Email this article Assessment of changes in the structure of the block of injuries with uncertain intentions from the standpoint of influencing the statistical indicators of mortality from external causes
- Authors: Savenkova E.1, Efimov A.A.1,2, Kolokolov G.R.3, Raykova K.A.1, Korotina O.S.1,2, Gavrichenko E.P.1,2, Korsak V.O.1,2, Giryk S.A.1
-
Affiliations:
- Saratov State Medical University named by V.I. Razumovsky Ministry of Health of the Russian Federation
- Bureau of Forensic Medical Expertise
- Saratov State Medical University named by V.I. Razumovsky Ministry of Health
- Section: Original study articles
- Submitted: 25.04.2025
- Accepted: 20.11.2025
- Published: 31.12.2025
- URL: https://for-medex.ru/jour/article/view/16293
- DOI: https://doi.org/10.17816/fm16293
- ID: 16293
Cite item
Open Access
Access granted
Abstract
Background: The high rate of deaths from injuries with uncertain intentions, which are not informative for demographic analysis, leads to a blurring of the real picture of deaths from suicide, murders and accidents, and changes these data.
Aim: To analyze the causes of death of the block of injuries with uncertain intentions (Y10-Y34) as one of the components of violent death, affecting the indicators of statistical reporting on mortality from external causes.
Materials and methods: A retrospective study of medical death certificates of persons who died a violent death in the Saratov region for the period from 2014 to 2023 was carried out. The causes of death and class codes V01-Y98 of ICD-10 were analysed according to the headings V01-X59 accidents, X60-X84 intentional self-harm, X85-Y09 assault, Y10-Y34 injuries with uncertain intent. Statistical processing of the material was carried out using the Microsoft Office 2010 application package of the Microsoft Excel application.
Results: In the structure of violent death from 2014 to 2023, there is a trend of an increase in the share of injuries with uncertain intentions, a decrease in the percentage contribution of suicides and murders. The leading types of death included in block Y10-Y34 are blunt trauma, asphyxia and poisoning, and a significant increase in the proportion of asphyxia and a decrease in blunt trauma were revealed in dynamics. It has been established that the increase in cases in the IUI group occurs mainly due to the movement of falls from height, poisoning and hangings to this block.
Conclusions: The study found an increase in the proportion of injuries with uncertain intent in the structure of violent death, mainly due to the transfer to block Y10-Y34 of cases of hanging, falls from heights, blunt force injuries and some poisonings from blocks X60-X84, V01-X59, X85-Y09, which is the reason for the distortion of the indicators of mortality from murders, accidents and suicides.
Full Text
About the authors
Ekaterina Savenkova
Saratov State Medical University named by V.I. Razumovsky Ministry of Health of the Russian Federation
Author for correspondence.
Email: savocheka@mail.ru
ORCID iD: 0000-0001-8456-6906
SPIN-code: 7077-3302
Scopus Author ID: 14527923500
ResearcherId: AAD-8465-2021
кандидат медицинских наук, доцент кафедры судебной медицины
Russian Federation, 112 B.Kazachya street, 410012 Saratov, RussiaAlexandr Alexandrovich Efimov
Saratov State Medical University named by V.I. Razumovsky Ministry of Health of the Russian Federation; Bureau of Forensic Medical Expertise
Email: sudmedsar@mail.ru
ORCID iD: 0000-0002-0363-0599
SPIN-code: 6551-9084
Scopus Author ID: 7202040402
ResearcherId: AAD-8887-2021
Кандидат медицинских наук, заведующий кафедрой судебной медицины
Russian Federation, Россия, 410012, Саратов, улица Б.Казачья, д.112; Россия, 410071, Саратов, ул. Шелковичная, д.177Georgij Ryurikovich Kolokolov
Saratov State Medical University named by V.I. Razumovsky Ministry of Health
Email: gkolokolov@yandex.ru
ORCID iD: 0000-0001-7187-2592
SPIN-code: 8106-2778
кандидат медицинских наук, доцент кафедры судебной медицины
Россия, 410012, Саратов, улица Б.Казачья, д.112Ksenya Arkadievna Raykova
