Suicidological situation in a small territory: experience in system analysis. Message II: suicidal attempts

The study of suicide attempts is an important stage of research that allows assessing the level and key characteristics of suicidal activity in the population in the region. The study of this most suicidal contingent gives a clearer idea of the factors and risk groups, helps to identify priority areas and preventive measures. The data on suicides obtained in the city of Y alutorovsk and the region (Western Siberia) showed an excess of women among them, characteristic of the Russian Federation (the M : F ratio is 1 : 1.2-1.5). At the same time, the average age of those who made an attempt in the district center was 35.9 years and 34.7 years in the village. The revealed negative fact was the almost absence of differences in age among women in rural areas - 33.3 (attempted suicide) and 34.2 (completed suicide), which may indicate a lack of necessary psychological assistance in the territory and access to it. This may well be a significant reason for the previously marked significant “rejuvenation” of female suicides in the study region. Among other features there can pointed out lower than in the Russian Federation indicators in the structure of self-harm of intentional self-poisoning (urban - 35.9%, rural - 37.7%), with high values of mechanical asphyxia (urban - 11.7%, rural - 20, 3%) and the complete absence of attempts with the use of firearms, despite the high percentage of their use among the dead (city - 13.1%, village - 10.7%). Significant elements of suicidal dynamics include alcohol, which was detected in 34.5% of suicides in the urban population and 39.1% of the villagers. It was found that alcohol is associated with more brutal methods of selfharm - mechanical asphyxia and self- cutting, regardless of the residence of the victim. In general, the dynamic analysis of suicide attempts presented in this paper in the period 2012-2020 showed a fairly complete picture of what is happening in the study region. The noted shortcomings indicate the need to improve individual elements of the registration system and suicide prevention, including by increasing the availability of assistance to the population provided by mental health professionals.