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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" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Bulletin of Semashko National Research Institute of Public Health</journal-id><journal-title-group><journal-title>Bulletin of Semashko National Research Institute of Public Health</journal-title></journal-title-group><issn publication-format="print">2415-8410</issn><issn publication-format="electronic">2415-8429</issn><publisher><publisher-name>FSSBI «N.A. Semashko National Research Institute of Public Health»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">2483</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>The silent epidemic of male suicides: a regional aspect</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Nosova</surname><given-names>Evgeniia S.</given-names></name><bio></bio><email>nosova.evgenya@lenta.ru</email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff id="aff-1">N. A. Semashko National Research Institute of Public Health</aff><aff id="aff-2">Kaluga Regional Psychiatric Hospital</aff><pub-date date-type="epub" iso-8601-date="2022-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2022</year></pub-date><issue>4</issue><fpage>11</fpage><lpage>14</lpage><history><pub-date date-type="received" iso-8601-date="2022-11-25"><day>25</day><month>11</month><year>2022</year></pub-date></history><permissions><copyright-statement>Copyright © 2022,</copyright-statement><copyright-year>2022</copyright-year></permissions><abstract>Measures to prevent male suicides can significantly reduce the overall rates of suicide mortality. The present study of male suicides at the regional level forms a general idea of men as at risk group and sets the direction for possible preventive measures. Time series analysis and regression analysis of indicators of male suicidal mortality in the Kaluga region were carried out using the materials of the Regional statistical bureau «Kalugastat» and the Microsoft Excel. The total number of suicides during the studied period was 3251, of which 83.9% (2728) were male, which led to the absolute superiority of male suicides in all districts of the Kaluga region. In 2003, extremely high rates of suicide mortality were observed in 23 out of 26 districts, in 2018 - only in 8 districts, while no male suicides were registered in 7 districts. 65.9% of all men who committed suicide during the studied period were urbanites, while the frequency of suicide per 100 000 among men is significantly higher in rural areas. The majority of male suicides occur at the working age, in this cohort there are 8 male suicides for 1 female. Local indicators of male suicide mortality draw our attention to the crisis care improvement for this population group.</abstract><kwd-group xml:lang="en"><kwd>male suicides</kwd><kwd>prevention</kwd><kwd>public health</kwd><kwd>suicide mortality</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>мужские самоубийства</kwd><kwd>профилактика</kwd><kwd>общественное здоровье</kwd><kwd>суицидальная смертность</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Hawton K. Sex and suicide. Gender differences in suicidal behavior. The British Journal of Psychiatry. 2000;177(6):484-485.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Villanueva P., Arteaga A., Fernández-Montalvo J. Gender Differences in Risk Factors Related to Suicidal Ideation Among Callers to Telephone Helplines in Spain. 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