Temporal trend of mortality by suicide among adults in Brazil: 2000 to 2015
Sasckia Kadishari Medeiros Duarte, Danúbia Hillesheim, Ana Luiza de Lima Curi Hallal
Abstract
Objective
To analyze temporal trends of mortality due to suicide among adults in Brazil, by macroregion and gender, from 2000 to 2015.
Methods
A retrospective study of temporal trends in suicide mortality rates in adults aged 20 to 64 years, by macroregion and gender, from 2000 to 2015. Data from the Brazilian Mortality Database (SIM) and from the Brazilian Institute of Geography and Statistics (IBGE) were used. The mortality rate trends analysis was performed using simple linear regression, with Stata 14 software.
Results
There was an upward trend in mortality due to intentionally inflicted self-harm in the Brazilian adult population in the North, Northeast, and Southeast regions for both genders (p<0.001), with predominance in the male population in these three regions and throughout the country (p<0.001). A downward trend was observed in the South and Midwest (p=0.003 and p=0.040).
Conclusion
Mortality due to intentionally inflicted self-harm has increased in Brazil, but has undergone important variations in different parts of the country. Even a regional analysis is insufficient to achieve a thorough evaluation of these contrasts because of the country’s continental proportions and data collection biases. Further studies focused on this topic are required.
Keywords
References
1 World Health Organization. Suicide. Fact sheets [online]. 2019 [cited 2020 Jan 01]. http://www.who.int/mediacentre/factsheets/fs398/en/ » http://www.who.int/mediacentre/factsheets/fs398/en/
2 Brasil, Ministério da Saúde, Secretaria de Vigilância em Saúde. Suicídio: saber, agir e prevenir. Bol Epidemiol. 2017;1:48:30.
3 Bando DH, Scrivani H, Morettin PA, Teng CT. Seasonality of suicide in the city of Sao Paulo, Brazil. Braz J Psychiatry. 2009;31:101-5.
4 Martini M, Fonseca R, Sousa M, Azambuja CF, Cardoso T, Kunz M, et al. Age and sex trends for suicide in Brazil between 2000 and 2016. Soc Psychiatry Psychiatr Epidemiol. 2019;54:857-60.
5 Gonçalves LRC, Gonçalves E, Oliveira LB. Determinantes espaciais e socioeconômicos do suicídio no Brasil: Uma abordagem regional. Nov Econ. 2011;21:281-316.
6 Minayo MCDS, Pinto LW, Assis SG, Cavalcante FG, Mangas RMDN. Tendência da mortalidade por suicídio na população brasileira e idosa, 1980-2006. Rev Saude Publica. 2012;46:300-9.
7 Souza A, Medeiros AR, Souza AC, Wink M, Siqueira IR, Ferreira MBC, et al. Avaliação do impacto da exposição a agrotóxicos sobre a saúde de população rural: Vale do Taquari (RS, Brasil). Cien Saude Colet. 2011;16:3519-28.
8 Rodrigues C, Souza D, Rodrigues H, Konstantyner T. Trends in suicide rates in Brazil from 1997 to 2015. Braz J Psychiatry. 2019;41:380-8.
9 Brzozowski F, Soares G, Benedet J, Boing A, Peres M. Suicide time trends in Brazil from 1980 to 2005. Cad Saude Publica. 2010;26:1293-302.
10 Hawton K, Heeringen KV. Suicide. The Lancet. 2009;373:1372-81.
11 Machado DB, Santos DN. Suicídio no Brasil, de 2000 a 2012. J Bras Psiquiatr. 2015;64:45-54.
12 Martins ADC, Fernandes CR. Mortalidade por agressões e lesões autoprovocadas voluntariamente : reflexões sobre a realidade brasileira. Rev Saude Foco. 2016;1:1-12.
13 Bando DH, Brunoni AR, Fernandes TG, Benseñor IM, Lotufo PA. Suicide rates and trends in São Paulo, Brazil, according to gender, age and demographic aspects: a joinpoint regression analysis. Braz J Psychiatry. 2012;34:286-93.
14 Faria NM, Victora CG, Meneghel SN, Carvalho L, Falk JW. Suicide rates in the State of Rio Grande do Sul, Brazil: association with socioeconomic, cultural, and agricultural factors. Cad Saude Publica. 2006;22:2611-21.
15 Sehnem SB, Palosqui V. Características epidemiológicas do suicídio no Estado de Santa Catarina. Rev Psicol. 2014;26:365-79.
16 Brasil, Ministério da Saúde, Departamento de Ações Programáticas Estratégicas, Coordenação Geral de Saúde Mental, Álcool e Outras Drogas. Saúde mental em dados 12. Brasília: Ministério da Saúde; 2015.
17 Winzer L. Relação entre o índice de desenvolvimento humano municipal e taxas de mortes violentas nas unidades federativas brasileiras. Rev Bras Crescimento Desenvolv Hum. 2016;26:211-7.
18 United Nations Development Programme. Human development reports. Japan [online]. 2014 [cited 2020 Jan 01]. http://hdr.undp.org/en/countries/profiles/JPN » http://hdr.undp.org/en/countries/profiles/JPN
19 World Health Organization. Japan turning a corner in suicide prevention [online]. 2015 [cited 2020 Jan 01]. http://www.who.int/mental_health/suicide-prevention/japan_story/en/ » http://www.who.int/mental_health/suicide-prevention/japan_story/en/
20 Duarte LS, Pessoto UC, Guimarães RB, Heimann LS, Carvalheiro JR, Cortizo CT, et al. Regionalização da saúde no Brasil: uma perspectiva de análise. Saude Soc. 2015;24:472-85.
21 Mello-Jorge MHP, Gotlieb SLD, Laurenti R. O sistema de informações sobre mortalidade: problemas e propostas para o seu enfrentamento I - Mortes por causas naturais. Rev Bras Epidemiol. 2002;5:197-211.