O sistema de informações sobre mortalidade: problemas e propostas para o seu enfrentamento II - Mortes por causas externas

Jorge, Maria Helena Prado de Mello; Gotlieb, Sabina Léa Davidson; Laurenti, Ruy

doi:10.1590/s1415-790x2002000200008

Cited by 48 publications

(42 citation statements)

References 4 publications

(1 reference statement)

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“…[5][6][7] Underreporting of deaths due to suicide among doctors may be one factor involved in this phenomenon, and may explain why our study showed a smaller suicide rate compared to that found among physicians in other countries. 3,12 Other studies are needed to better explain this situation.…”

Section: Discussionmentioning

confidence: 99%

“…12 In Brazil, it is likely that the rate of mortality by suicide is at least twice as high as the registered data reflects, according to a study that thoroughly evaluated deaths by ''external causes of ignored type'' by gathering data from police stations and medicolegal institutes and through home visits. 3 The literature regarding suicide in Brazil also reveals differences across regions (4.7 per 100,000 in the North and 9.4 per 100,000 in the Southeast), with higher rates in smaller municipalities (4 per 100,000 in those larger than 200,000 inhabitants and 13 per 100,000 in those smaller than 20,000). There has been a significant increase in suicide rates in recent decades, especially among men aged 15 to 24 years (from 0.3 to 6.0 per 100,000).…”

Section: Discussionmentioning

confidence: 99%

“…2 Mortality by suicide is underreported in Brazil, and some deaths registered as having an ''unknown cause'' are later determined to be suicides. 3 Between 1996 and 2009, 6,002 suicides were completed in the state of Sã o Paulo, Brazil, for a rate of 4.6 deaths by suicide per 100,000 inhabitants (7.5 for men and 2.0 for women). 4 International data indicate that suicides are more frequent among physicians than among members of the general population.…”

Section: Introductionmentioning

confidence: 99%

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Suicide among physicians in the state of São Paulo, Brazil, across one decade

Palhares-Alves

Palhares

Laranjeira

et al. 2015

Rev. Bras. Psiquiatr.

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Objective: To describe mortality by suicide among physicians in the state of Sã o Paulo, Brazil, between 2000 and2009. Methods: Secondary analysis of government mortality data. The variable of interest was ''underlying cause of death'', specifically deaths classified by the ICD-10 as intentional self-harm (X60 to X84). Results: The analyses examined 2,297 declarations of death, among which suicide accounted for 50 cases, i.e., 1.7% of all causes of death. Women comprised 13.2% of the total sample and represented 24% of the death-by-suicide group, indicating an overrepresentation of women in the latter (p = 0.02). Deaths by suicide occurred on average 20 years earlier than deaths by other causes (46.8614.2 years and 68.1615.8 years, respectively; p = 0.001). There was a significant association between single and/or divorced status and suicide (p o 0.001). The average mortality rate during the study period was 4.2 deaths per 100,000 physicians registered with the Regional Board of Medicine of the State of São Paulo. Conclusion: Deaths by suicide occurred 20 years earlier than deaths by other causes. Medical institutions should develop strategies for the prevention and early detection of mental disorders and occupational stressors that elevate the risk of suicide among physicians.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Suicide among physicians in the state of São Paulo, Brazil, across one decade

Palhares-Alves

Palhares

Laranjeira

et al. 2015

Rev. Bras. Psiquiatr.

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“…Alternativas têm sido utilizadas por alguns autores ao procurar resgatar essas causas com métodos como o da "recuperação de informação" que consiste em visitas a domicílios, hospitais, institutos de medicina legal e unidades de saúde. 7,8 Um outro método, de caráter mais teórico, foi proposto por Lederman, citado por Vallin,* ao usar regressão linear simples, cuja aplicação foi realizada para regiões da França.…”

Section: Discussionunclassified

Qualidade das estatísticas de óbitos por causas desconhecidas dos Estados brasileiros

Paes

2007

Rev. Saúde Pública

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Qualidade das estatísticas de óbitos por causas desconhecidas dos Estados brasileiros RESULTADOS:Verifi cou-se "boa" qualidade dos registros de óbitos por causas desconhecidas para as regiões Sul-Sudeste e no máximo como "regular" para o Norte-Nordeste. Avanços nas declarações ocorreram para a metade dos estados do País, particularmente para as mulheres. As proporções de mal defi nidas aumentaram com as idades, associando-se à cobertura dos óbitos, o grau de urbanização e as mortes por causas externas. CONCLUSÕES:Embora tenha havido diminuição na qualidade das declarações das causas básicas de óbitos para vários estados do País, pode-se considerar a qualidade, no mínimo, como satisfatória. Isso signifi ca que é possível resgatar o poder explicativo das estatísticas dos óbitos por causas defi nidas. DESCRITORES:Mortalidade. Estatísticas vitais. Causa da morte. Subregistro. Causas mal defi nidas. Cobertura dos óbitos.

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“…9 It is possible that the percentage of neoplasms among the ill-defi ned causes of death is lower than the percentage corresponding to this group of diseases among the well-defi ned causes. 12 Therefore, when the redistribution of deaths without classifi cation of the basic cause is adopted, this may artifi cially increase the mortality.…”

Section: Introductionmentioning

confidence: 99%

<b>Tendência da mortalidade por câncer nas capitais e interior do Brasil entre 1980 e 2006</b>

Silva¹,

Gamarra²,

Girianelli³

et al. 2011

Rev. Saúde Pública

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. The rates of overall cancer mortality and major types were corrected by proportionally redistributing 50% of ill-defi ned causes of death and standardizing them by age according to the standard world population. Trend curves for Brazil and its major regions were calculated for state capitals and other municipalities according to sex, and were evaluated by means of simple linear regression. RESULTS:Among men, ascending mortality rates were observed for lung, prostate and colorectal cancer; declining rates for stomach cancer; and stable rates for esophagus cancer. Among women, mortality from breast, lung and colorectal cancer increased, and the rates for cervical and stomach cancer declined. Mortality evolution varied across the regions of Brazil, with distinct patterns between state capitals and other municipalities. CONCLUSIONS:The correction of mortality rates based on redistribution of ill-defi ned causes of death increased the magnitude of the overall cancer mortality in Brazil by approximately 10% in 1980 and 5% in 2006. In the inland municipalities no decrease or stability was identifi ed, differently from what was observed in the state capitals. Limited scope of prevention actions and lower access to services of cancer diagnosis and treatment for the population living away from large urban centers may partly explain these differences.

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O sistema de informações sobre mortalidade: problemas e propostas para o seu enfrentamento II - Mortes por causas externas

Cited by 48 publications

References 4 publications

Suicide among physicians in the state of São Paulo, Brazil, across one decade

Suicide among physicians in the state of São Paulo, Brazil, across one decade

Qualidade das estatísticas de óbitos por causas desconhecidas dos Estados brasileiros

<b>Tendência da mortalidade por câncer nas capitais e interior do Brasil entre 1980 e 2006</b>

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