Suicide as a health and social problem in the Yamalo-Nenets autonomous okrug, Russian Federation
|Session Name||5.3 Health promotion and population health|
|Author(s)||Taniana Popova (Arctic Research Center of the Yamal-Nenets autonomous district, Russian Federation), Vladimir Kulganov (Saint-Petersburg state University, Russian Federation), Elena Bogdanova (Northern (Arctic) Federal University, Russian Federation), Andrei Lobanov (Arctic Research Center of the Yamal-Nenets autonomous district, Russian Federation), Ruslan Kochkin (Arctic Research Center of the Yamal-Nenets autonomous district, Russian Federation)|
Introduction: In the Yamalo-Nenets Autonomous Okrug the mortality rate caused by external reasons (about 500 deaths per year) is an acute problem. About 1/5 of them are suicides. The aim of the study was to conduct qualitative analysis of the problem of suicides in the region.
Methods: 230 respondents of the indigenous population (Nenets) living on the Yamal Peninsula were interviewed.
Results: The results of the survey showed that attitude to suicides of more than 90.0% (p=0.01) respondents was negative. They are sure there are other ways to solve problems. 9.7% of the surveyed population presented the idea of "everyone has the right to power of life and death, as he wants". 0.3% of the respondents had positive opinion of suicides. About 2/3 of the interviewed population indicated that there were incidents of suicides among their close relatives and friends. We asked them, what reasons can be the most relevant for suicide. The most frequent answer was the conflict caused by "the specificity of the family relationship". Family quarrels, lack of understanding, cheating, jealousy, divorce (p=0.01), financial difficulties, anti-social behavior could result suicides. The presence of severe disease, alcohol and gambling addiction, a prolonged reaction to the loss were detected in 6.1% cases.
Conclusions: Informing population in difficult life situation about the system of social and psychological aid is extremely important. Reducing suicide mortality is one of the major medical and social challenges facing the region.
Support from the RFBR (grant № 18-010-00875\18).