Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Feb 24;15(2):391.
doi: 10.3390/ijerph15020391.

Sharply Reduced but Still Heavy Self-Harm Burdens in Hubei Province, China, 1990-2015

Jingju Pan  1 , Lan Zhang  2 , Yumeng Tang  3 , Qian Li  4 , Chuanhua Yu  5 , Tianjing He  6
Affiliations

Sharply Reduced but Still Heavy Self-Harm Burdens in Hubei Province, China, 1990-2015

Jingju Pan et al. Int J Environ Res Public Health. .

Abstract

The aims of this study were to describe fatal and non-fatal self-harm burdens, as well as burdens from the main preventable risk factors, and to investigate the different suicide methods in Hubei province in central China utilizing data from both Global Burden of Disease Study 2015 and Hubei Disease Surveillance Points system. All self-harm burdens including mortality, years of life lost (YLLs), prevalence, years lived with disability (YLDs), and disability adjusted life-years (DALYs) consistently demonstrated downward trends in Hubei from 1990 to 2015, with a bigger decline gap observed among females and narrower decreasing amplitudes among the elderly. Hubei experienced much higher age-standardized rates for self-harm mortality (22.0 per 100,000), YLLs (560.1 per 100,000) and DALYs (563.9 per 100,000) than the national (9.0, 292.3 and 295.0 per 100,000 respectively) and global levels (11.5, 453.3 and 457.9 per 100,000 respectively) in 2015. Self-harm burdens have begun shifting from females to males and the elderly suffered more self-harm burdens than other age groups. Alcohol use accounted for 20.9% of all self-harm DALYs for males, whereas intimate partner violence accounted for 24.4% of all self-harm DALYs for females. Poisoning, mainly pesticide self-poisoning, was still the most common method of suicide. Effective interventions by multi-sectoral collaboration are urgently needed to reduce the alarmingly heavy self-harm burdens in Hubei.

Keywords: disability-adjusted life-years (DALYs); mortality; prevalence; self-harm burden; suicide method; years lived with disability (YLDs); years of life lost (YLLs).

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Mortality rates (A), prevalence (B), and DALYs rates (C) of self-harm in 1990 and 2015 by 5-year age intervals. Error bars indicate 95% uncertainty intervals. (Numbers shown above bars are percentage change for each age group between 1990 and 2015. DALY = disability-adjusted life-years.)
Figure 2
Figure 2
Age-standardized rates for mortality (A), years of life lost (YLLs) (B), prevalence (C), years lived with disability (YLDs) (D), and disability-adjusted life-years (DALYs) (E) per 100,000 due to self-harm in Hubei, China and globally, 1990–2015. %△ = percentage change.
Figure 3
Figure 3
Disability adjusted life-years (DALYs) (A), DALYs rate (B) and age-standardized DALYs rate (C) per 100,000 due to self-harm in Hubei, 1990–2015. (%△ = percentage change. DALY = disability-adjusted life-years.)
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Hawton K., Harriss L., Hall S., Simkin S., Bale E., Bond A. Deliberate self-harm in Oxford, 1990–2000: A time of change in patient characteristics. Psychol. Med. 2003;33:987–995. doi: 10.1017/S0033291703007943. - DOI - PubMed
    1. National Collaborating Centre for Mental Health (UK) Self-Harm: Longer-Term Management. The British Psychological Society and The Royal College of Psychiatrists; Leicester, UK: 2012. - PubMed
    1. Haagsma J.A., Graetz N., Bolliger I., Naghavi M., Higashi H., Mullany E.C., Abera S.F., Abraham J.P., Adofo K., Alsharif U., et al. The global burden of injury: Incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013. Inj. Prev. 2016;22:3–18. doi: 10.1136/injuryprev-2015-041616. - DOI - PMC - PubMed
    1. Global Burden of Disease Study 2015 (GBD 2015) Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: A systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388:1459–1544. - PMC - PubMed
    1. GBD 2013 Mortality and Causes of Death Collaborators Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: A systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;385:117–171. - PMC - PubMed

Publication types

LinkOut - more resources