Abstract

BackgroundSuicide is an important world health issue, especially in territories inhabited by indigenous people. This investigated differences in suicide rates, suicide methods, and suicide occurrence by month and day of the week among the indigenous and non-indigenous populations of the Nenets Autonomous Okrug (NAO) and to compare the findings from the NAO with national Russian statistics.MethodsIn this retrospective population-based mortality study we investigated all suicides that occurred in the NAO in 2002–2012 (N = 252). Suicide method and the month and day of the week suicide occurred was taken from autopsy reports and disaggregated by ethnic group (indigenous and non-indigenous) and sex. Data from the NAO were then compared with national data from the Russian Federal Statistics Service (Rosstat).ResultsHanging was the most common suicide method in the NAO in both indigenous and non-indigenous populations. The proportion of suicides by hanging among males was lower in the NAO than in national data (69.3 vs 86.2 %), but the inverse was true for females (86.5 vs 74.9 %). Suicide by firearm and by cutting was significantly higher among the indigenous population in the NAO when compared with national data. Peaks in suicide occurrence were observed in May and September in the NAO, whereas national data showed only one peak in May. Suicide occurrence in the indigenous population of the NAO was highest in April, while the non-indigenous population showed peaks in May and September. Suicide occurrence in the NAO was highest on Fridays; in national data this occurrence was highest on Mondays.ConclusionsWe showed different relative frequencies of suicide by hanging, cutting, and firearm, as well as different suicide occurrence by month and day of the week in the NAO compared with Russia as a whole. These results can be used to plan suicide prevention activities in the Russian Arctic.

Highlights

  • Suicide is an important world health issue, especially in territories inhabited by indigenous people

  • An increase in suicide occurrence was registered in Russia in the 1990s [1], with the highest suicide rates seen in Southern Siberia, the Far East, and in the North [3]

  • Altogether 252 cases of suicide were identified in the Nenets Autonomous Okrug (NAO) during the study period (215 males and 37 females, 67 indigenous and 185 non-indigenous)

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Summary

Introduction

Suicide is an important world health issue, especially in territories inhabited by indigenous people. This investigated differences in suicide rates, suicide methods, and suicide occurrence by month and day of the week among the indigenous and non-indigenous populations of the Nenets Autonomous Okrug (NAO) and to compare the findings from the NAO with national Russian statistics. Suicide by firearm is common in the United States [8], jumping from a height is often used in Hong Kong [6, 8] and Singapore [9], and hanging is common in Eastern Europe and Pakistan [8, 10]. The most violent suicide methods, such as hanging and firearm use, tend to be common in indigenous populations [11,12,13,14]

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