Introduction
Methods
Data sources
Risk factors
Definitions
Self-harm and interpersonal violence
DALYs
Socio-demographic Index (SDI)
Analytic strategy
Result
Global burden of disease for self-harm and interpersonal violence
Incidence rate | Mortality rate | DALYs | ||||
---|---|---|---|---|---|---|
ASIR (95% UIs) | EAPC 1990–2019 | ASMR (95% UIs) | EAPC 1990–2019 | ASDR (95% UIs) | EAPC 1990–2019 | |
Self-harm | ||||||
Overall | 62.48(53.17,73.88) | -1.5351 (-1.6194,-1.4507) | 9.39(8.48,10.29) | -2.0205 (-2.1660,-1.8740) | 424.70(383.25,466.93) | -2.0605(-2.2089,-1.9119) |
Sex | ||||||
Male | 50.99(43.63,59.91) | -0.9923 (-1.0898,-0.8946) | 13.25(11.31,14.72) | -1.6133 (-1.7849,-1.4414) | 576.96(492.88,643.38) | -1.5861 (-1.7491,-1.4228) |
Female | 74.04(62.64,87.59) | -1.8687 (-1.9557,-1.7817) | 5.74(5.14,6.41) | -2.8261 (-2.9562,-2.6959) | 273.72(244.66,306.32) | -2.9090 (-3.0721,-2.7457) |
Region | ||||||
High SDI | 117.14(102.05,135.50) | -0.0182 (-0.1498,0.1136) | 11.18(10.72,11.63) | -0.7049 (-0.7867,-0.6231) | 502.72(484.48,521.52) | -0.6859 (-0.7671,-0.6046) |
High-middle SDI | 66.94(57.24,78.74) | -1.8196 (-1.9400,-1.6990) | 8.79(8.05,9.80) | -2.8349 (-3.1446,-2.5241) | 395.33(363.12,437.42) | -2.7497 (-3.0600,-2.4384) |
Middle SDI | 47.24(39.79,56.18) | -2.1338 (-2.2684,-1.9991) | 7.41(6.51,8.35) | -2.6597 (-2.7792,-2.5401) | 317.88(281.11,356.08) | -2.7887 (-2.9214,-2.6558) |
Low-middle SDI | 63.44(52.27,76.81) | 1.3743 (-1.4869,-1.2617) | 11.99(10.22,13.65) | -1.5521 (-1.7185,-1.3855) | 577.24(496.48,652.77) | -1.7408 (-1.9200,-1.5613) |
Low SDI | 36.74(31.27,43.10) | -0.6150 (-0.6790,-0.5511) | 9.55(7.92,11.42) | -0.9348 (-1.0276,-0.8420) | 384.98(320.56,464.31) | -1.0366 (-1.1267,-0.9463) |
Age group (years)a | ||||||
0–9 | 0(0.00,0.00) | 0(0.00,0.00) | 0(0.00,0.00) | 0(0.00,0.00) | 0(0.00,0.00) | 0(0.00,0.00) |
10–14 | 33.96(19.37,55.67) | -1.2606 (-1.3536,-1.1676) | 1.30(1.10,1.51) | -2.2567 (-2.4242,-2.0888) | 99.89(85.00,116.08) | -2.2532 (-2.4198,-2.0863) |
15–19 | 101.64(68.63,139.64) | -1.5401 (-1.6530,-1.4271) | 7.02(6.32,7.86) | -2.2474 (-2.3620,-2.1328) | 505.02(454.9,564.18) | -2.2469 (-2.3610,-2.1327) |
20–24 | 133.44(93.00,187.68) | -1.6069 (-1.7038,-1.5099) | 11.61(10.46,12.97) | -2.0665 (-2.2381,-1.8947) | 781.20(706.85,871.71) | -2.0688 (-2.2393,-1.8981) |
25–29 | 108.67(71.13,160.88) | -1.6823 (-1.7551,-1.6094) | 12.06(10.91,13.40) | -1.9821 (-2.2126,-1.7511) | 755.81(685.62,838.63) | -1.9854 (-2.2139,-1.7564) |
30–34 | 89.57(59.59,132.90) | -1.7118 (-1.8025,-1.6211) | 11.84(10.61,13.12) | -2.0321 (-2.2267,-1.8370) | 685.67(618.97,758.50) | -2.0342 (-2.2261,-1.8420) |
35–39 | 82.22(54.16,123.83) | -1.6496 (-1.7216,-1.5775) | 12.14(10.85,13.31) | -2.0327 (-2.1685,-1.8967) | 645.09(577.44,706.02) | -2.0317 (-2.1666,-1.8967) |
