Development of definitions of suicidal behaviours

2021 ◽  
pp. 87-92
Author(s):  
José M. Bertolote ◽  
Danuta Wasserman
Keyword(s):  
Cause Of Death ◽  
Causes Of Death ◽  
Suicide Mortality ◽  
Sociocultural Factors ◽  
Vital Registration ◽  
Quality Of Information ◽  
Registration System ◽  
Vital Registration System ◽  
Over Time

This chapter covers definitions of suicidal behaviours and how they vary over time, reflecting predominant philosophies and schools of thought. The limitations in the quality of information about suicide mortality, as a common feature affecting the whole vital registration system, are discussed. The smaller the coverage a country receives, the greater the probability of distortions, which adds to any previous distortions already flawing the data. It should be strongly emphasized that these shortcomings affect the system as a whole, and hence all causes of death. However, suicidologists seem to be much more punctilious about under-reporting of suicide, and the essential unreliability of this information, than experts dealing with mortality from other causes. Coordinated efforts should be made to strengthen those systems, paying attention to the specificity of sociocultural factors’ influence on defining, recording, and reporting suicide as a cause of death.

scholarly journals Penilaian Kualitas Data Penyebab Kematian di Indonesia Tahun 2014

2020 ◽  
Vol 48 (4) ◽  
pp. 235-242
Author(s):  
Endang Indriasih ◽  
Tita Rosita ◽  
Anni Yulianti ◽  
Rozana Ika Agustiya
Keyword(s):  
Cause Of Death ◽  
Public Health Policy ◽  
Causes Of Death ◽  
Circulatory System ◽  
Quality Of Data ◽  
Registration System ◽  
Low Level ◽  
Sample Registration System ◽  
Garbage Code

Sample Registration System (SRS) is a demographic survey for providing data on causes of death (COD) in Indonesia. The quality of COD will be taken into consideration for health policies development. This paper aims to assess the quality of data on the causes of death in Indonesia through the proportion and level of garbage codes on the impact when used in policy making. The 2014 National COD data set were assessed by applying the Analysis of National Causes of Death for Action (ANACONDA) software tool version 3.7.0. Distributions and levels of unusable and insufficiently specified “garbage” codes were analyzed. The Result shows, Diseases of the circulatory system (62.6%) contributed the most to garbage cause of death. The proportion of unusable COD was 31% of total data. 80% of garbage code were unspecified deaths group. Most of the garbage codes has low-level on severity of impact level for policy, while 11% of total codes has medium, high dan very high level of impact. In Conclusion, the 2014 SRS data was not at high quality, but the implications of garbage code in making inappropriate policies are mostly at low level. The use of low-level codes has less important impact on public health policy. The 2014 SRS data could be considered as a scientific basis evidence for public health policy. Quality improvement still needs to be done by conducting training and refreshing to determine the cause of death for doctors and data collection techniques for data collectors Keywords : Cause of Death, quality of data, Sample Registration System, ANACONDA Abstrak Sample Registration System (SRS) merupakan survei demografi untuk menyediakan data penyebab kematian (COD) di Indonesia. Kualitas COD akan menjadi bahan pertimbangan dalam membuat kebijakan kesehatan. Tulisan ini bertujuan untuk menilai kualitas data penyebab kematian di Indonesia melalui besar proporsi dan level kode sampah terhadap dampak yang ditimbulkan ketika digunakan dalam membuat kebijakan. Data penyebab kematian nasional tahun 2014 dinilai dengan menggunakan perangkat lunak Analisis Penyebab Kematian Nasional untuk Tindakan (ANACONDA) versi 3.7.0. Distribusi dan level kode "sampah" yang tidak dapat digunakan dianalisis dengan menggunakan ANACONDA. Hasil analisis menunjukkan, Diseases of the circulatory system (62.6%) berkontribusi terbanyak dalam hal kode sampah. Proporsi kode sampah yang tidak dapat digunakan adalah 31% dari total kode. Kode sampah yang paling umum digunakan adalah kelompok penyebab kematian tidak spesifik dan kelompok penyebab kematian antara. Berdasarkan tingkat keparahan dalam membuat kebijakan, sebagian besar kode sampah termasuk kategori level rendah, hanya 11% dari total kode memiliki tingkat dampak sedang, tinggi dan sangat tinggi. Kesimpulannya, kualitas data SRS 2014 masih kurang baik, namun implikasi yang ditimbulkan kode sampah dalam membuat kebijakan yang salah sebagian besar berada pada level rendah. Penggunaan kode-kode level rendah memiliki dampak yang kurang penting bagi kebijakan kesehatan masyarakat. Data penyebab kematian SRS 2014 layak dipertimbangkan untuk digunakan sebagai dasar kebijakan Kesehatan masyarakat. Pelatihan penentuan penyebab kematian untuk dokter dan juga petugas AV perlu dilakukan agar kualitas data COD selanjutnya dapat lebih baik Kata kunci: penyebab kematian, kualitas data, Sample Registration System, ANACONDA

scholarly journals ONLINE COURSE REGISTRATION APPLICATION AT EDEN EVERYDAY ENGLISH BOGOR

