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Tentativas de suicídio em jovens: aspectos epidemiológicos dos casos atendidos no setor de urgências psiquiátricas de um hospital geral universitário entre 1988 e 2004; Suicide attempts among adolescents: epidemiological aspects of patients cared for in a university hospital psychiatric emergency unit between 1988 and 2004

FICHER, Ana Maria Fortaleza Teixeira; VANSAN, Gerson Antonio
Fonte: PPG em Psicologia, Pontifícia Universidade Católica de Campinas Publicador: PPG em Psicologia, Pontifícia Universidade Católica de Campinas
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
37.11%
Este estudo teve por objetivo analisar, comparativamente, a distribuição temporal de todos os casos de pacientes adolescentes, com idade entre 10 e 24 anos, atendidos no setor de urgências psiquiátricas de um grande hospital geral universitário, após tentativas de suicídio e uso/abuso de substâncias psicoativas, durante o período de 1988 a 2004. Estudou-se, especificamente, os casos de tentativas de suicídio, considerando sua distribuição quanto à idade, sexo e método utilizado. A partir de um estudo de casos, apontam-se dados sobre os motivos desencadeantes das tentativas e sobre as histórias de vida desses pacientes, possivelmente relacionados à ocorrência desse comportamento. Os dados foram obtidos por meio de um levantamento retrospectivo de todos os casos de pacientes adolescentes atendidos no setor de urgências psiquiátricas do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, da Universidade de São Paulo, no período de 1988 a 2004, após tentativas de suicídio e uso/abuso de substâncias psicoativas, e de dez histórias clínicas obtidas por meio de entrevistas realizadas com pacientes adolescentes, selecionados ao acaso, atendidos no setor por tentativas de suicídio. Os resultados mostraram uma forte correlação positiva entre os números de casos anualmente atendidos por tentativas de suicídio e os devidos ao uso/abuso de substâncias psicoativas...

Suicidal ideation and suicide attempts in bipolar disorder type I: an update for the clinician; Ideação suicida e tentativas de suicídio no transtorno afetivo bipolar tipo I: uma atualização para o clínico

ABREU, Lena Nabuco de; LAFER, Beny; BACA-GARCIA, Enrique; OQUENDO, Maria A.
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
37.05%
OBJECTIVE: This article reviews the evidence for the major risk factors associated with suicidal behavior in bipolar disorder. METHOD: Review of the literature studies on bipolar disorder, suicidal behavior and suicidal ideation. RESULTS: Bipolar disorder is strongly associated with suicide ideation and suicide attempts. In clinical samples between 14-59% of the patients have suicide ideation and 25-56% present at least one suicide attempt during lifetime. Approximately 15% to 19% of patients with bipolar disorder die from suicide. The causes of suicidal behavior are multiple and complex. Some strong predictors of suicidal behavior have emerged in the literature such as current mood state, severity of depression, anxiety, aggressiveness, hostility, hopelessness, comorbidity with others Axis I and Axis II disorders, lifetime history of mixed states, and history of physical or sexual abuse. CONCLUSION: Bipolar disorder is the psychiatric condition associated with highest lifetime risk for suicide attempts and suicide completion. Thus it is important to clinicians to understand the major risk factors for suicidal behavior in order to choose better strategies to deal with this complex behavior.; OBJETIVO: O artigo revisa as evidências relacionadas aos principais fatores de risco associados ao comportamento suicida no transtorno bipolar. MÉTODO: Revisão de artigos da literatura em transtorno bipolar...

