This value indicates the annual increase or decrease, with negative values indicating a decreasing trend and positive values indicating an increasing trend [ 26 , 27 ].
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Spatial and temporal patterns of self-harm indicators and their association with the socio-demographic index (SDI) in Iran: analysis of incidence, death, DALY, YLDs, and YLLs from 1990 to 2021 - results from the global burden of disease study 2021.
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