2021 ◽  
Vol 15 (2) ◽  
pp. 74
Author(s):  
Dinda Ayu Muthia ◽  
Yetrivo Efendy
Keyword(s):  
System Development ◽  
Integrated System ◽  
Online Course ◽  
Registration Form ◽  
Quality Of Information ◽  
Web Based ◽  
Registration System ◽  
Registration Process ◽  
New Students

The course is one of the education provided outside formal (non-formal) schools to develop personal abilities and skills. Eden Everyday English Course Institute is an Institution located in Bogor. In this institution, the registration process for students is done manually by filling in the registration form provided by the admin. Eden Everyday English Course Institute is one of the courses where the number of applicants increases every year, this causes the administration department cannot manage everything properly and feels overwhelmed so that it is not effective. With the increase in the number of students registering each year, it would be better if a web-based registration system was created, so that it could simultaneously serve as a medium for promoting the course institution. The purpose of this research is to create a web-based application to help the process of registration for new students in Eden Everyday English Course Institute using the waterfall method. Many studies, especially in the field of information system development, use the Waterfall method. This online course registration application is effective and efficient because it is supported by an integrated system. This application improves the quality of information and the efficiency of the implementation of online course registration.

scholarly journals Trends in Suicide Mortality by Method from 1979 to 2016 in Japan

2019 ◽  
Vol 16 (10) ◽  
pp. 1794 ◽  
Author(s):  
Bibha Dhungel ◽  
Maaya Kita Sugai ◽  
Stuart Gilmour
Keyword(s):  
Linear Regression ◽  
Linear Regression Analysis ◽  
Health Concern ◽  
Suicide Mortality ◽  
Registration System ◽  
Suicide Rates ◽  
Vital Registration System ◽  
Using Data ◽  
Age Adjusted Rates ◽  
Log Linear

Suicide is a major public health concern in Japan. This study aimed to characterize the trends in suicide mortality in Japan by method since 1979. Using data from the Japan vital registration system, we calculated age-standardized rates of suicide mortality separately by sex and method. We conducted a log-linear regression of suicide mortality rates separately by sex, and linear regression analysis of the proportion of deaths due to hanging, including a test for change in level and trend in 1998. While crude suicide rates were static over the time period, age-adjusted rates declined. The significant increase in suicide mortality in 1998 was primarily driven by large changes in the rate of hanging, with suicide deaths after 1998 having 36.7% higher odds of being due to hanging for men (95% CI: 16.3–60.8%), and 21.9% higher odds of being due to hanging for women (95% CI: 9.2–35.9%). Hanging has become an increasingly important method for committing suicide over the past 40 years, and although suicide rates have been declining continuously over this time, more effort is needed to prevent hanging and address the potential cultural drivers of suicide if the rate is to continue to decline in the future.

scholarly journals India’s Civil Registration System: a potentially viable data source for reliable subnational mortality measurement

2020 ◽  
Author(s):  
Chalapati Rao ◽  
Mamta Kansal
Keyword(s):  
Cause Of Death ◽  
Civil Registration System ◽  
Registration System ◽  
Civil Registration ◽  
Medical Certification ◽  
Sample Registration System ◽  
Reliable Source ◽  
Data Source ◽  
Near Future

ABSTRACTIntroductionThe Indian national Civil Registration System (CRS) is the optimal data source for mortality measurement, but is yet under development. As an alternative, data from the Sample Registration System (SRS) which covers less than 1% of the national population is used. This article presents a comparative analysis of mortality measures from the SRS and CRS in 2017, and explores the potential of the CRS to meet these subnational data needs.MethodsData on population and deaths by age and sex for 2017 from each source were used to compute national and state level life tables. Sex specific ratios of death probabilities in five age categories (0-4, 5-14, 15-29, 30-69, 70 -84, 85+) were used to evaluate CRS data completeness, using SRS probabilities as reference values. The quality of medically certified causes of death was assessed through hospital reporting coverage and proportions of deaths registered with ill-defined causes from each state.ResultsThe CRS operates through an extensive infrastructure with high reporting coverage, but child deaths are uniformly under reported, as well as female deaths in some states. However, at ages 30 to 69 years, CRS death probabilities are higher than the SRS values in 15 states in males and 10 states in females. SRS death probabilities are of limited precision for measuring mortality trends and differentials. Medical certification of cause of death is affected by low hospital reporting coverage.ConclusionsThe Indian CRS is more reliable than the SRS for measuring adult mortality in several states. Targeted initiatives to improve the recording of child and female deaths, to strengthen the quality of medical certification of cause of death, and to promote use of verbal autopsy methods are necessary to establish the CRS as a reliable source of sub national mortality statistics in the near future.KEY MESSAGESThe Sample Registration System (SRS) is currently the main source of mortality statistics in India, since the Civil Registration System (CRS) is yet under developmentLimitations in sample size as well as problems with quality of causes of death result in considerable uncertainty in population level mortality estimates from the SRSThis research evaluated the quality of the sex and age specific mortality risks from the CRS, using the SRS values in each state as reference valuesThe CRS has high levels of reporting coverage for death registration, and also measures higher levels of mortality at ages 30 to 69 years in several states, with high precisionInterventions are required to improve child death registration, strengthen medical certification of cause of death in hospitals, and introduce verbal autopsy for home deathsThese interventions will establish the CRS as a routine and reliable source for national and subnational mortality measurement in India in the near future

scholarly journals Temporal and spatial estimates of adult mortality for small areas in Brazil, 1980-2010

