Estudo ecológico sobre os possíveis determinantes socioeconômicos, demográficos e fisiográficos do suicídio no Estado do Rio de Janeiro, Brasil, 1998-2002

Filho, José Gomes Bezerra; Werneck, Guilherme Loureiro; Almeida, Rosa Lívia Freitas de; Oliveira, Maria Ivoneide Veríssimo de; Magalhães, Francismeire Brasileiro

doi:10.1590/s0102-311x2012000500003

Cited by 24 publications

(31 citation statements)

References 12 publications

(14 reference statements)

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“…There are consistent data in literature that indicate higher rates of suicide in all age groups for men [21][22][23][24] . In old age, when professional life ends, many men associate the new phase of their lives with the loss of their traditional role of economic provider and head of family, and withdraw socially, leading to a high risk of isolation, sadness, stress and the desire to end their life.…”

Section: Discussionsupporting

confidence: 68%

“…Suicide is a complex phenomenon, and therefore can be investigated through an individual approach, where psychological, psychiatric variables and incapacitating clinical conditions are analyzed, along with the social context in which the phenomenon occurs, through sociodemographic variables 24 . Since the mid-nineteenth century, researchers have attempted to understand the temporal and geographic variations of suicide.…”

Section: Discussionmentioning

confidence: 99%

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Spatial temporal analysis of mortality by suicide among the elderly in Brazil

Santos

Oliveira

Azevedo

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: to perform spatiotemporal analysis of suicide mortality in the elderly in Brazil. Methods: a mixed ecological study was carried out in which deaths from suicide among the elderly were analyzed using data from the Mortality Information System (MIS) and socio-demographic variables, from 2000 to 2014, with a trend analysis of this period. Univariate and bivariate spatial analysis was performed using the Moran Global and Moran Map index to evaluate the intensity and significance of spatial clusters. Results: there were 19,806 deaths due to suicide among the elderly in Brazil between 2000 and 2014. The ratio of male and female mortality rates was 4:1, with increasing trends for both genders (R2>0.8), but with greater intensity among men (p=0.0293). There was a moderate autocorrelation for men (I>0.40), with clusters forming for both genders in the south of Brazil. Bivariate analysis showed the formation of clusters in the southern region with the Human Development Index and aging variables and in the north and northeast regions based on dependence and illiteracy ratio. Conclusions: mortality due to suicide among the elderly has a tendency to increase and is unequally distributed in Brazil.

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Spatial temporal analysis of mortality by suicide among the elderly in Brazil

Santos

Oliveira

Azevedo

et al. 2017

Rev. bras. geriatr. gerontol.

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“…Nevertheless, Prandi et al [47] showed a relationship between Evangelicals and poverty and found that the geographic distribution of these two variables was concentrated in the periphery of the city. In the state of Rio de Janeiro, Brazil, a recent ecological study found that being Evangelical is a protective factor for suicide [48]. …”

Section: Discussionmentioning

confidence: 99%

Spatial clusters of suicide in the municipality of São Paulo 1996–2005: an ecological study

et al. 2012

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BackgroundIn a classical study, Durkheim mapped suicide rates, wealth, and low family density and realized that they clustered in northern France. Assessing others variables, such as religious society, he constructed a framework for the analysis of the suicide, which still allows international comparisons using the same basic methodology. The present study aims to identify possible significantly clusters of suicide in the city of São Paulo, and then, verify their statistical associations with socio-economic and cultural characteristics.MethodsA spatial scan statistical test was performed to analyze the geographical pattern of suicide deaths of residents in the city of São Paulo by Administrative District, from 1996 to 2005. Relative risks and high and/or low clusters were calculated accounting for gender and age as co-variates, were analyzed using spatial scan statistics to identify geographical patterns. Logistic regression was used to estimate associations with socioeconomic variables, considering, the spatial cluster of high suicide rates as the response variable. Drawing from Durkheim’s original work, current World Health Organization (WHO) reports and recent reviews, the following independent variables were considered: marital status, income, education, religion, and migration.ResultsThe mean suicide rate was 4.1/100,000 inhabitant-years. Against this baseline, two clusters were identified: the first, of increased risk (RR = 1.66), comprising 18 districts in the central region; the second, of decreased risk (RR = 0.78), including 14 districts in the southern region. The downtown area toward the southwestern region of the city displayed the highest risk for suicide, and though the overall risk may be considered low, the rate climbs up to an intermediate level in this region. One logistic regression analysis contrasted the risk cluster (18 districts) against the other remaining 78 districts, testing the effects of socioeconomic-cultural variables. The following categories of proportion of persons within the clusters were identified as risk factors: singles (OR = 2.36), migrants (OR = 1.50), Catholics (OR = 1.37) and higher income (OR = 1.06). In a second logistic model, likewise conceived, the following categories of proportion of persons were identified as protective factors: married (OR = 0.49) and Evangelical (OR = 0.60).ConclusionsThis risk/ protection profile is in accordance with the interpretation that, as a social phenomenon, suicide is related to social isolation. Thus, the classical framework put forward by Durkheim seems to still hold, even though its categorical expression requires re-interpretation.

