Attempted Suicide in Reproductive Age Women

Gomes, Flávia Azevedo; O’Brien, Beverley; Nakano, Ana Márcia Spanó

doi:10.1080/07399330903018385

Cited by 6 publications

(3 citation statements)

References 23 publications

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“…Social transmission of self-inflicted injuries or increasing prevalence of psychiatric disorders might have an especially strong influence on increasing the incidence of self-inflicted injuries among women [ 29 , 30 ]. Although the effect of female hormones on self-inflicted injuries is still under debates [ 31 ], a report shows that female hormones may cause the increased prevalence of self-inflicted injuries among women at reproductive age (10–49 years) [ 32 , 33 ]. Indeed, the higher incidence of self-inflicted injuries among women at reproductive age was also noted in this study.…”

Section: Discussionmentioning

confidence: 99%

Characteristics and outcomes of emergency patients with self-inflicted injuries: a report from ambulance records in Osaka City, Japan

Matsuyama

Kitamura

Kiyohara

et al. 2016

Scand J Trauma Resusc Emerg Med

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BackgroundFew studies have evaluated the actual situations of emergency patients with self-inflicted injuries treated by emergency-medical-service (EMS) personnel.MethodsThis study retrospectively reviewed population-based ambulance records in Osaka City, Japan, between January 2010 and December 2012, and enrolled emergency patients who suffered from self-inflicted injuries such as poisoning by drugs or gas, cutting/piercing skin, jumping from heights, hanging, and drowning. The endpoint was the annual incidence per 100,000 populations in Osaka City of emergency patients who presented with self-inflicted injuries by age and sex. Their outcomes including deaths at the scene and hospital arrival were also evaluated.ResultsDuring the study period, a total of 8,671 patients with 9,424 incidents of self-inflicted injuries were documented. The annual incidence of self-inflicted injuries was higher among women than men in the whole population and in the age group < =49 years (136.9 versus 82.6, and 214.8 versus 93.3, both Ps < 0.001), but it was inversely lower among women in the age group > =50 years (49.0 versus 68.9, P < 0.001). The total number of self-inflicted deaths was 1,564 (16.6 %), and the overall proportion of self-inflicted deaths was greater among men than women (32.2 % [1075/3340] vs. 7.5 % [451/6027], P < 0.001). The proportion of self-inflicted hanging was 76.7 % [1142/1489], followed by poisoning by carbon monoxide at 57.1 % [56/98] and jumping to death at 47.6 % [254/534].DiscussionUsing large-scale EMS records, we investigated characteristics and outcomes of emergency patients with self-inflicted injuries treated by EMS personnel. Our findings suggested the gender paradox that the proportion of self-inflicted deaths was higher among men than women, while the proportion of non-fatal self-inflicted injuries was higher among women than among men, particularly in the group aged <=49 years. Our findings showing the importance of the prevention for self-inflicted injuries as well as the gender paradox of self-inflicted injuries will provide important epidemiological information to improve psychiatric cares in prehospital emergency settings.ConclusionsIn the total population, the annual incidence of self-inflicted injuries responded to by EMS personnel was higher among women than among men. However, the proportion of self-inflicted deaths was greater among men than women, and the most frequent manner among deceased patients was by hanging.

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Section: Discussionmentioning

confidence: 99%

Characteristics and outcomes of emergency patients with self-inflicted injuries: a report from ambulance records in Osaka City, Japan

Matsuyama

Kitamura

Kiyohara

et al. 2016

Scand J Trauma Resusc Emerg Med

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“…O suicídio e as lesões autoinfligidas são as principais causas de morte e incapacidade para as mulheres, durante o ciclo grávido-puerperal, [140][141] e estão relacionados, especialmente nos países em desenvolvimento, às normas e aos valores socioculturais, como a desigualdade de gênero. 142 Seu principal precursor é a ideação suicida ou pensamentos de morte, cuja prevalência é de 9,0% na população em geral [143][144] e varia entre 2,7% e 12,0% em mulheres grávidas, [145][146] sendo mais comum do que as tentativas de suicídio, o suicídio e as lesões autoinfligidas. 96 No Brasil, a prevalência de ideação suicida encontrada em gestantes em acompanhamento pré-natal, nas unidades de atenção primária do município de São Paulo, foi de 6,3%.…”