40–44 | 76.72(50.90,111.21) | -1.5974 (-1.6846,-1.5101) | 12.04(10.82,13.34) | -2.1715 (-2.3542,-1.9884) | 582.17(524.23,643.11) | -2.1684 (-2.3492,-1.9872) |
45–49 | 73.61(48.68,104.92) | 1.4192 (-1.5920,-1.2461) | 12.24(10.91,13.49) | -2.1236 (-2.3649,-1.8817) | 532.67(477.57,585.25) | -2.1219 (-2.3593,-1.8839) |
50–54 | 60.08(40.34,87.28) | -1.2856 (-1.4061,-1.1649) | 13.08(11.76,14.52) | -2.1284 (-2.3067,-1.9498) | 506.12(457.41,557.69) | -2.1225 (-2.2971,-1.9475) |
55–59 | 54.89(38.66,75.60) | -1.1320 (-1.2122,-1.0518) | 14.18(12.66,15.60) | -1.9413 (-2.0958,-1.7865) | 482.01(433.28,528.61) | -1.9343 (-2.0866,-1.7818) |
60–64 | 46.49(30.32,67.51) | -1.3845 (-1.5271,-1.2418) | 14.49(12.95,15.85) | -1.9614 (-2.0787,-1.8440) | 425.71(383.88,466.07) | -1.9479 (-2.0647,-1.8309) |
65–69 | 43.17(29,60.37.00) | -1.5174 (-1.6698,-1.3648) | 16.04(14.37,17.65) | -1.9798 (-2.1632,-1.7960) | 396.71(358.87,434.25) | -1.9535 (-2.1348,-1.7718) |
70–74 | 39.68(26.64,56.66) | -1.4756 (-1.6254,-1.3257) | 19.38(17.12,21.49) | -2.0216 (-2.2133,-1.8295) | 391.40(349.55,430.17) | -1.9855 (-2.1743,-1.7964) |
75–79 | 45.58(30.94,65.33) | -1.2131 (-1.3715,-1.0545) | 23.93(21.05,26.35) | -1.8069 (-1.9872,-1.6263) | 382.32(337.76,419.17) | -1.7811 (-1.9551,-1.6068) |
80–84 | 63.79(45.09,87.27) | -0.8219 (-0.9724,-0.6711) | 29.99(26.22,33.35) | -1.7359 (-1.9065,-1.5651) | 368.97(324.54,407.99) | -1.7173 (-1.8810,-1.5533) |
85 + | 59.01(44.94,76.50) | -1.5351 (-1.6194,-1.4507) | 33.41(28.10,37.22) | -1.4956 (-1.6204,-1.3707) | 294.32(252.29,326.46) | -1.5369 (-1.6531,-1.4205) |
Interpersonal violence | ||||||
Overall | 413.44(329.88,502.37) | -0.6175 (-0.6589,-0.5760) | 5.22(4.87,5.63) | -1.4774 (-1.6542,-1.3003) | 342.43(316.61,371.55) | -1.2818 (-1.4213,-1.1421) |
Sex | ||||||
Male | 610.77(488.29,741.30) | -0.5697 (-0.6147,-0.5247) | 8.61(8.00,9.31) | -1.2857 (-1.4480,-1.1231) | 528.74(490.89,571.90) | -1.1471 (-1.2823,-1.0116) |
Female | 212.92(168.41,260.10) | -0.7521 (-0.8059,-0.6983) | 1.81(1.65,1.98) | -2.2725 (-2.5214,-2.0231) | 153.20(135.65,173.54) | -1.7112 (-1.8744,-1.5478) |
Region | ||||||
High SDI | 472.23(357.59,587.53) | -0.5274 (-0.6275,-0.4272) | 2.51(2.40,2.58) | -1.9196 (-2.1239,-1.7149) | 188.61(176.69,202.20) | -1.6173 (-1.7989,-1.4354) |
High-middle SDI | 452.82(358.69,548.37) | -0.9684 (-1.0225,-0.9144) | 3.97(3.72,4.25) | -3.4016 (-4.0010,-2.7985) | 265.74(246.68,287.05) | -2.9723 (-3.4534,-2.4888) |
Middle SDI | 402.27(317.54,489.80) | -0.2940 (-0.3366,-0.2514) | 5.59(5.15,6.10) | -1.7419 (-1.8984,-1.5852) | 362.60(334.67,393.47) | -1.5879 (-1.7320,-1.4437) |
Low-middle SDI | 448.40(362.94,539.91) | -0.5396 (-0.5993,-0.4798) | 6.48(5.90,7.17) | -0.2209 (-0.3776,-0.0639) | 407.59(371.00,447.49) | -0.2007 (-0.3443,-0.0569) |
Low SDI | 345.24(280.23,413.50) | -0.1838 (-0.2170,-0.1505) | 7.13(5.71,8.43) | -0.5790 (-0.7021,-0.4557) | 424.95(348.60,498.91) | -0.4781 (-0.5904,-0.3657) |
