Relationship between Armed Conflict and Sudden Death: An Analysis of Causes and Consequences, Sudan 2025

Background and Aims: The ongoing conflict between the Rapid Support Forces and Sudanese Armed Forces since April 2023 has triggered a severe humanitarian crisis, displaced over 8.4 million people and rendered 70% of hospitals in conflict zones non-functional. Methods: A cross-sectional survey was conducted, involving 412 family members or acquaintances of individuals who experienced sudden death during the war. Data were collected through structured questionnaires, covering demographic characteristics, causes of death, psychological factors, healthcare access, and family impact. Statistical analyses involved descriptive and inferential methods to examine associations between mortality determinants, healthcare accessibility, and psychological distress. Results: The highest mortality rates were observed among males (60.9%) and older adults (45.6% aged ≥56 years). Cardiovascular events, including heart attacks (35.2%) and strokes (5.3%), were the leading medical causes of death, while psychological trauma was reported in 78.9% of cases. Healthcare access was severely restricted, with 37.4% of individuals receiving no medical care, and 47.8% experiencing delays in emergency services. Soldiers and employees faced higher physical and psychological trauma, whereas teachers and freelancers encountered the most significant healthcare barriers. Families of the deceased reported severe emotional distress (71.6%) and financial instability (16.3%). Conclusion: War exacerbates sudden mortality through trauma, chronic disease aggravation, and healthcare collapse. Urgent interventions, including mental health support, improved emergency care, and mobile healthcare units, are essential to mitigating these crises. Further research is needed to address conflict-related health disparities and develop targeted health interventions.