Suicide behavior and neuropsychological assessment of type I bipolar patients

MALLOY-DINIZ, Leandro F.; NEVES, Fernando Silva; ABRANTES, Suzana Silva Costa; FUENTES, Daniel; CORREA, Humberto
Fonte: ELSEVIER SCIENCE BV Publicador: ELSEVIER SCIENCE BV
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
37.1%
Background: Neuropsychological deficits are often described in patients with bipolar disorder (BID). Some symptoms and/or associated characteristics of BD can be more closely associated to those cognitive impairments. We aimed to explore cognitive neuropsychological characteristics of type I bipolar patients (BPI) in terms Of lifetime Suicide attempt history. Method: We studied 39 BPI Outpatients compared with 53 healthy controls (HC) matched by age, educational and intellectual level. All Subjects were submitted to a neuropsychological assessment of executive functions, decision-making and declarative episodic memory. Results: When comparing BD1 patients, regardless of suicide attempt history or HC, we observed that bipolar patients performed worse than controls oil measures of memory, attention, executive functions and decision-making, Patients with a history of suicide attempt performed worse than non-attempters on measures of decision-making and there were a significant negative correlation between the number of suicide attempts and decision-making results (block 3 and net score). We also found significant Positive correlation between the number Of Suicide attempts and amount Of errors in Stroop Color Word Test (part 3). Limitations: The sample Studied call be considered small and a potentially confounding variable - medication status - were not controlled. Conclusion: Our results show the presence of neuropsychological deficits in memory...

Suicide rates and trends in Sao Paulo, Brazil, according to gender, age and demographic aspects: a joinpoint regression analysis

Bando, Daniel Hideki; Brunoni, Andre R.; Fernandes, Tiótrefis Gomes; Benseñor, Isabela Judith Martins; Lotufo, Paulo Andrade
Fonte: ASSOC BRASILEIRA PSIQUIATRIA; SÃO PAULO Publicador: ASSOC BRASILEIRA PSIQUIATRIA; SÃO PAULO
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
37.05%
Objective: To evaluate suicide rates and trends in Sao Paulo by sex, age-strata, and methods. Methods: Data was collected from State registry from 1996 to 2009. Population was estimated using the National Census. We utilized joinpoint regression analysis to explore temporal trends. We also evaluated marital status, ethnicity, birthplace and methods for suicide. Results: In the period analyzed, 6,002 suicides were accrued with a rate of 4.6 per 100,000 (7.5 in men and 2.0 in women); the male-to-female ratio was around 3.7. Trends for men presented a significant decline of 5.3% per year from 1996 to 2002, and a significant increase of 2.5% from 2002 onwards. Women did not present significant changes. For men, the elderly (> 65 years) had a significant reduction of 2.3% per year, while younger men (25-44 years) presented a significant increase of 8.6% from 2004 onwards. Women did not present significant trend changes according to age. Leading suicide methods were hanging and poisoning for men and women, respectively. Other analyses showed an increased suicide risk ratio for singles and foreigners. Conclusions: Specific epidemiological trends for suicide in the city of Sao Paulo that warrant further investigation were identified. High-risk groups - such as immigrants - could benefit from targeted strategies of suicide prevention.

O processo de luto do filho da pessoa que cometeu suícidio; The grieving process of the offspring of the person who committed suicide

Fukumitsu, Karina Okajima
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 07/05/2013 Português
Relevância na Pesquisa
37.11%
O suicídio é uma morte repentina e violenta, que choca. Pode provocar indignação, pois causa em quem ficou um hiato, em relação à experiência de dizer adeus àquele que é amado. A morte autoinfligida causa sofrimento e, por isso, o enlutado por suicídio é reconhecido como sobrevivente. Este estudo teve como objetivo a compreensão do processo de luto do(a) filho(a) da pessoa que cometeu o suicídio. Jamison (2010), Alvarez (1999) e Shneidman (1985; 1993) foram os principais autores que fundamentaram a discussão sobre o suicídio. As obras de Parkes (1998; 2009), Franco (2002; 2010), Kovács (1992; 2003) e Clark (2001; 2007), as fontes básicas consultadas para a compreensão do processo de luto. Trata-se de pesquisa de natureza qualitativa, tendo como participantes 9 (nove) filhos de indivíduos que cometeram o suicídio. Os princípios éticos de sigilo, privacidade, confidencialidade, não identificação dos dados do colaborador e liberdade de participação foram respeitados. Os depoimentos foram gravados com a anuência dos entrevistados e realizados: entrevista para a coleta de depoimento, de aproximadamente 3 (três) horas de duração e 2 (dois) contatos por e-mail para enviar a transcrição das entrevistas...