Saratov State Medical University named by V.I. Razumovsky Ministry of Health of the Russian Federation
Email: xenyaraykova@yandex.ru
ORCID iD: 0000-0003-0284-6491
SPIN-code: 7390-4407
ассистент кафедры судебной медицины
Russian Federation, Россия, 410012, Саратов, улица Б.Казачья, д.112Olga Sergeevna Korotina
Saratov State Medical University named by V.I. Razumovsky Ministry of Health of the Russian Federation; Bureau of Forensic Medical Expertise
Email: korotinaos@mail.ru
ORCID iD: 0000-0002-9334-9804
SPIN-code: 3434-2163
ResearcherId: AAD-8532-2021
ассистент кафедры судебной медицины
Russian Federation, Россия, 410012, Саратов, улица Б.Казачья, д.112; Россия, 410071, Саратов, улица Шелковичная, д. 177Ekaterina Petrovna Gavrichenko
Saratov State Medical University named by V.I. Razumovsky Ministry of Health of the Russian Federation; Bureau of Forensic Medical Expertise
Email: gavrik101191@ro.ru
ORCID iD: 0000-0002-6264-5627
SPIN-code: 9831-2292
ResearcherId: AAD-8636-2021
ассистент кафедры судебной медицины
Russian Federation, Россия, 410012, Саратов, улица Б.Казачья, д.112; Россия, 410071, Саратов, улица Шелковичная, д.177Vasilisa Olegovna Korsak
Saratov State Medical University named by V.I. Razumovsky Ministry of Health of the Russian Federation; Bureau of Forensic Medical Expertise
Email: vslsk@yandex.ru
SPIN-code: 6338-8577
ResearcherId: AAD-5381-2022
ассистент кафедры судебной медицины
Russian Federation, Россия, 410012, Саратов, улица Б.Казачья, д.112; Россия, 410071, Саратов, улица Шелковичная, д. 177Svetlana Alexandrovna Giryk
Saratov State Medical University named by V.I. Razumovsky Ministry of Health of the Russian Federation
Email: svetlanagiruk@gmail.com
ORCID iD: 0000-0001-6214-7030
SPIN-code: 7737-3343
ResearcherId: AAD-8584-2021
ассистент кафедры судебной медицины
Russian Federation, Россия, 410012, Саратов, улица Б.Казачья, д.112References
- Zayratyants O.V. Improving the reability of data on causes of death is an important condition for achieving the target indicators of morality from individual causes. Russian Journal of Forensic Medicine. 2018;4(3):4-9. doi: 10.19048/2411-8729-2018-4-3-4-9. EDN: YWCFAD
- Cherkasov S.N., Fedyaeva A.V., Meshkov D.O., Zolotarev P.N., Moroz I.N. Population health organizational monitoring technologies in the Russian Federation. Russian Journal of Forensic Medicine. 2022;8(3):57-66. doi: 10.17816/fm712. EDN: XOBPIR
- Kovalev A.V., Zabrodskiy Ya.D., Samokhodskaya O.V. Dynamics of fatal injuries in Russian Federation from 2003 to 2019. Forensic Medical Expertise. 2021;64(4):4–12. doi: 10.17116/sudmed2021640414. EDN: BWHHUL
- Vaysman D.S. reliability of mortality statistics from injuries to the heads of the residents of the Tula region in 2017. Russian Journal of Forensic Medicine. 2018;4(3):22-23. doi: 10.19048/2411-8729-2018-4-3-22-23. EDN: YWCFBB
- Yumaguzin V.V., Vinnik M.V. (2023) Assessing the Quality of the Cause-Specific Mortality Statistics in Russian Regions. Monitoring of Public Opinion: Economic and Social Changes. 2023;2:282–303. doi: 10.14515/monitoring.2023.2.2368. EDN: VJNDWS
- Razvodovsky Y.E., Zotov P.B. Suicides and fatal poisonings with other toxic substances: a trend analysis. Siberian Herald of Psychiatry and Addiction Psychiatry. 2019;2(103):47-54. doi: 10.26617/1810-3111-2019-2(103)-47-54. EDN: ZZCTSH
- Razvodovsky Y.E., Zotov P.B. Suicides and undetermined intent deaths: a trend analysis. Suitsidologiya. 2018;9(4):29-34. doi: 10.32878/suiciderus.18-09-04(33)-29-34. EDN: VSCNFH
- Ofitsial'nyi sait Federal'noi sluzhby gosudarstvennoi statistiki. Ssylka aktivna na 10.12.2024. https://rosstat.gov.ru/folder/12781
- Yumaguzin V.V., Vinnik M.V. Assessment of the real rates of homicides and suicides in the regions of Russia. Sociological Research. 2019;1:116-126. doi: 10.31857/S013216250003753-1. EDN: VXCNPK.
- Semenova V.G., Ivanova A.E., Sabgayda T.P., et all. Mortality from external causes among the Russian population and specifics of its registration. Social aspects of population health. 2021;67(2):7. doi: 10.21045/2071-5021-2021-67-2-7. EDN: CVPYVY
Supplementary files
