Fluctuation of suicides in minors in the Sakha Republic (Yakutia)

Suicidal behavior in minors (0-17 years old) is the most dramatic and, at the same time, one of the least studied aspects of suicidology. The purpose of the study: obtaining information on the prevalence of suicides in minors in the districts of the Sakha Republic (Yakutia) and a comparative analysis of these data with indicators of suicides in mnors in the Russian Federation. Methods. A systematic analysis of scientific articles and statistical databases covering the issues of prevalence, causes and risk factors of suicides in minors was carried out. To search for scientific literature, we used the databases pubmed and medline, electronic resources of official state websites, data from the territorial body of the State Statistics Service for the Sakha Republic (Yakutia) on the child mortality for the period 2013-2018 (нет в русском варианте аннотации). Results. According to the state statistics, in Russia in 2017, the frequency of completed suicides in the age group of 10-14 years was 1.6 cases per 100,000 population of the corresponding age, which was 2 times higher than the global average. The frequency of suicides in children for the period 2013-2018 in the Sakha Republic (Yakutia) ranged from 3.0-8.2 per 100,000, which was 2-3 times higher than the Russian indicator. The most suicidal districts of the Sakha Republic (Yakutia) were identified. Among them, Verkhnevilyuysky District ranked first. In this district, in 2018, the suicide rate in children aged 0-14 years was 16.3 per 100,000 population of the corresponding age - 12 times higher than the national average of 1.3. The average suicide rate in the Verkhneviluysky District for teenagers aged 15-17 years was 268.1 per 100,000, which was 6.7 times higher than the national average of 39.8. Here are other districts with a high frequency of suicide in minors: Amginsky, Namsky, Neryungrinsky, Srednekolymsky, and Khangalassky. It should be noted that the districts with the highest rate of suicide in minors do not fall under the category of the regions of the Far North. The prevalence of suicide in minors living in rural districts was 2 times higher than the corresponding indicator for urban residents. Conclusions. 1. The suicidal situation in minors in the Sakha Republic (Yakutia) is extremely unfavorable. 2. Districts with the highest rates of suicide in minors were identified. 3. There is a higher risk of suicides in minors living in rural settlements. Recommendations: 1. In the districts with the highest rates of suicides in minors, it is necessary to study the complex of reasons that determine such a dysfunctional suicidal situation; 2. It is necessary to develop and implement a comprehensive program for the prevention of suicidal behavior in minors; 3. Educational institutions and, above all, schools should be the main place for strengthening mental health and conducting preventive measures among minors; 4. Special attention should be paid to preventing suicides in minors living in rural areas.

suicide, frequency of suicides, minors, fluctuation of suicidal behavior in children and teenagers, districts of the Sakha Republic (Yakutia), features of the prevalence of suicides in districts, suicides in rural areas, suicides in urban areas, programs for the prevention of suicides in minors

1. Wasserman D., qi Cheng, Guo-xin J. Global suicide rates among young people aged 15-19. University, Shanghai, China, © WPA 2015.

2. Bertolote J.M. et al. Repetition of suicide attempts: data from emergency care settings in five culturally different low- and middle-income countries participating in the WHO SUPRE-MISS Study. Crisis. 2010; 31 (4): 194-201.

3. Pelkonen M., Marttunen M. Child and adolescent suicide: epidemiology, risk factors, and approaches to prevention. Paediatr. Drugs. 2003; 5 (4): 243-265.

4. Саркиапоне, М., Положий, Б.С. Суициды у детей и подростков / М. Саркиапоне, Б.С. Положий // Российский психиатрический журнал. - 2014. - № 3. - С. 52-56.

5. Положий, Б.С. Суициды среди несовершеннолетних (эпидемиологический аспект) / Б.С. Положий // Суицидология. - 2019. - Т.10. - № 1. - С. 21-26.

6. Положий, Б. С. Частота суицидов среди несовершеннолетних в России / Б.С. Положий, Фритлинский В. С. Фритлинский, Агеев С. Е. Агеев // Российский психиатрический журнал. - 2016. - № 5. - С. 52-54.