Comportamento suicida em adolescentes gravidas : um estudo de caso-controle; Suicide behavior in pregnant adolescents : a case-control study

Gisleine Vaz Scavacini de Freitas
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 22/02/2007 Português
Relevância na Pesquisa
37.18%
Vários estudos têm demonstrado associação entre gravidez na adolescência e tentativa de suicídio, mas no Brasil, essa relação tem sido pouco estudada. Surge então a necessidade de sabermos se as adolescentes grávidas são um grupo de risco para a prevenção do suicídio e em que se diferenciam das adolescentes de mesma idade que nunca engravidaram, quando os fatores socioeconômicos são controlados. Objetivo: determinar o perfil psicossocial de adolescentes grávidas (n=110), comparando-as a adolescentes que nunca engravidaram (n=110), pareadas por idade (14 a 18 anos) e área de moradia; determinar a prevalência de depressão, ansiedade, ideação suicida e tentativa de suicídio; verificar possíveis associações entre ideação suicida e variáveis relacionadas. Método: Questionário para orientar a entrevista, derivado do SUPRE-MISS? e escalas psicométricas validadas: Escala Hospitalar de Ansiedade e Depressão (HAD); Escala de Ideação Suicida de Beck (BSI), Escala de Apoio Social (EAS). Foram realizadas análises uni e multivariada. O protocolo foi aprovado pela Comissão de Ética da FCM-UNICAMP. Resultados: Prevalências para grávidas vs não-grávidas: ideação suicida (16,3% vs 9%); tentativa de suicídio (20% vs 6...

Tentativas de suicidio atendidas no Hospital de Clinicas da Unicamp : diferenças entre os sexos; Suicide attempts seen at Hospital de Clinicas Unicamp : sex differences

Sabrina Stefanello
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: dissertação de mestrado Formato: application/pdf
Publicado em 24/08/2007 Português
Relevância na Pesquisa
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Objetivo: Identificar diferenças entre os sexos em variáveis sócio-demográficas, psicossociais e clínicas entre aqueles que tentaram o suicídio e que foram atendidos no pronto socorro do Hospital de Clínicas (HC) da UNICAMP. Método: Trata-se de estudo transversal, sub-projeto do Estudo Multicêntrico de Intervenção no Comportamento Suicida (SUPRE-MISS), organizado pela Organização Mundial de Saúde (OMS). Duzentos e doze sujeitos participaram do estudo. A avaliação foi feita por meio de entrevista estruturada, contendo informações sobre saúde mental e física, contato com serviços de saúde, uso de substâncias psicoativas, eventos traumáticos de vida, dificuldades psicossociais, apoio social, diagnóstico psiquiátrico, problemas com a justiça, comportamento anti-social e escalas psicométricas. A comparação entre os sexos foi feita usando-se análise de regressão logística uni e multivariada. Resultados: Do total, 49% estavam na faixa etária entre 25 a 44 anos, e 143 (68,1%) foram do sexo feminino. Quase todos os que tentaram suicídio tiveram um diagnóstico psiquiátrico (96%). Os transtornos do humor foram mais freqüentes entre as mulheres (54% versus 32%, p=0,003) e os transtornos mentais por uso de substâncias psicoativas...