Section: Ideação Suicidaunclassified

“…145 Entretanto, apesar desta constatação, pouco tem sido estudado e pesquisado sobre o tema nos países em desenvolvimento, especialmente no Brasil. 142…”

Section: Ideação Suicidaunclassified

Violência na gestação e saúde mental de mulheres que são vítimas de seus parceiros

Fonseca-Machado¹

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Esta etapa da minha vida só se cumpriu pois Deus colocou pessoas muito queridas e especiais à minha volta. A todas elas meu carinho e gratidão. A Deus e à Nossa Senhora, pela vida, pelas bênçãos e por guiarem e protegerem meu caminho. Às minhas duas amadas famílias "Oliveira e Coelho", especialmente aos meus pais, avós, sogros e cunhados. Obrigada pelo apoio, pelas orações e por cuidarem da "gente daqui de casa" com tanto carinho e amor. Às minhas queridas amigas, que mesmo de longe, mas sempre presentes, me quiseram bem e me apoiaram nos bons e maus momentos. É sempre tão bom reencontrá-las, matar as saudades e morrer de rir... Às queridonas Marina e Pati, sem vocês eu não teria chegado aqui. Irmãs de coração que espero não perder nunca. Obrigada pelos ensinamentos, apoio, alegrias, mensaginhas, FaceTime's, pelos almoços e lanchinhos, pelas hospedagens, pelas viagens maravilhosas e pela descoberta dos cristais. A presença de vocês foi essencial e eu sabia que poderia contar com ela. Vou sentir saudades desse tempo... À minha querida orientadora, Flávia, pelo carinho, amizade, confiança e ensinamentos preciosos. E também à sua família, Maria e Alcion, por sempre me acolherem com muito carinho. Obrigada pela oportunidade de dividir esta parte da minha vida com você. Espero que possamos continuar trabalhando e produzindo juntas por muito tempo. Serei eternamente grata a você e sempre a terei como modelo. Ao Vander querido, o melhor estatístico que poderíamos ter. Obrigada pela parceria, amizade, simpatia, disponibilidade, puxões de orelha e por permitir que eu aprenda/entenda tudo de uma forma tão simples e leve.

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Precipitating Circumstances of Suicide among Women of Reproductive Age in 16 U.S. States, 2003–2007

Ortega

Karch

2010

Journal of Women's Health

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Suicide is the fourth leading cause of death for women between the ages of 15 and 44 years, exceeding deaths due to homicide, HIV, cerebrovascular disease (CVD), and diabetes (CDC, 2009). Furthermore, almost half of the suicide deaths in women occur in women of reproductive age, yet little is known about the determinants of suicide in young adult and middle-age women. Data from the National Violent Death Reporting System (NVDRS) were analyzed to describe the leading circumstances associated with suicide among women aged 15-44 years. From 2003 to 2007, there were 4203 suicide deaths among women 15-44 years of age, which represents nearly half (46%) of the suicide deaths among females. Precipitating circumstances were known in 3784 cases. The most frequently cited circumstances for these suicide decedents were current mental health problem (60%), having ever been treated for a mental health problem (54%), current depressed mood (44%), and problems with a current or former intimate partner (36%). Thirty-seven percent had a history of suicide attempts. Twenty-eight percent disclosed their intent to die by suicide to another person with enough time for someone to have intervened. To prevent suicide in women of reproductive age, multiple approaches should be taken, including but not limited to appropriate and effective mental health treatment, access to support systems, familial education in recognizing the signs of suicide, and understanding the options available to get help for someone at risk.

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Attempted Suicide in Reproductive Age Women

Cited by 6 publications

References 23 publications

Characteristics and outcomes of emergency patients with self-inflicted injuries: a report from ambulance records in Osaka City, Japan

Characteristics and outcomes of emergency patients with self-inflicted injuries: a report from ambulance records in Osaka City, Japan

Violência na gestação e saúde mental de mulheres que são vítimas de seus parceiros

Precipitating Circumstances of Suicide among Women of Reproductive Age in 16 U.S. States, 2003–2007

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