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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Russian Journal of Forensic Medicine</journal-id><journal-title-group><journal-title xml:lang="en">Russian Journal of Forensic Medicine</journal-title><trans-title-group xml:lang="ru"><trans-title>Судебная медицина</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2411-8729</issn><issn publication-format="electronic">2409-4161</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">673</article-id><article-id pub-id-type="doi">10.17816/fm673</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Original study articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Оригинальные исследования</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="zh"><subject>原创研究</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Forensic medical analysis of the dynamics of death rates in suicides</article-title><trans-title-group xml:lang="ru"><trans-title>Ретроспективный судебно-медицинский анализ динамики показателей смертности при суицидах</trans-title></trans-title-group><trans-title-group xml:lang="zh"><trans-title>自杀死亡率演变的回顾性法医分析</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4637-3526</contrib-id><name-alternatives><name xml:lang="en"><surname>Giyasov</surname><given-names>Zaynitdin A.</given-names></name><name xml:lang="ru"><surname>Гиясов</surname><given-names>Зайнитдин Асомутдинович</given-names></name><name xml:lang="zh"><surname>Giyasov</surname><given-names>Zaynitdin A.</given-names></name></name-alternatives><address><country country="UZ">Uzbekistan</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Med.), Professor</p></bio><bio xml:lang="ru"><p>д.м.н., профессор</p></bio><email>giyasov491@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2582-9013</contrib-id><name-alternatives><name xml:lang="en"><surname>Makhsumkhonov</surname><given-names>Kulfiddinkhon A.</given-names></name><name xml:lang="ru"><surname>Махсумхонов</surname><given-names>Кулфиддинхон Азамхонович</given-names></name><name xml:lang="zh"><surname>Makhsumkhonov</surname><given-names>Kulfiddinkhon A.</given-names></name></name-alternatives><address><country country="UZ">Uzbekistan</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Med.)</p></bio><bio xml:lang="ru"><p>к.м.н.</p></bio><email>kmakhsum73@mail.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3022-3489</contrib-id><name-alternatives><name xml:lang="en"><surname>Bakhriev</surname><given-names>Ibrokhim I.</given-names></name><name xml:lang="ru"><surname>Бахриев</surname><given-names>Иброхим Исомуддинович</given-names></name><name xml:lang="zh"><surname>Bakhriev</surname><given-names>Ibrokhim I.</given-names></name></name-alternatives><address><country country="UZ">Uzbekistan</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Med.), Associate Professor</p></bio><bio xml:lang="ru"><p>к.м.н., доцент</p></bio><email>ibragim.bakhriev@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1758-2513</contrib-id><name-alternatives><name xml:lang="en"><surname>Islamov</surname><given-names>Shavkat E.</given-names></name><name xml:lang="ru"><surname>Исламов</surname><given-names>Шавкат Эрйигитович</given-names></name><name xml:lang="zh"><surname>Islamov</surname><given-names>Shavkat E.</given-names></name></name-alternatives><address><country country="UZ">Uzbekistan</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Med.), Associate Professor</p></bio><bio xml:lang="ru"><p>д.м.н., доцент</p></bio><email>shavkat.islamov.1972@mail.ru</email><xref ref-type="aff" rid="aff3"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Tashkent Medical Academy</institution></aff><aff><institution xml:lang="ru">Ташкентская медицинская академия</institution></aff><aff><institution xml:lang="zh">Tashkent Medical Academy</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Center for the Development of Professional Qualifications of Medical Workers</institution></aff><aff><institution xml:lang="ru">Центр развития профессиональных квалификаций медицинских работников</institution></aff><aff><institution xml:lang="zh">Center for the Development of Professional Qualifications of Medical Workers</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Samarkand Medical Universitete</institution></aff><aff><institution xml:lang="ru">Самаркандский государственный медицинский университет</institution></aff><aff><institution xml:lang="zh">Samarkand Medical Universitete</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2022-12-01" publication-format="electronic"><day>01</day><month>12</month><year>2022</year></pub-date><pub-date date-type="pub" iso-8601-date="2022-12-17" publication-format="electronic"><day>17</day><month>12</month><year>2022</year></pub-date><volume>8</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><issue-title xml:lang="zh"/><fpage>37</fpage><lpage>46</lpage><history><date date-type="received" iso-8601-date="2021-12-06"><day>06</day><month>12</month><year>2021</year></date><date date-type="accepted" iso-8601-date="2022-10-11"><day>11</day><month>10</month><year>2022</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2022, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2022, Эко-Вектор</copyright-statement><copyright-statement xml:lang="zh">Copyright ©; 2022,</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">Эко-Вектор</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2025-01-01"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://for-medex.ru/jour/article/view/673">https://for-medex.ru/jour/article/view/673</self-uri><abstract xml:lang="en"><p><bold><italic>BACKGROUND</italic></bold><italic>: </italic>The increase in the number of completed suicides associated with multiple risk factors is a worldwide concern. The rates of completed suicide in both sexes, according to different researchers, differ significantly.