2017 ◽  
Author(s):  
Bernardo L Queiroz ◽  
Everton Lima ◽  
Flávio Freire ◽  
Marcos Roberto Gonzaga
Keyword(s):  
Health Planning ◽  
Population Data ◽  
Adult Mortality ◽  
Vital Statistics ◽  
Mortality Data ◽  
Mortality Pattern ◽  
Registration System ◽  
Small Areas ◽  
Over Time

BACKGROUNDThe study of mortality level and trends in developing countries is limited by the quality of vital registration system and population data, especially for small areas. However, understanding regional differences in data quality and mortality is crucial for public health planning. OBJECTIVEThe paper aims to estimate adult mortality levels for small-areas in Brazil and to examine variations and spatial patterns of adult mortality across regions, overtime and by sex in the countryMETHODSWe combine a three-method strategy. We apply a standardization technique to smooth rates in small areas. We then obtained measures of completeness of death counts coverage using Death Distribution Methods. And spatial analysis to investigate variations and patterns of adult mortality in small areas of the country.RESULTSWe find that completeness of death counts coverage improved overtime across the country. We observed that regions in the south and southeast have complete death registration systems and areas in the less developed regions are improving. We observe a large and constant differential in adult mortality by sex and regions.CONCLUSIONSWe find that the quality of mortality data in Brazil and regions is improving over time. The improvement is mostly explain by public investments in collection health data. Gender differences remained high over the period of analysis due to the increase in external causes of deaths for males. This increase also explains the concentration of high mortality levels for males in some areas of the country. CONTRIBUTIONA new methodological procedure on estimating and analyzing the evolutions on adult mortality pattern over time and across smaller areas on the presence of defective data, on both vital statistics and population data.

In Reply: International Statistics—Incomparable

PEDIATRICS ◽  
1993 ◽  
Vol 92 (4) ◽  
pp. 637-637
Author(s):  
EMBRY M. HOWELL ◽  
PAUL VERT
Keyword(s):  
Vital Statistics ◽  
Vital Registration ◽  
Health Ministry ◽  
Registration System ◽  
Vital Registration System

Dr Sepkowitz makes several correct points about the French vital registration system that leads to incomparability with Michigan vital statistics. • Definitions of fetal deaths are dissimilar. The French registration system ignores fetal deaths at less than 28 weeks gestation. • In France, it is the responsibility of parents to register births. • France has had a unique category of "deaths before registration." However, he is incorrect in suggesting that these differences affected the results reported in our article. It is precisely for these reasons that we did not use data from the French vital registration system. Instead we used data that were carefully collected during a 1-year period in Lorraine's hospitals under the direction of the French Health Ministry that directly controls French hospitals.

Influences on place of death in Botswana

2010 ◽  
Vol 8 (2) ◽  
pp. 177-185 ◽  
Author(s):  
Mark Lazenby ◽  
Tony Ma ◽  
Howard J. Moffat ◽  
Marjorie Funk ◽  
M. Tish Knobf ◽  
...  
Keyword(s):  
Cause Of Death ◽  
Causes Of Death ◽  
Death Certificate ◽  
Female Gender ◽  
Place Of Death ◽  
Hospital Deaths ◽  
The Mean ◽  
Dying At Home ◽  
At Home

AbstractObjective:There is an emerging body of research aimed at understanding the determinants of place of death, as where people die may influence the quality of their death. However, little is known about place of death for people of Southern Africa. This study describes place of death (home or hospital) and potential influencing factors (cause of death, age, gender, occupation, and district of residence).Method:We collected the death records for years 2005 and 2006 for all adult non-traumatic deaths that occurred in Botswana, described them, and looked for associations using bivariate and multivariate analyses.Results:The evaluable sample consisted of 18,869 death records. Home deaths accounted for 36% of all deaths, and were predominantly listed with “unknown” cause (82.3%). Causes of death for hospital deaths were HIV/AIDS (49.7%), cardiovascular disease (13.8%), and cancer (6.6%). The mean age at the time of all deaths was 53.2 years (SD = 20.9); with 61 years (SD = 22.5) for home deaths and 48.8 years (SD = 18.6) for hospital deaths (p < .001). Logistic regression analysis revealed the following independent predictors of dying at home: unknown cause of death; female gender; >80 years of age; and residing in a city or rural area (p < .05).Significance of Results:A major limitation of this study was documentation of cause of death; the majority of people who died at home were listed with an unknown cause of death. This finding impeded the ability of the study to determine whether cause of death influenced dying at home. Future study is needed to determine whether verbal autopsies would increase death-certificate listings of causes of home deaths. These data would help direct end-of-life care for patients in the home.

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