Quais são os recentes achados clínicos sobre a associação entre depressão e suicídio?

Chachamovich, Eduardo; Stefanello, Sabrina; Botega, Neury José; Turecki, Gustavo

doi:10.1590/s1516-44462009000500004

Cited by 54 publications

(47 citation statements)

References 74 publications

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“…In addition, some environmental stressors, such as family breakdown, emotional neglect and sexual abuse during childhood, are also cited in the literature as risk factors for suicidal ideation and lifelong suicide attempts. [25–31] Some form of mental disorder is present in 71 to 97 % of people who commit suicide, with mood disorders being the most frequent, followed by disorders related to substance abuse (alcohol in particular) schizophrenia and personality disorders [32]. …”

Section: Discussionmentioning

confidence: 99%

Suicide attempts in Brazil, 1998–2014: an ecological study

et al. 2016

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BackgroundAttempted suicide is the main predictor of suicide constituting a major public health issue worldwide. It is estimated that for every completed suicide, 10 to 20 suicide attempts occur. Important part of the occurrences of suicide attempts in Brazil are registered in the hospital information system for coverage of more than 70 % allows to evaluate the extent of this problem in the country. The scope of this article is to analyse hospitalizations resulting from suicide attempts at public hospitals or services contracted out by the public health system (SUS) in Brazil from 1998 to 2014.MethodsThis is an ecological study of secondary morbidity data obtained from the Hospital Information System. The overall rate of suicide attempts per 100 000 (105) individuals and rates stratified by age group and sex were calculated. To measure trends, simple linear regression coefficients were calculated. The hospital mortality rate was calculated per 100 individuals.ResultsThe overall rate of hospitalization decreased from 1998 to 2014. The young and adult age groups had the highest hospitalization rates. Men were admitted more and the elderly had higher hospital mortality rates. The main cause of hospitalization was poisoning, accounting for 70.4 % of hospitalizations. Among the people who used poisoning by non-medical drugs as the method of attempted suicide, 58 178 (69.6 %) were men and 49 585 people who are poisoned by medical drugs (60.1 %) were women.ConclusionsAlthough hospitalization rates for attempted suicide have declined in Brazil, it remains a serious public health problem. Because a suicide attempt is the main predictor of suicide, studies to identify those most vulnerable to attempted suicide will help in the development of prevention strategies for mental health.

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Section: Discussionmentioning

confidence: 99%

Suicide attempts in Brazil, 1998–2014: an ecological study

et al. 2016

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“…Different studies have shown that psychopathic, psychotic symptoms and related factors relatively contribute to the development of aggressive behaviors [7]. In the field of suicidal behavior, major depression, impulsiveness, and aggressiveness are some of the main factors associated with suicide [37, 38]. [26].…”

Section: Discussionmentioning

confidence: 99%

Exploring associations of clinical and social parameters with violent behaviors among psychiatric patients

Dai

Uddin

et al. 2017

Journal of Biomedical Informatics

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Evidence has revealed interesting associations of clinical and social parameters with violent behaviors of patients with psychiatric disorders. Men are more violent preceding and during hospitalization, whereas women are more violent than men throughout the 3 days following a hospital admission. It has also been proven that mental disorders may be a consistent risk factor for the occurrence of violence. In order to better understand violent behaviors of patients with psychiatric disorders, it is important to investigate both the clinical symptoms and psychosocial factors that accompany violence in these patients. In this study, we utilized a dataset released by the Partners Healthcare and Neuropsychiatric Genome-scale and RDoC Individualized Domains project of Harvard Medical School to develop a unique text mining pipeline that processes unstructured clinical data in order to recognize clinical and social parameters such as age, gender, history of alcohol use, violent behaviors, etc., and explored the associations between these parameters and violent behaviors of patients with psychiatric disorders. The aim of our work was to demonstrate the feasibility of mining factors that are strongly associated with violent behaviors among psychiatric patients from unstructured psychiatric evaluation records using clinical text mining. Experiment results showed that stimulants, followed by a family history of violent behavior, suicidal behaviors, and financial stress were strongly associated with violent behaviors. Key aspects explicated in this paper include employing our text mining pipeline to extract clinical and social factors linked with violent behaviors, generating association rules to uncover possible associations between these factors and violent behaviors, and lastly the ranking of top rules associated with violent behaviors using statistical analysis and interpretation.

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“…These include the support of family and friends and involving oneself in affective links, social protection and social and leisure meetings based on social integration and autonomy 8,30 . Family and social relationships, including the cultivation of friendships, are important protective factors against depression and suicidal ideation and should be considered a priority 13,31 .…”

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confidence: 99%

Suicidally motivated intoxication by psychoactive drugs: characterization among the elderly

Carvalho

Lôbo

Aguiar³

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: to characterize suicidally motivated intoxication by psychoactive drugs among elderly people. Method: a retrospective and documentary study with a quantitative approach was carried out, based on the notification forms of 692 cases of suicidally motivated intoxications by psychoactive drugs, registered by the Centro de Assistência Toxicológica (the Toxicological Care Center) in Fortaleza, Ceará, Brazil from 2010 to 2014. The absolute and relative frequencies of social conditions, intoxication episodes and clinical conducts were obtained, and the Chi-squared Test was applied with a significance of p≤0.05. Results: elderly people aged between 60 and 69 years (65.9%), who were female and retired predominated. The most frequently used psychoactive drugs were antidepressants (48.3%) and anxiolytics/hypnotics (29.0%). The most frequent clinical conducts were the use of activated charcoal and gastric lavage. Moderate poisoning was the most frequent, and the main outcome was discharge arising from cure. There was a significant relationship between the elderly persons and gender, occupation, occurrence of intoxication at home, clinical manifestation and hospital admission. Conclusion: suicidally motivated poisoning by psychoactive drugs in elderly persons suggests the need to promote active aging, as well as the access to and rational use of these drugs, thereby reducing harm and preserving the lives of elderly persons.

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Quais são os recentes achados clínicos sobre a associação entre depressão e suicídio?

Cited by 54 publications

References 74 publications

Suicide attempts in Brazil, 1998–2014: an ecological study

Suicide attempts in Brazil, 1998–2014: an ecological study

Exploring associations of clinical and social parameters with violent behaviors among psychiatric patients

Suicidally motivated intoxication by psychoactive drugs: characterization among the elderly

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