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

Abstract Background Attempted 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...

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Main Authors: Davi Félix Martins Junior, Ridalva Martins Felzemburgh, Acácia Batista Dias, André C. Caribé, S. Bezerra-Filho, Ângela Miranda-Scippa
Format: Article
Language:English
Published: BMC 2016-09-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-016-3619-3
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author Davi Félix Martins Junior
Ridalva Martins Felzemburgh
Acácia Batista Dias
André C. Caribé
S. Bezerra-Filho
Ângela Miranda-Scippa
author_facet Davi Félix Martins Junior
Ridalva Martins Felzemburgh
Acácia Batista Dias
André C. Caribé
S. Bezerra-Filho
Ângela Miranda-Scippa
author_sort Davi Félix Martins Junior
collection DOAJ
description Abstract Background Attempted 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. Methods This 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. Results The 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. Conclusions Although 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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spelling doaj.art-70d1f935dd474c38a84cad3df77a865f2022-12-22T02:42:09ZengBMCBMC Public Health1471-24582016-09-011611810.1186/s12889-016-3619-3Suicide attempts in Brazil, 1998–2014: an ecological studyDavi Félix Martins Junior0Ridalva Martins Felzemburgh1Acácia Batista Dias2André C. Caribé3S. Bezerra-Filho4Ângela Miranda-Scippa5Postgraduate Programme in Medicine and Health (PPgMS), Federal University of BahiaSchool of Nursing, Federal University of Bahia (UFBA)Department of Humanities and Philosophy, State University of Feira de Santana (UEFS)Postgraduate Programme in Medicine and Health (PPgMS), Federal University of BahiaPostgraduate Programme in Medicine and Health (PPgMS), Federal University of BahiaPostgraduate Programme in Medicine and Health (PPgMS), Federal University of BahiaAbstract Background Attempted 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. Methods This 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. Results The 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. Conclusions Although 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.http://link.springer.com/article/10.1186/s12889-016-3619-3Hospital morbiditySuicide attemptsDeathsHospitalizationsSuicide
spellingShingle Davi Félix Martins Junior
Ridalva Martins Felzemburgh
Acácia Batista Dias
André C. Caribé
S. Bezerra-Filho
Ângela Miranda-Scippa
Suicide attempts in Brazil, 1998–2014: an ecological study
BMC Public Health
Hospital morbidity
Suicide attempts
Deaths
Hospitalizations
Suicide
title Suicide attempts in Brazil, 1998–2014: an ecological study
title_full Suicide attempts in Brazil, 1998–2014: an ecological study
title_fullStr Suicide attempts in Brazil, 1998–2014: an ecological study
title_full_unstemmed Suicide attempts in Brazil, 1998–2014: an ecological study
title_short Suicide attempts in Brazil, 1998–2014: an ecological study
title_sort suicide attempts in brazil 1998 2014 an ecological study
topic Hospital morbidity
Suicide attempts
Deaths
Hospitalizations
Suicide
url http://link.springer.com/article/10.1186/s12889-016-3619-3
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