Cargando…

Suicide mortality in the city of São Paulo: epidemiological characteristics and their social factors in a temporal trend between 2000 and 2017. Retrospective study

BACKGROUND: Suicide is one of the leading causes of death worldwide, accounting for one million deaths annually. Greater understanding of the causal risk factors is needed, especially in large urban centers. OBJECTIVE: To ascertain the epidemiological profile and temporal trend of suicides over two...

Descripción completa

Detalles Bibliográficos
Autores principales: Colombo-Souza, Patrícia, Tranchitella, Fabio Boucault, Ribeiro, Ana Paula, Juliano, Yára, Novo, Neil Ferreira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Paulista de Medicina - APM 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9671229/
https://www.ncbi.nlm.nih.gov/pubmed/32578744
http://dx.doi.org/10.1590/1516-3180.2019.0539.R1.05032020
_version_ 1784832495616786432
author Colombo-Souza, Patrícia
Tranchitella, Fabio Boucault
Ribeiro, Ana Paula
Juliano, Yára
Novo, Neil Ferreira
author_facet Colombo-Souza, Patrícia
Tranchitella, Fabio Boucault
Ribeiro, Ana Paula
Juliano, Yára
Novo, Neil Ferreira
author_sort Colombo-Souza, Patrícia
collection PubMed
description BACKGROUND: Suicide is one of the leading causes of death worldwide, accounting for one million deaths annually. Greater understanding of the causal risk factors is needed, especially in large urban centers. OBJECTIVE: To ascertain the epidemiological profile and temporal trend of suicides over two decades and correlate prevalence with social indicators. DESIGN AND SETTING: Descriptive population-based longitudinal retrospective study conducted in the city of São Paulo, Brazil. METHODS: A temporal trend series for suicide mortality in this city was constructed based on data from the Ministry of Health’s mortality notification system, covering 2000-2017. It was analyzed using classic demographic variables relating to social factors. RESULTS: Suicide rates were high throughout this period, increasing from 4.6/100,000 inhabitants in the 2000s to 4.9/100,000 in 2017 (mean: 4.7/100,000). The increase in mortality was mainly due to increased male suicide, which went from 6.0/100,000 to the current 8.0/100,000. Other higher coefficients corresponded to social risk factors, such as being a young adult (25-44 years old), being more educated (eight years of schooling) and having white ethnicity (67.2%). Suicide was also twice as likely to occur at home (47.8%). CONCLUSION: High suicide rates were seen over the period 2000-2017, especially among young adults and males. High schooling levels and white ethnicity were risk factors. The home environment is the crucial arena for preventive action. One special aspect of primary prevention is the internet and especially social media, which provides a multitude of information for suicide prevention.
format Online
Article
Text
id pubmed-9671229
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Associação Paulista de Medicina - APM
record_format MEDLINE/PubMed
spelling pubmed-96712292022-11-18 Suicide mortality in the city of São Paulo: epidemiological characteristics and their social factors in a temporal trend between 2000 and 2017. Retrospective study Colombo-Souza, Patrícia Tranchitella, Fabio Boucault Ribeiro, Ana Paula Juliano, Yára Novo, Neil Ferreira Sao Paulo Med J Original Article BACKGROUND: Suicide is one of the leading causes of death worldwide, accounting for one million deaths annually. Greater understanding of the causal risk factors is needed, especially in large urban centers. OBJECTIVE: To ascertain the epidemiological profile and temporal trend of suicides over two decades and correlate prevalence with social indicators. DESIGN AND SETTING: Descriptive population-based longitudinal retrospective study conducted in the city of São Paulo, Brazil. METHODS: A temporal trend series for suicide mortality in this city was constructed based on data from the Ministry of Health’s mortality notification system, covering 2000-2017. It was analyzed using classic demographic variables relating to social factors. RESULTS: Suicide rates were high throughout this period, increasing from 4.6/100,000 inhabitants in the 2000s to 4.9/100,000 in 2017 (mean: 4.7/100,000). The increase in mortality was mainly due to increased male suicide, which went from 6.0/100,000 to the current 8.0/100,000. Other higher coefficients corresponded to social risk factors, such as being a young adult (25-44 years old), being more educated (eight years of schooling) and having white ethnicity (67.2%). Suicide was also twice as likely to occur at home (47.8%). CONCLUSION: High suicide rates were seen over the period 2000-2017, especially among young adults and males. High schooling levels and white ethnicity were risk factors. The home environment is the crucial arena for preventive action. One special aspect of primary prevention is the internet and especially social media, which provides a multitude of information for suicide prevention. Associação Paulista de Medicina - APM 2020-06-22 /pmc/articles/PMC9671229/ /pubmed/32578744 http://dx.doi.org/10.1590/1516-3180.2019.0539.R1.05032020 Text en © 2022 by Associação Paulista de Medicina https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons license.
spellingShingle Original Article
Colombo-Souza, Patrícia
Tranchitella, Fabio Boucault
Ribeiro, Ana Paula
Juliano, Yára
Novo, Neil Ferreira
Suicide mortality in the city of São Paulo: epidemiological characteristics and their social factors in a temporal trend between 2000 and 2017. Retrospective study
title Suicide mortality in the city of São Paulo: epidemiological characteristics and their social factors in a temporal trend between 2000 and 2017. Retrospective study
title_full Suicide mortality in the city of São Paulo: epidemiological characteristics and their social factors in a temporal trend between 2000 and 2017. Retrospective study
title_fullStr Suicide mortality in the city of São Paulo: epidemiological characteristics and their social factors in a temporal trend between 2000 and 2017. Retrospective study
title_full_unstemmed Suicide mortality in the city of São Paulo: epidemiological characteristics and their social factors in a temporal trend between 2000 and 2017. Retrospective study
title_short Suicide mortality in the city of São Paulo: epidemiological characteristics and their social factors in a temporal trend between 2000 and 2017. Retrospective study
title_sort suicide mortality in the city of são paulo: epidemiological characteristics and their social factors in a temporal trend between 2000 and 2017. retrospective study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9671229/
https://www.ncbi.nlm.nih.gov/pubmed/32578744
http://dx.doi.org/10.1590/1516-3180.2019.0539.R1.05032020
work_keys_str_mv AT colombosouzapatricia suicidemortalityinthecityofsaopauloepidemiologicalcharacteristicsandtheirsocialfactorsinatemporaltrendbetween2000and2017retrospectivestudy
AT tranchitellafabioboucault suicidemortalityinthecityofsaopauloepidemiologicalcharacteristicsandtheirsocialfactorsinatemporaltrendbetween2000and2017retrospectivestudy
AT ribeiroanapaula suicidemortalityinthecityofsaopauloepidemiologicalcharacteristicsandtheirsocialfactorsinatemporaltrendbetween2000and2017retrospectivestudy
AT julianoyara suicidemortalityinthecityofsaopauloepidemiologicalcharacteristicsandtheirsocialfactorsinatemporaltrendbetween2000and2017retrospectivestudy
AT novoneilferreira suicidemortalityinthecityofsaopauloepidemiologicalcharacteristicsandtheirsocialfactorsinatemporaltrendbetween2000and2017retrospectivestudy