Age group (years)a | ||||||
< 5 | 203.07(131.21,291.26) | -0.9827 (-1.1484,-0.8167) | 1.86(1.41,2.35) | -2.1999 (-2.3254,-2.0743) | 165.34(126.57,208.40) | -2.1871 (-2.3122,-2.0620) |
5–9 | 185.92(112.83,288.26) | -0.3838 (-0.6064,-0.1607) | 0.76(0.61,0.92) | -2.2003 (-2.3360,-2.0645) | 72.72(60.08,85.77) | -2.0097 (-2.1308,-1.8885) |
10–14 | 317.59(179.78,529.10) | -0.3941 (-0.5403,-0.2476) | 1.08(0.92,1.24) | -1.2251 (-1.3512,-1.0988) | 103.78(89.54,118.54) | -1.0959 (-1.1968,-0.9949) |
15–19 | 610.12(352.61,935.14) | -0.6671 (-0.7192,-0.6150) | 5.96(5.39,6.59) | -0.7998 (-0.9847,-0.6145) | 469.68(424.95,518.91) | -0.7753 (-0.9402,-0.6101) |
20–24 | 786.21(493.06,1126.32) | -0.7073 (-0.8092,-0.6053) | 9.84(9.11,10.67) | -0.9076 (-1.1282,-0.6865) | 722.59(667.25,789.79) | -0.8699 (-1.0693,-0.6702) |
25–29 | 726.75(458.43,1049.46) | -0.6456 (-0.7161,-0.5750) | 9.32(8.68,10.07) | -1.1257 (-1.3050,-0.9460) | 653.51(604.28,708.94) | -1.0550 (-1.2157,-0.8940) |
30–34 | 610.42(382.00,952.38) | -0.7324 (-0.8038,-0.6609) | 8.63(8.05,9.26) | -1.3874 (-1.5004,-1.2743) | 572.42(529.18,620.20) | -1.2819 (-1.3817,-1.1819) |
35–39 | 513.51(320.18,778.46) | -0.7597 (-0.8272,-0.6923) | 8.14(7.58,8.77) | -1.5899 (-1.8153,-1.3640) | 506.15(466.76,549.44) | -1.4409 (-1.6352,-1.2462) |
40–44 | 437.10(256.93,672.75) | -0.6535 (-0.7063,-0.6007) | 7.16(6.64,7.72) | -1.8987 (-2.1959,-1.6006) | 422.57(386.85,462.17) | -1.6629 (-1.9109,-1.4143) |
45–49 | 382.33(229.16,596.18) | -0.4145 (-0.5029,-0.3260) | 5.94(5.53,6.45) | -2.0122 (-2.3346,-1.6887) | 337.38(307.96,374.00) | -1.7034 (-1.9629,-1.4432) |
50–54 | 319.97(201.37,463.23) | -0.2880 (-0.3726,-0.2033) | 5.19(4.83,5.59) | -1.9379 (-2.2155,-1.6594) | 276.39(250.76,306.11) | -1.6221 (-1.8344,-1.4094) |
55–59 | 255.63(160.72,388.90) | -0.2867 (-0.3238,-0.2495) | 4.78(4.46,5.14) | -1.8948 (-2.2018,-1.5868) | 232.69(209.96,258.90) | -1.5535 (-1.7803,-1.3263) |
60–64 | 211.26(122.30,321.27) | -0.4114 (-0.4783,-0.3445) | 4.24(3.97,4.55) | -1.9740 (-2.2997,-1.6472) | 193.56(172.42,217.87) | -1.5239 (-1.7480,-1.2994) |
65–69 | 188.17(111.24,289.25) | -0.3301 (-0.4031,-0.2571) | 3.87(3.63,4.12) | -1.8108 (-2.1253,-1.4954) | 164.92 (145.45,188.69) | -1.3143 (-1.5174,-1.1108) |
70–74 | 187.65(115.81,280.62) | -0.2144 (-0.2696,-0.1592) | 3.86(3.62,4.13) | -1.5688 (-1.8392,-1.2977) | 145.87 (126.89,168.36) | -1.0777 (-1.2409,-0.9142) |
75–79 | 174.49(109.32,259.53) | -0.2578 (-0.3057,-0.2099) | 3.94(3.64,4.22) | -1.6007 (-1.8285,-1.3724) | 128.13 (110.56,149.80) | -1.0327 (-1.1544,-0.9109) |
80–84 | 163.15(100.20,261.52) | -0.5015 (-0.5778,-0.4252) | 2.07(1.85,2.24) | -2.4189 (-2.6559,-2.1814) | 88.72 (72.72,109.15) | -1.0748 (-1.1575,-0.9921) |
85 + | 208.31(140.58,305.50) | -0.6029 (-0.6593,-0.5465) | 2.17(1.81,2.38) | -2.3634 (-2.5885,-2.1377) | 74.37 (59.08,94.23) | -1.1188 (-1.1989,-1.0387) |