Suicide Mortality in the Republic of Tyva

The Russian database on fertility and mortality of the Center for Demographic Research of the Russian Economic School reflects mortality rates for all causes of death in all regions of the Russian Federation for the period 1959-2016. The analysis of standardized mortality rates indicates that the mortality rate in Russia is reducing, but not for all causes of death. For example, on the territory of the Republic of Tuva, the class "External causes" of male and female mortality from homicide 2008-2009 is monotonically decreasing, and the mortality rate from suicide declined sharply after the 2014 – it became 4 times lower than that of men for the previous year, 15 times lower for women and stably kept at low values in the subsequent 2015th -2016th years. But in the course of the study we revealed a surge of mortality from injuries with undetermined intent - 2 times in the male population, female population 2.3 times. An assessment was made of the reference structure of mortality from external causes, using mathematical model of "Best region" of real mortality in Tuva. As a result we found female mortality is 4.8 times lower, but the registered mortality from injuries with uncertain intentions is 3.5 times higher than the real in the male population, 2.2 times in the female population. The data obtained are considered as estimates, but the author has every reason to believe that they are much closer to the real situation than the official indicators of mortality from suicides and injuries with uncertain intentions. This work aims to draw attention to the problem of coding causes of death in the Republic of Tuva.