Geography of Female Suicide

2019 ◽  
pp. 1340-1374
Author(s):  
Semra Günay

Suicide is a complex structure and also affects the families whose members commit suicide, health care professionals and society. Suicide is accepted as a form of death of external causes. It can be predicted and majority of suicides can be prevented. Suicide shows a big amount of differences depending on time, region, age level, gender and race. In order to understand and prevent suicide, several geographical, medical, psychosocial, cultural and socioeconomic factors have been studied. A tiny disorder in one of these factors may cause a significant change that results in severe outcomes. In preventing suicide, it is important to determine the subgroups that have high risk. Strategies to prevent suicide can be developed through searching and understanding the suicide geography. In this study, the spatial pattern of female suicide is examined with suicide maps. With suicide maps, it is aimed to clarify the spatial alteration of the deaths caused by female suicide, to help in focusing on female suicide, to increase the awareness of the specific regions and groups that have a high risk and to guide those who are dealing with decreasing the death ratios, public health experts and decision makers. In Turkey, according to the suicide rate averages of ten years (2002-2011), mostly the young age groups are at risk among women. The ratio of suicides caused by family incompatibility, educational failure and emotional relationship and not forced marriage is higher in females than in males. Turkey is a northern hemisphere country and features subtropical climate types, where females mostly commit suicide in summer and spring seasons. It is observed that there is no peak period in female suicide in Turkey. When the distribution of suicide based death ratios are examined, it is seen that the highest ratios are in the eastern and western parts of Turkey. It is seen that suicide occurs in the provinces with low socioeconomic status as well as the provinces with high socioeconomic status and in provinces with both a large population and a small population. And also it is determined that for those provinces, detailed studies should immediately be started. It is seen that the ratio of female suicide is getting higher and approaching to the ratio of male suicide from western parts to eastern parts of Turkey. Between these years, 75% of the suicides were committed by means of violent methods and 25% of them were committed by means of nonviolent methods. The provinces where the ratio of using violent suicide methods is higher than the standard deviation are located in the eastern part of the country. It is noteworthy that the ratio of female suicide victims who are single is close to the ratio of those who are married. The suicide ratio of married women is decreasing from west to east.

Author(s):  
Semra Günay

Suicide is a complex structure and also affects the families whose members commit suicide, health care professionals and society. Suicide is accepted as a form of death of external causes. It can be predicted and majority of suicides can be prevented. Suicide shows a big amount of differences depending on time, region, age level, gender and race. In order to understand and prevent suicide, several geographical, medical, psychosocial, cultural and socioeconomic factors have been studied. A tiny disorder in one of these factors may cause a significant change that results in severe outcomes. In preventing suicide, it is important to determine the subgroups that have high risk. Strategies to prevent suicide can be developed through searching and understanding the suicide geography. In this study, the spatial pattern of female suicide is examined with suicide maps. With suicide maps, it is aimed to clarify the spatial alteration of the deaths caused by female suicide, to help in focusing on female suicide, to increase the awareness of the specific regions and groups that have a high risk and to guide those who are dealing with decreasing the death ratios, public health experts and decision makers. In Turkey, according to the suicide rate averages of ten years (2002-2011), mostly the young age groups are at risk among women. The ratio of suicides caused by family incompatibility, educational failure and emotional relationship and not forced marriage is higher in females than in males. Turkey is a northern hemisphere country and features subtropical climate types, where females mostly commit suicide in summer and spring seasons. It is observed that there is no peak period in female suicide in Turkey. When the distribution of suicide based death ratios are examined, it is seen that the highest ratios are in the eastern and western parts of Turkey. It is seen that suicide occurs in the provinces with low socioeconomic status as well as the provinces with high socioeconomic status and in provinces with both a large population and a small population. And also it is determined that for those provinces, detailed studies should immediately be started. It is seen that the ratio of female suicide is getting higher and approaching to the ratio of male suicide from western parts to eastern parts of Turkey. Between these years, 75% of the suicides were committed by means of violent methods and 25% of them were committed by means of nonviolent methods. The provinces where the ratio of using violent suicide methods is higher than the standard deviation are located in the eastern part of the country. It is noteworthy that the ratio of female suicide victims who are single is close to the ratio of those who are married. The suicide ratio of married women is decreasing from west to east.


