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. 2018 May;63(Suppl 1):39-46.
doi: 10.1007/s00038-017-1005-2. Epub 2017 Aug 3.

Intentional injuries in the Eastern Mediterranean Region, 1990-2015: findings from the Global Burden of Disease 2015 study

GBD 2015 Eastern Mediterranean Region Intentional Injuries Collaborators
Collaborators

Intentional injuries in the Eastern Mediterranean Region, 1990-2015: findings from the Global Burden of Disease 2015 study

GBD 2015 Eastern Mediterranean Region Intentional Injuries Collaborators. Int J Public Health. 2018 May.

Abstract

Objectives: We used GBD 2015 findings to measure the burden of intentional injuries in the Eastern Mediterranean Region (EMR) between 1990 and 2015.

Methods: The Global Burden of Disease (GBD) study defines intentional injuries as a combination of self-harm (including suicide), interpersonal violence, collective violence (war), and legal intervention. We estimated number of deaths, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs) for each type of intentional injuries.

Results: In 2015, 28,695 individuals (95% UI: 25,474-37,832) died from self-harm, 35,626 (95% UI: 20,947-41,857) from interpersonal violence, and 143,858 (95% UI: 63,554-223,092) from collective violence and legal interventions. In 2015, collective violence and legal intervention was the fifth-leading cause of DALYs in the EMR and the leading cause in Syria, Yemen, Iraq, Afghanistan, and Libya; they account for 49.7% of total DALYs in Syria.

Conclusions: Our findings call for increased efforts to stabilize the region and assist in rebuilding the health systems, as well as increasing transparency and employing preventive strategies to reduce self-harm and interpersonal injuries.

Keywords: Burden of disease; Eastern mediterranean region; Intentional injuries.

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Conflict of interest statement

The authors of this paper have complied with all ethical standards and do not have any conflicts of interest to disclose at the time of submission. The funding source played no role in the design of the study, the analysis and interpretation of data, and the writing of the paper. The study did not involve human participants and/or animals; therefore, no informed consent was needed.

The authors declare that they have no conflicts of interest at this time.

Figures

Fig. 1
Fig. 1
Age-standardized death rates (ASDR) per 100,000 from self-harm, interpersonal violence, and collective violence and legal intervention (Global Burden of Disease 2015 study, WHO Regions, 2015)
Fig. 2
Fig. 2
Number of deaths due to intentional injuries (Global Burden of Disease 2015 study, Eastern Mediterranean Region, 1990–2015)
Fig. 3
Fig. 3
Age–sex distribution of deaths due to intentional injuries (Global Burden of Disease 2015 study, Eastern Mediterranean Region, 2015)
Fig. 4
Fig. 4
Age-standardized death rates (ASDR) from self-harm per 100,000 men and women in the countries of the Eastern Mediterranean Region (Global Burden of Disease 2015 study, Eastern Mediterranean countries, 2015)
Fig. 5
Fig. 5
Age-standardized death rates (ASDR) from interpersonal violence (per 100,000 population), for men and women in the countries of the Eastern Mediterranean Region (Global Burden of Disease 2015 study, Eastern Mediterranean countries, 2015)
Fig. 6
Fig. 6
Age-standardized death rates (ASDR) for collective violence and legal intervention (per 100,000 population), for men and women in the countries of the Eastern Mediterranean Region (Global Burden of Disease 2015 study, Eastern Mediterranean countries, 2015)
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