Monitoring of intentional self-harm at a relevant area in suicide prevention
https://doi.org/10.21045/2782-1676-2021-2-1-35-46
Abstract
Reducing suicide-related mortality rate is one of the tasks outlined within the Russian national demographic policy. The purpose of this work is to create a regional model for monitoring intentional self-harm with non-lethal outcome (attempted suicide) based on principles of standardization and personification subject to preventive approaches. The methods employed through the respective work included summarizing of experience, project development, experiment (project implementation), object following method (monitoring), statistical analysis of the obtained data as well as the efficiency analysis for the project, and automation. Main outcomes: 1) inclusion and exclusion criteria specified for the monitoring system; 2) list of registered indicators specified as well as indicators defined, which are descriptive of the population’s suicidality rate; 3) subjects for the monitoring system have been identified; 4) monitoring processes have been identified; 5) rate of the completed suicides and intentional self-harm cases in the region has been detected – 1:1,8; 6) the availability of primary assistance for people registered with intentional self-harm was 78,6% for the adult population and 79,7% – for the child population. In conclusion, there have been potential ways for suicide prevention system identified in terms of implementing the principles of predictive, preventive and personalized medicine.
About the Authors
O. I. BoevRussian Federation
Oleg. I. Boev– Ph.D. (Medicine), Associate Professor, Department of Psychiatry and Medical Psychology
Stavropol
O. G. Bychkova
Russian Federation
Olga. G. Bychkova – Assistant Chief Medical Officer for Medical Work
Stavropol
References
1. Official website of the Federal State Statistics Service, section "Demography"[Electronic resource: https://rosstat.gov.ru/folder/12781].
2. Decree of the President of the Russian Federation dated 09.10.2007 No. 1351 "On approval of the Concept of Demographic policy of the Russian Federation for the period up to 2025".
3. A unified plan to achieve the national development goals of the Russian Federation for the period up to 2024 and for the planning period up to 2030 (approved by the Decree of the Government of the Russian Federation dated 01.10.2021 No. 2765-r).
4. Decree of the Government of the Russian Federation dated 04/26/2021 No. 1058-r "On approval of a set of measures until 2025 to improve the system of suicide prevention among minors".
5. Panov M. M. Evaluation of the company's activities and management system based on KPI. – M.: Infra-M, 2013. – 255 p.
6. Federal Law No. 323-FZ of 21.11.2011 "On the Basics of public health protection in the Russian Federation".
7. Guide to coding causes of death. – Moscow: TSNIIOIZ, 2008. – 74 p.
8. Letter of the Ministry of Health and Social Development of the Russian Federation "On the procedure for issuing and filling out medical birth and death certificates" dated 19.01.2009 No. 14-6/10/2-178.
9. Abrumova A. G. Diagnostics of suicidal behavior: methodological recommendations / A. G. Abrumova, V. A. Tikhonenko. – Moscow: Moscow Research Institute of the Ministry of Health of the RSFSR, 1980. – P. 31
10. Kudryavtsev I. A. Psychological prognosis of repeated suicide attempts / Suicidology. – 2012. – No. 3. – P. 10–14.
11. Suicide prevention: a global imperative / ed. David Bramley. – WHO. – 2014. – From 26.
12. Bohan N.I., Evseev V.D., Mandel A.I., Peshkovskaya A. G. Review of studies of non-suicidal forms of self-harm according to NSSI scales and questionnaires / Suicidology. – 2020. – No. 1(38). – Vol. 11. – P. 7–80.
13. Suicidal behavior of minors (preventive aspects). Methodological recommendations. FSBI "V. P. Serbsky National Medical Research Center of Psychiatry and Narcology" of the Ministry of Health of the Russian Federation. 2020. B. S. Polozhiy, E. V. Makushkin, E. B. Lyubov, G. S. Bannikov.
14. Practical guidance on the establishment and support of surveillance systems for suicidal attempts and acts of self-harm. World Health Organization. – 2019.
15. Order of the Ministry of Health of the Stavropol Territory dated 12/24/2020 01-05/1694 "On some measures to improve the regional suicidological service in the Stavropol Territory".
16. Order of the Ministry of Health of the Stavropol Territory dated 11/20/2013 01-05/1348 "On some measures to establish a regional suicidological service in the Stavropol Territory".
17. Order of the Department of Health of the Tyumen region dated 28.02.2012. No. 116-os.
18. Krasnova P. V., Denisenko M. M. Reflection of the problems of suicide and suicidal behavior at the 22nd European Congress of Psychiatrists/P.V. Krasnova, M.M., Denisenko//Bulletin of Psychiatry and Psychology of Chuvashia. – 2015. – No. 1. – Vol. 11.
19. Order of the Ministry of Health of the Russian Federation No. 186 dated 24.04.2018 "On approval of the Concept of predictive, preventive and personalized medicine".
Review
For citations:
Boev O.I., Bychkova O.G. Monitoring of intentional self-harm at a relevant area in suicide prevention. Public Health. 2022;2(1):35-46. (In Russ.) https://doi.org/10.21045/2782-1676-2021-2-1-35-46