</p> <p><bold><italic>AIMS</italic></bold><italic>:</italic> To investigate the sex characteristics of death rates of completed suicide.</p> <p><bold><italic>MATERIALS AND METHODS</italic></bold><italic>:</italic> Mortality rates using information from official reports on the activities of forensic medical institutions from 1992 to 2019 were analyzed retrospectively.</p> <p><bold><italic>RESULTS</italic></bold><italic>: </italic>The results of the analysis of suicide mortality rates indicate that suicides have natural features of development, i.e., a cyclical change in the states of indicators, namely, rise, decline, wave-like flow, characterized by certain periodicity, and constancy (stability of the occurrence of the phenomenon on a national scale). During the study period, completed suicides accounted for 14.0% of the total number of examinations of corpses and 21.4% of all cases of violent death. An analysis of the absolute number of suicide-related deaths by sex revealed a clear predominance of suicides in men (n = 33,888) compared with women (n = 16,036), which counted for 67.9% and 32.1%, respectively. The ratio of the absolute number of completed suicide cases in the group of men and women was approximately 2:1. Suicide mortality rates make it possible to conclude about the nature of this phenomenon in the country as permanent and sustainable.</p> <p><bold><italic>CONCLUSION</italic></bold><italic>: </italic>The results of the study of completed suicides in Uzbekistan for the period 1992–2019 allow us to assert that completed suicides as a phenomenon have their natural features of development, namely, the constancy of changes (stability of the occurrence of the phenomenon) and cyclicity (cyclic change of the states of indicators, i.e., rise, decline, wave-like flow, and certain periodicity).</p></abstract><trans-abstract xml:lang="ru"><p><bold><italic>Обоснование</italic></bold><italic>.</italic> Увеличение числа завершённых суицидов, связанных со множеством факторов риска, вызывает озабоченность во многих странах мира. Случаи завершённого суицида в группах обоих полов, по данным разных исследователей, значительно различаются.</p> <p><bold><italic>Цель</italic></bold><italic> <bold>исследования</bold> </italic>― изучить гендерные особенности показателей смертности при завершённых суицидах.</p> <p><bold><italic>Материал и методы</italic></bold><italic>. </italic>Анализ показателей смертности проведён методом ретроспективного статистического анализа сведений из официальных отчётов о деятельности судебно-медицинских учреждений страны за период 1992–2019 гг.</p> <p><bold><italic>Результаты</italic></bold><italic>. </italic>При ретроспективном анализе показателей случаев насильственной смерти в динамике, в том числе самоубийств, установлено, что суициды как явление имеют свои закономерные особенности развития, в частности циклическую смену состояния показателей (подъём, спад, волнообразное течение), характеризуемую определённой периодичностью, постоянством (стабильность возникновения явления в масштабах страны). За исследуемый период завершённые суициды составили 14,0% от общего числа экспертиз трупов и 21,4% всех случаев насильственной смерти. Анализ абсолютного количества случаев смерти от суицида по половой принадлежности выявил явное преобладание суицидентов в группе мужчин ― 33 888 против 16 036 в группе женщин, что составило 67,9 и 32,1% соответственно. Соотношение абсолютного количества случаев завершённого суицида в группе мужчин и женщин было примерно 2:1. Показатели смертности от суицидов позволяют сделать заключение о характере состояния этого явления в стране как постоянного и устойчивого.</p> <p><bold><italic>Заключение</italic></bold><italic>.</italic> Результаты исследования завершённых суицидов в Узбекистане за период 1992–2019 гг. позволяют утверждать, что завершённые суициды как явление имеют свои закономерные особенности развития. Это постоянство изменений (стабильность возникновения явления) и цикличность (циклическая смена состояний показателей ― подъём, спад, волнообразное течение, характеризующееся определённой периодичностью).</p></trans-abstract><trans-abstract xml:lang="zh"><p>论证。在世界许多国家，与多种风险因素有关的已完成的自杀人数越来越多，这令人担忧。根据不同的研究人员，完成自杀的发生率在两个性别之间有很大的不同。</p> <p>该研究的目的是研究已完成的自杀事件中不同性别的死亡率。</p> <p>材料与方法。对死亡率的分析是通过对1992-2019年期间该国法医机构活动的官方报告信息进行回顾性统计分析来进行的。</p> <p>结果。对包括自杀在内的暴力死亡的回顾性分析表明，自杀作为一种现象有其自身发展的规律性特征，特别是指标的周期性变化（上升、下降、波浪式的过程），其特点是有一定的周期性、恒定性（在全国范围内现象的稳定性）。研究期间，已完成的自杀事件占尸体检查总数的14.0%，占所有暴力死亡事件的21.4%。对按性别划分的自杀死亡绝对人数的分析表明，男性群体的自杀人数明显占优势——33888人，而女性群体为16036人，分别占67.9%和32.1%。男女组中完成自杀的绝对数量之比约为2:1。自杀死亡率表明，该国的自杀现象的性质是永久性的和持续的。</p> <p>结论。1992-2019年期间乌兹别克斯坦完成自杀的研究结果表明，完成自杀作为一种现象有其自身的发展模式。这些是变化的恒定性（现象出现的稳定性）和周期性（指标状态的周期性变化——上升、下降、以一定周期性为特征的波浪式流动）。</p></trans-abstract><kwd-group xml:lang="en"><kwd>suicide</kwd><kwd>examination of a corpse</kwd><kwd>gender characteristics</kwd><kwd>mortality rates</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>суицид</kwd><kwd>экспертиза трупа</kwd><kwd>гендерные особенности</kwd><kwd>показатели смертности</kwd></kwd-group><kwd-group xml:lang="zh"><kwd>自杀</kwd><kwd>尸体检查</kwd><kwd>性别</kwd><kwd>死亡率</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Botezatu GA, Bachu G, Mutoy G.L, et al. 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