Age and sex trends for suicide in Brazil between 2000 and 2016

Martini, Murilo; Fonseca, Rodrigo Chiavaro da; Sousa, Mathias Hasse de; Farias, Clarisse de Azambuja; Cardoso, Taiane de Azevedo; Kunz, Maurício; Longaray, Vanessa Kenne; Magalhães, Pedro Vieira da Silva

doi:10.1007/s00127-019-01689-8

Cited by 27 publications

(42 citation statements)

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“…This indicator simultaneously measures the effect of mortality and the effect of health problems that affect people's quality of life. 16 In most of the world's countries, including Brazil, 1,2,4,7,8,11,[16][17][18][19] suicide deaths affect males more, as seen in RS, although in Southern India, China, Cambodia and Vietnam, as well as in some Pacific Ocean islands, such as the Philippines, this proportion falls. 2,4,7,9,10,19,20 Lower suicide frequency among women may be attributed to lower prevalence of alcoholism, religiousness, the condition of motherhood, condescending attitudes regarding roles socially expected of the female gender, early recognition of signs of risk of depression and mental illness, greater tendency to seek help at times of crisis and greater participation in social support networks.…”

Section: Discussionmentioning

confidence: 99%

“…11 The high rates found among elderly victims corroborate data published in several other studies. 4,11,17 In China, for example, according to the National Mortality Surveillance System, between 2013 and 2014 the elderly accounted for 38.2% of all suicide cases, even though they only corresponded to 8.9% of the population. 22 According to WHO, suicide is the second leading cause of death among youth (15-29 years).…”

Section: Discussionmentioning

confidence: 99%

“…All victims of suicide in RS in the period under assessment were classified according to the following variables: a) sex (male; female); b) age (in years: child [0-12]; adolescent [13][14][15][16][17][18]; adult ; elderly [60 or over]); c) youth, aged 15-29 years (youth; not youth); d) parental absence on birth record (absence; presence); e) cause of death (hanging; use of firearm; intoxication; jumping; use of cold weapon; other); f) city where death occurred; g) region 13 where death occurred (Alto-Jacuí; Campanha; Central; Centro Sul; Fronteira Noroeste; Fronteira Oeste; Hortênsias; Litoral; Médio Alto Uruguai; Metropolitano Delta do Jacuí; Missões; Nordeste; Noroeste Colonial; Norte; Paranhana-Encosta Serra; Produção; Serra; Sul; Vale do Caí; Vale do Rio dos Sinos; Vale do Rio Pardo; Vale do Taquari); h) macro-region 14 in which death occurred (Porto Alegre; Caxias do Sul; Santa Maria; Pelotas; Passo Fundo); i) year of death (2017; 2018); j) toxicology (toxicology available; no information);…”

Section: Methodsmentioning

confidence: 99%

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Mortalidade por suicídio no Rio Grande do Sul: uma análise transversal dos casos de 2017 e 2018

Franck¹,

Monteiro

Limberger³

2020

Epidemiologia e Serviços de Saúde

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Objective: to analyze the epidemiological and toxicological profile of suicide cases in Rio Grande do Sul, Brazil, in 2017 and 2018. Methods: this was a cross-sectional study with data from police incident reports and state General Forensic Institute records; multiple correspondence analyses were performed and logistic regression models were built. Results: there were 2,564 suicides (11.3/100,000 inhabitants/year), mostly involving males (79.4%), and the 50-54 years age group (10.3%); the main method was hanging (72.5%); positive results for ethanol were found in 29.1% of cases and for other psychotropic drugs in 36.1% of cases; young people were 4.5 times (95%CI 2.7;7.7) and 2.4 times (95%CI 1.5;3.6) more likely to be the victims when there were positive results for an illegal substance or parental absence, respectively. Conclusion: male and adult victims predominated, hanging was the most common means, and, in one third of the cases, psychotropic drugs were present.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Mortalidade por suicídio no Rio Grande do Sul: uma análise transversal dos casos de 2017 e 2018

Franck¹,

Monteiro

Limberger³

2020

Epidemiologia e Serviços de Saúde

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“…A expectativa de vida está aumentando em todo o mundo e as estatísticas de suicídio entre os idosos, já elevadas, podem atingir patamares ainda maiores 11,13,25 . Por isso, investigar os fatores mais relacionados, como redução do apoio social, isolamento, luto, perda da independência e do desempenho sexual, depressão, existência de doenças e aposentadoria 6,8,9,11,13,14,21,25 A facilidade de acesso e a multiplicidade de formas seguem fazendo do enforcamento, o método de escolha pelas vítimas para o suicídio, conforme já descrito em várias publicações 7,8,[10][11][12][13][14]22,23,25 . Em segundo lugar, tem-se o uso de arma de fogo que, mundialmente (2016), corresponde à 27,0% dos casos de suicídio 26 .…”

