Анализ изменений структуры насильственной смерти детей и подростков в Саратовской области за период 2018–2022 гг.

Abstract

Abstract. The analysis of violent child mortality is important in developing preventive measures to reduce this indicator. Aims and Tasks. The research purpose is to analyze the structure of violent death among children in the Saratov Region in 2018–2022. Materials and Methods. The research materials include the results of forensic medical examinations of the corpses of 314 children under the age of 18 who died from external causes. Results/Discussion. We establish decrease in the rate of violent death among children from 17.7 to 12.2 per 100 thousand of the population. There is a prevalence of blunt trauma (35.7 %), asphyxia (34.7 %) and poisoning (22 %) in violent death causes among children. The dynamics showed a tendency towards an increase in the proportion of blunt trauma. We note the peak of deaths from asphyxia in 2020 (45.8 %), reveal an increase in the proportion of hangings. Asphyxia is the leading cause of death in children under 1 year old, asphyxia and blunt trauma with a high percentage of falls from high altitude (40 %) – in the 1–3 year old group. In the 4–6 years old group the main types of death are blunt trauma (38.6 %) and poisoning (36.4 %). In the 7–11 years old group asphyxia is in the lead (40.4 %), followed by blunt trauma (36.5 %) with a high percentage of traffic accidents. In 12–17 years old group blunt trauma is in the first place (38.5 %), asphyxia with a predominance of hangings is in the second place. Conclusions. As we note a decrease in the violent death of children in general, we establish a tendency of increasing the proportion of blunt trauma and a change in the structure of asphyxia with a significant increase in the proportion of hangings. Differences in the structure of causes of death in different age groups were revealed.