Clinical and epidemiological analysis of suicidal behavior in Tula region

Suicidal behavior (SB) is an important public health issue among rural communities although there is no single pattern of suicide in the Tula region. Cross-setting factors associated with suicide rates include gender, poverty, mental illness, substance use, biological factors including apparent genetic risk, coping skills and media coverage of suicide. Identifying which of these areas are the greatest local priorities helps to target activity. Interventions in suicide are often aimed at people in groups at higher than average risk of suicide. It is very difficult to measure the effectiveness of interventions because SB is a relatively uncommon outcome, despite its large societal impact.