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

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Mokdad, AH; Moradi-Lakeh, M; Charara, R; El Bcheraoui, C; Khalil, I; Afshin, A; Kassebaum, NJ; Collison, M; Chew, A; Krohn, KJ; ...Date
2018-05-01Source Title
International Journal of Public HealthPublisher
SPRINGER BASEL AGAffiliation
Melbourne School of Population and Global HealthPaediatrics (RCH)
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Mokdad, A. H., Moradi-Lakeh, M., Charara, R., El Bcheraoui, C., Khalil, I., Afshin, A., Kassebaum, N. J., Collison, M., Chew, A., Krohn, K. J., Daoud, F., Colombara, D., Graetz, N., Kutz, M., Wang, H., Abd-Allah, F., Abu-Raddad, L. J., Kiadaliri, A. A., Ahmed, M. B. ,... Murray, C. J. L. (2018). Intentional injuries in the Eastern Mediterranean Region, 1990-2015: findings from the Global Burden of Disease 2015 study. INTERNATIONAL JOURNAL OF PUBLIC HEALTH, 63 (Suppl 1), pp.39-46. https://doi.org/10.1007/s00038-017-1005-2.Access Status
Open AccessAbstract
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.
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