en Clinical Original Article <div style="text-align: justify;"><span style="font-size:12px;"><span style="font-family:Times New Roman;"><b>Background:</b> The mortality rate in a community serves as a crucial health indicator. Analyzing the trends in the causes of death helps to reveal the overall health transformations occurring in that community. This study aimed to evaluate the mortality trends from 2011 to 2018.<br> <b>Methods:</b> This study was conducted on all deaths registered in the Department of Health of Golestan University of Medical Sciences from 2011 to 2018. After modifying and cleaning the data, the indicators were calculated using WinPepi 11.65 software, and graphs were drawn using Excel 2013 software.<br> <b>Results:</b> The death rate from 2011 to 2012 was relatively constant. After a slight decrease in 2013 (3.6 per 1000 population), it showed an upward trend and reached 4.66 per 1,000 population in 2017. The three main causes of death in Golestan Province included cardiovascular diseases, cancers, and external causes of death. From 2011 to 2018, a total of 862,542 years of life were lost due to premature death, with men accounting for 499,300 years and women for 363,242 years.<br> <b>Conclusion</b>: Considering that the main causes of death in Golestan Province are chronic and non-communicable diseases and accidents, it is suggested that more attention be paid to the design and implementation of preventive measures at the primary levels regarding these diseases.</span></span><br> &nbsp;</div> Mortality, Cause of death, Trends 14 17 http://jhd.goums.ac.ir/browse.php?a_code=A-10-43-1&slc_lang=en&sid=1 Alireza Heidari alirezaheidari7@gmail.com 1003194753284600297 1003194753284600297 No Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran Mohammad Javad Kabir kabirmj63@gmail.com 1003194753284600298 1003194753284600298 No Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran Zahra Khatirnamani khatirzahra@gmail.com 1003194753284600299 1003194753284600299 Yes Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran Narges Rafiei narges.rafiei@gmail.com 1003194753284600300 1003194753284600300 No Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran Masoumeh Gholami masoomeh.gholami1976@gmail.com 1003194753284600301 1003194753284600301 No Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran