 295.0 per 100,000 respectively) and global levels (11.5, 453.3 and 457.9 per 100,000 respectively) in 2015. Self-harm burdens have begun shifting from females to males and the elderly suffered more self-harm burdens than other age groups. Alcohol use accounted for 20.9% of all self-harm DALYs for males, whereas intimate partner violence accounted for 24.4% of all self-harm DALYs for females. Poisoning, mainly pesticide self-poisoning, was still the most common method of suicide. Effective interventions by multi-sectoral collaboration are urgently needed to reduce the alarmingly heavy self-harm burdens in Hubei. View Full-Text
Keywords: self-harm burden; mortality; years of life lost (YLLs); prevalence; years lived with disability (YLDs); disability-adjusted life-years (DALYs); suicide method self-harm burden; mortality; years of life lost (YLLs); prevalence; years lived with disability (YLDs); disability-adjusted life-years (DALYs); suicide method
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Pan, J.; Zhang, L.; Tang, Y.; Li, Q.; Yu, C.; He, T. Sharply Reduced but Still Heavy Self-Harm Burdens in Hubei Province, China, 1990–2015. Int. J. Environ. Res. Public Health 2018, 15, 391.

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