Section: C Franck and R P Limbergerunclassified

Estudo Epidemiológico, Geográfico E Multivariado Dos Casos De Suicídio No Rio Grande Do Sul, Brasil, Entre 2017 E 2019

Franck¹,

Limberger²

2020

BJFS

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O suicídio é um grave problema de saúde pública no estado do Rio Grande do Sul e esse trabalho objetivou determinar o perfil epidemiológico e geográfico, incluindo correlações entre as variáveis relacionadas às vítimas de 2017 a 2019. A partir dos registros periciais, foram consultados os boletins de ocorrência gerando um estudo descritivo e transversal, com análises de correspondência múltipla e modelos de regressão logística (α=0,05). Foram registrados 4.017 suicídios (11,8 casos/100 mil habitantes/ano), em sua maioria, do sexo masculino (79,8%) e da raça branca (90,5%). Os idosos (60 anos ou mais) apresentaram a maior taxa, 26,2/100 mil habitantes/ano. O período da noite mostrou-se associado aos adolescentes, ao uso de arma de fogo e às vítimas com histórico policial positivo. Os dias úteis associaram-se aos idosos, às vítimas com ausência parental no registro de nascimento e ao período da manhã. Ter histórico policial positivo associou-se ao sexo masculino, à faixa etária adulta, à ausência parental e ao período da noite. As regiões Vale do Rio Pardo, Médio Alto Uruguai e Fronteira Noroeste apresentaram as maiores taxas do estado (21,6, 19,5 e 17,7/100 mil habitantes/ano, respectivamente). A causa atribuída com mais frequência foi a depressão (26,3%) e o meio mais empregado pelas vítimas foi o enforcamento (73,0%). O trabalho pericial pode auxiliar os serviços de saúde na compreensão e enfrentamento desse fenômeno com dados locais, atuais e importantes correlações, estimulando novos estudos e medidas preventivas onde há maior incidência e direcionados à população mais vulnerável.

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“… 3 The rate of suicide has increased in nearly all age groups for males and females between 2000 and 2016. 4 …”

Section: Introductionmentioning

confidence: 99%

Association between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalities

et al. 2020

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ObjectiveTo estimate the association between homicide and suicide rates in Brazilian municipalities over a period of 7 years.DesignWe conducted a longitudinal ecological study using annual mortality data from 5507 Brazilian municipalities between 2008 and 2014. Multivariable negative binomial regression models were used to examine the relationship between homicide and suicide rates. Robustness of results was explored using sensitivity analyses to examine the influence of data quality, population size, age and sex on the relationship between homicide and suicide rates.SettingA nationwide study of municipality-level data.ParticipantsMortality data and corresponding population estimates for municipal populations aged 10 years and older.Primary and secondary outcome measuresAge-standardised suicide rates per 100 000.ResultsMunicipal suicide rates were positively associated with municipal homicide rates; after adjusting for socioeconomic and demographic factors, a doubling of the homicide rate was associated with 22% increase in suicide rate (rate ratio=1.22, 95% CI: 1.13 to 1.33). A dose–response effect was observed with 4% increase in suicide rates at the third quintile, 9% at the fourth quintile and 12% at the highest quintile of homicide rates compared with the lowest quintile. The observed effect estimates were robust to sensitivity analyses.ConclusionsMunicipalities with higher homicide rates have higher suicide rates and the relationship between homicide and suicide rates in Brazil exists independently of many sociodemographic and socioeconomic factors. Our results are in line with the hypothesis that changes in homicide rates lead to changes in suicide rates, although a causal association cannot be established from this study. Suicide and homicide rates have increased in Brazil despite increased community mental health support and incarceration, respectively; therefore, new avenues for intervention are needed. The identification of a positive relationship between homicide and suicide rates suggests that population-based interventions to reduce homicide rates may also reduce suicide rates in Brazil.

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Age and sex trends for suicide in Brazil between 2000 and 2016

Cited by 27 publications

References 19 publications

Mortalidade por suicídio no Rio Grande do Sul: uma análise transversal dos casos de 2017 e 2018

Mortalidade por suicídio no Rio Grande do Sul: uma análise transversal dos casos de 2017 e 2018

Estudo Epidemiológico, Geográfico E Multivariado Dos Casos De Suicídio No Rio Grande Do Sul, Brasil, Entre 2017 E 2019

Association between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalities

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