Author(s):  
Semra Günay Aktaş

Suicide is a complex structure and also affects the families of the person who commit suicide, health care professionals and society. Suicide shows large differences depending on the time, region, age level, gender and race. Suicides are chaotic events because a little confusion on one of each these factors may cause a significant change that leads to severe consequences. Chaos theorists believe that the first step to deal with chaos is to understand it. Therefore, all aspects of suicide need to be understood in detail in order to prevent it. Strategies to prevent suicide can be developed through searching and understanding the suicide geography. In this chapter, the spatial pattern of female suicide is examined with suicide maps. With suicide maps, the aim is to clarify the spatial alteration of the deaths caused by female suicide, to help in focusing on female suicide, to increase the awareness of the specific regions and groups that have a high risk and so to guide the ones who are dealing with decreasing the death ratios, public health experts and decision makers.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Weiming Cheng ◽  
Yi-Chun Chiu ◽  
Yu-Hua Fan ◽  
Shu-Yi Lin ◽  
Sheng-Wen Chen

AbstractDelayed double-J ureteric stent (DJ) removal may cause severe morbidity. We aimed to identify high-risk patients for forgotten DJs to prevent iatrogenic injury and improve safety. Data of patients with DJs placed after ureterorenoscopic lithotripsy (URSL) between 2000 and 2013 from the National Health Insurance Database in Taiwan were included. Forgotten DJs were defined as indwelling DJs for > 6 months after URSL, which is approximately two times longer than the expiratory duration. Age at stenting, sex, socioeconomic status, specialty of stenting physician, comorbidities, postoperative emergency room visiting and abdominal plain x-ray filming frequencies, and alpha blocker use for > 7 days after stenting were analysed. Of 13,058 patients, 12,969 (99.31%) had timely removed DJs while 89 (0.68%) had forgotten DJs. Per a univariate analysis, patients with forgotten DJs were older, female, and of low socioeconomic status, and the use of more than one DJ for one URSL, placement by non-urologists, and less frequent postoperative abdominal plain x-ray filming and postoperative alpha blocker use were risk factors. Per a multivariate analysis, elderly patients (Odds ratio [OR] = 3.37, 95% confidence interval (CI) 1.36–8.32, p = 0.0085), DJ placement by non-urologists (OR = 9.63, 95% CI 6.09–15.24, p < 0.0001), more than two DJs for one URSL (OR = 2.93, 95% CI 1.58–5.42, p = 0.0006), and less frequent postoperative abdominal plain x-ray filming (OR = 0.66, 95% CI 0.51–0.86, p = 0.0016) were significantly associated with forgotten DJs. Forgotten URSL-related DJs are infrequent in Taiwan. Old age, complicated DJ insertion requiring more than two stents for one URSL, and stent placement by non-urologists are risk factors. Physicians should be aware of these high-risk patients.


2015 ◽  
Vol 8 (8) ◽  
pp. 200 ◽  
Author(s):  
Wimonrut Boonsatean ◽  
Anna Carlsson ◽  
Margareta Östman ◽  
Irena Dychawy Rosner

<p>The purpose of this study was to examine the life experiences of nineteen Thai women of low socioeconomic status who were living with type 2 diabetes. A qualitative research design was conducted, and the women were identified by the snowball technique. Data was collected through semi-structured interviews, and processes of induction and abstraction were used for data analysis. The theme “keeping equilibrium of one’s mind” involved two sub-themes: experiencing an unpredictable future and being empowered by emerged beliefs. The first sub-theme encompassed worries concerning health and fears of being a burden to one’s family. The second sub-theme comprised the experiences of continuing life without being conquered by the disease and believing in the natural law described in Buddhist teachings. These findings revealed that participants could maintain a balance among their concerns through empowerment by inner and outer sources of beliefs, particularly in Buddhist teachings. Despite the vulnerable situations caused by diabetes and low socioeconomic status, the women remained calm, with a consciousness to continue their lives with the disease. The Buddhist views on life, specifically natural law, assisted them to consider life with diabetes as simply a natural course. Buddhism served as a spiritual refuge and helped the women to cope with their psychological burden from diabetes. These findings may reflect the need for health care professionals to provide more holistic care that would assist patients to live with their disease. Buddhist beliefs can be used as a tool to assist Thai patients to empower themselves successfully.<strong></strong></p>


2018 ◽  
Vol 5 (4) ◽  
pp. 1474
Author(s):  
Pavan Kumar D.