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“…Thus, suicide demands intersectorial actions of confrontation for damage reduction, that have multidisciplinary and transdisciplinary characteristics 6 . The planning and implementation of intersectorial actions is necessary to meet the profile of SA cases of the region.…”

mentioning

confidence: 99%

Suicide attempts in a emergency hospital

Alves

Silva

Magalhães

et al. 2014

Arq. Neuro-Psiquiatr.

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The most important baseline predictors of suicide attempts (SAs) are baseline severity, the number of previous hospitalizations and the length of the current episode of depression 1 . The probability of having two or more SAs over the past year increased with the severity of substance use and violent behavior across attempter subtypes. A previous study indicates that the treatment of depressive symptoms in teen attempters remains an important goal 2 . Suicidal and nonsuicidal self-harm are both significant risks for depressed adolescents treated in the clinic. The presence of family dysfunction, high levels of suicidality and recent self-harm (suicidal or nonsuicidal) should alert us to a high risk for future SA. The presence of recent nonsuicidal self-injury is by far the strongest predictor of future nonsuicidal self-injury .A previous study has shown that, regardless of gender, the risk factors that are significantly associated with increased odds of SA include suicidal ideation, depressive symptoms, having a friend with a past history of attempted or completed suicide, and having a family member with a history of AbstrACtThis study aimed to characterize the profiles of suicide attempts that were attended to in the Hospital of Alagoas in the year 2010. Four hundred sixty-one charts and service bulletins were analyzed. Patients attempting suicide were predominately female. There were significant difference for suicide attempts (SAs) among men and women in the age of 10 to 19 years and 60 to 69 years. Women have tried more suicide aged between 10 and 19 years and men between 60 and 69 years. The ingestion of drugs was the most frequent method for women; and poisoning, use of sharp objects and hanging for men. The results of this study may contribute to elaboration, planning and implementation of preventive measures to reduce cases of SAs.Keywords: suicide, attempted, suicide, emergency service, hospital, epidemiology.resumo Este estudo teve como objetivo caracterizar o perfil das tentativas de suicídio (TS) que foram atendidos num Hospital de Alagoas, no ano de 2010. Quatrocentos e sessenta e um boletins foram analisados. Houve diferença significativa para as tentativas de suicídio entre homens e mulheres nas faixas etárias de 10 a 19 anos e de 60 a 69 anos. As mulheres cometem mais suicídio na faixa etária entre 10 e 19 anos e os homens entre 60 e 69 anos. A ingestão de drogas foi o método mais frequente para as mulheres; o envenenamento, uso de objetos pontiagudos e enforcamento para homens. Os resultados deste estudo podem contribuir para a elaboração, planejamento e implementação de medidas preventivas em casos de TS.Palavras-chave: tentativa de suicídio, suicídio, serviço hospitalar de emergência, epidemiologia.

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Estudo ecológico sobre os possíveis determinantes socioeconômicos, demográficos e fisiográficos do suicídio no Estado do Rio de Janeiro, Brasil, 1998-2002

Cited by 24 publications

References 12 publications

Spatial temporal analysis of mortality by suicide among the elderly in Brazil

Spatial temporal analysis of mortality by suicide among the elderly in Brazil

Spatial clusters of suicide in the municipality of São Paulo 1996–2005: an ecological study

Suicide attempts in a emergency hospital

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