Abstract

BackgroundSuicide-attempts have increased across the world and have become higher among females. There has been a high prevalence of self-immolation in Iran, mostly young married women admitted to the burn centers. This study aimed to explore the factors and experiences of self-immolation in Iranian married women to develop prevention strategies to prevent the personal, social, and economic impacts of suicide and suicide attempts.MethodsA qualitative descriptive approach using open-ended, in-depth, face-to-face interviews was conducted in a purposive sample of 16 married Iranian women aged 16–40 years in the burn centers in Urmia city, a place in northwest Iran. Conventional content analysis was used to analyze the data.ResultsThree themes emerged from the data, including (1) antecedents of self-immolation, (2) suicidal ideation method, and (3) pathway to recovery. Each of these themes is supported by sub-themes.ConclusionsThe study highlights the demand for health professionals to support self-immolation survivors to continue their normal lives. According to survivors’ needs, a comprehensive supportive program is recommended to support their pathways to recovery in all its complexities. Health professionals should also not forget that the survivors’ family also will need help to overcome this trauma. A family counseling program may also be provided.

Highlights

  • Suicide-attempts have increased across the world and have become higher among females

  • This study explored the experience of self-immolation in Iranian married women

  • The study revealed that married women who have been under psychological pressure from their families and whose needs were ignored attempted suicide by selfimmolation

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Summary

Introduction

Suicide-attempts have increased across the world and have become higher among females. This study aimed to explore the factors and experiences of self-immolation in Iranian married women to develop prevention strategies to prevent the personal, social, and economic impacts of suicide and suicide attempts. Suicide as the cause of mortality has increased across the world [1]. The countries of the former USSR have the highest suicide rates [2]. In Iran, the suicide rate of 6.2 per 100,000 was reported in 2003 but has increased to 9.9 per 100,000 in 2017 [3]. Different suicide rates have been reported to vary from 0.72 per 100,000 in Qom province to 271.1 per 100,000 in West. Conflicts may result in suicidal ideation in young people in different ways, such as ineffective coping strategies, lack of hope in life [7], lack of positive personality capital in the form of hope, self-efficacy, resilience, and optimism about the future [8]

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