Background: Little information is available about the prevalence of skin conditions among the children in general population. Skin conditions vary in frequencies and severity in different age groups, different geographical locations and under different definitions of skin diseases. Low socioeconomic status, malnutrition, overcrowding, poor standards of hygiene are important factors accounting for development of nutritional dermatoses in developing countries such as India. The objective of the present research was to study the association between nutritional dermatoses with Socioeconomic status, dietary fallacies and growth in children 1 to 5 years of age.                Methods: A cross sectional study was conducted in a rural based medical college of Dakshina Kannada District in Karnataka among the one to five years age children, who were attending the Pediatric out patient with nutritional skin lesions from the month of November 2012 to October 2013. The sample size was estimated as 150 children.Results: In present study, 76.00% (114) of children fall in the group of under nutrition and 73.33% (110) children is having the causative factor as Dietary Fallacies. Majority of children 60.66% (91) with nutritional dermatoses belongs to class IV socio-economic status according to B.G Prasad classification, 27.33% (41) belongs to class III and 12.00% (18) children belongs to class V. 64.66% (97) of children with nutritional dermatoses were underweight, 47.33% (71) of children showed wasting and 35.30% (53) children were stunted.Conclusions: Lower socioeconomic condition and dietary fallacies were the two most causative factors which had an adverse effect on nutritional status of child causing dermatoses. Nutrition deficiency had an impact of early transitional growth failure and delay in the achieving mile stone.


2005 ◽  
Vol 12 (04) ◽  
pp. 392-396
Author(s):  
MUHAMMAD IKRAM ◽  
Roohi Saeed ◽  
WASIM TALIB ◽  
M. Saeed ◽  
SADIA CHATHA

Objective: To study the risk factors, clinical presentation and outcome ofmanagement in patients of carcinoma of cervix for one year. Design: Retrospective descriptive study. Place &Duration of Study: Department of Obstetrics and Gynaecology, Sheikh Zayed Federal Postgraduate Medical Instituteand Hospital, Lahore from January 1998 to December 2000. Subjects & Methods: All the patients of carcinoma ofcervix diagnosed during the period of study were included. Relative information were filled in a proforma. Out of 32cases, 30 cases were selected for study as 2 patient did not report back after initial diagnosis. Results: There were80% patients above the age of 40 years. 90% patients were married below the age of 20 years. There was obviouscorrelation of carcinoma cervix with low socioeconomic status and high parity. Foul smelling bloody vaginal discharge,post-coital bleeding, post-menopausal bleeding and irregular periods were the most common symptoms. Most of thepatients presented late, so 57% patients were referred for radiotherapy alone. Surgery alone was possible in only 5patients and combination of surgery and radiotherapy in 7 patients. Follow up attendance of patients was extremelypoor and there was 1 recurrence after primary treatment with radical surgery and radiotherapy. Conclusion: Lack ofeffective screening programme and awareness of patients have led to the delay in diagnosis. All women of reproductiveage, peri-and post-menopausal age groups, para 5 and above, low socioeconomic status and teenage marriagesshould undergo regular screening for carcinoma of cervix at their own locality.


2007 ◽  
Vol 100 (1) ◽  
pp. 8-13 ◽  
Author(s):  
Victor R. Vieweg ◽  
Christopher H. Johnston ◽  
Jack O. Lanier ◽  
Antony Fernandez ◽  
Anand K. Pandurangi

2015 ◽  
Vol 31 (8) ◽  
pp. 1663-1672 ◽  
Author(s):  
Licet Álvarez ◽  
Judith Liberman ◽  
Soledad Abreu ◽  
Carolina Mangarelli ◽  
Marcos B. Correa ◽  
...  

This study aimed to assess dental caries status and associated factors in Uruguayan adults and elders using data from the first Uruguayan National Oral Health Survey. Data were representative of the country as a whole. Socio-demographic information was collected with a closed questionnaire. Dental caries was assessed by clinical examination using the DMFT index. The final sample consisted of 769 participants. Mean DMFT was 15.20 and 24.12 for the 35-44 and 65-74-year age groups, respectively. Mean number of decayed teeth was 1.70 in adults and 0.66 in elders. Multivariate analyses showed higher prevalence of dental caries associated with age 65-74 years, low socioeconomic status, use of public dental services, presence of gingivitis; for decayed teeth, age 35-44 years, low socioeconomic status, use of public dental services, infrequent tooth brushing, need for oral health care, and presence of root caries showed higher severity. Uruguayan adults and elders from disadvantaged backgrounds concentrated a heavier burden of dental caries.


Critical Care ◽  
2014 ◽  
Vol 18 (Suppl 1) ◽  
pp. P77 ◽  
Author(s):  
JS Heng ◽  
O Clancy ◽  
I Jones ◽  
J Atkins ◽  
J Leon-Villapalos ◽  
...  

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