Prevenção do suicídio : estratégias de abordagem aplicadas no município de Campinas-SP; Suicide prevention : approach strategies implemented in Campinas-SP

Carlos Fílinto da Silva Cais
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 10/02/2011 Português
Relevância na Pesquisa
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Este projeto implementou localizadamente duas estratégias selecionadas de prevenção de suicídio sintonizadas com as recomendações da Organização Mundial da Saúde: capacitação de equipes de saúde e estímulo aos indivíduos que tentaram o suicídio para que conseguissem e se mantivessem em tratamento. Para avaliar a eficácia da capacitação, o projeto mensurou o impacto da mesma em termos de mudança de conhecimento, habilidades clínicas e atitudes das equipes de saúde em relação ao comportamento suicida. Já em relação ao monitoramento avaliaram-se qualitativamente alguns casos monitorados visando à obtenção de informações que pudessem aperfeiçoar os serviços de saúde. A capacitação foi eficaz em promover mudanças desejadas nos profissionais de saúde, tanto do ponto de vista de mudanças de atitudes, quanto de aprimoramento nos conhecimentos/habilidades clínicas em prevenção do suicídio. Estas mudanças se deram do inicio do curso para o final do mesmo e mantiveramsediferentes de antes do curso em uma reavaliação após nove meses. Em relação ao conhecimento/habilidades clínicas, auferido através do respectivo questionário o mesmo subiu de 9,4 em 21 pontos possíveis para 13,7 em 21 (p < 0...

Custos diretos e indiretos de tentativas de suicídio de alta letalidade internadas em hospital geral; Direct and indirect costs of suicide attempts with hight lethality in a general hospital

Sara Maria Teixeira Sgobin
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: dissertação de mestrado Formato: application/pdf
Publicado em 15/01/2013 Português
Relevância na Pesquisa
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O suicídio, ao longo dos anos, vem se tornando um problema de saúde pública. Além do impacto emocional e social, a morte prematura por suicídio implica um grande impacto econômico. Apesar de se estimar que as tentativas de suicídio sejam de 10 a 20 vezes mais frequentes que o suicídio, seu impacto socioeconômico é pouco estudado. Na tomada de decisão para medidas de prevenção do comportamento suicida, o conhecimento do ônus financeiro, levando-se em conta o custo do suicídio e de tentativas de suicídio, pode ser um forte sensibilizador de gestores públicos para a implementação de estratégias de prevenção, e estimular futuros estudos de custo efetividade. No Brasil, segundo o que pudemos revisar, não há dados publicados a esse respeito, sendo este, o intuito do presente estudo. Objetivo: Descrever os custos direto (custo diretamente ligado ao tratamento da tentativa de suicídio) e indireto (perda de produtividade após a tentativa de suicídio) de casos de tentativas de suicídio com alta intencionalidade suicida e alta letalidade de método internados em um hospital geral universitário, e comparar esses custos aos de casos de síndrome coronariana aguda internados no mesmo hospital, no mesmo período. Método: Estudo observacional comparativo tipo análise de custo de doença desenvolvido com pacientes internados no Hospital de Clínicas da Universidade Estadual de Campinas. Resultados: Os valores médios de custo encontrados por episódios de tentativa de suicídio de alta intencionalidade suicida e alta letalidade de método foram: custo direto individual R$10635...

Suicide in Brazil, 2004-2010: the importance of small counties

Marin-Leon, Letcia; de Oliveira, Helenice Bosco; Botega, Neury Jose
Fonte: Pan Amer Health Organization; Washington Publicador: Pan Amer Health Organization; Washington
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
37.08%
Objective. To describe suicide rates by county size in the five geopolitical areas of Brazil. Methods. This was an ecological, descriptive study of suicide deaths in Brazil that occurred among the population 10 years of age and older in 2004-2010. Data were obtained from the National Mortality Information System of Brazil. Counties were defined by size as: very large (200 000+), large (< 200 000-100 000), medium (< 100 000-50 000), small (< 50 000-20 000), very small (< 20 000-10 000, and micro (< 10 000). Age-adjusted suicide rates were calculated for all counties and for population-size groups in each geopolitical area. Rate ratio and 95% confidence interval were used to compare suicide risk between groups and the reference. Results. The national, average suicide mortality rate was 5.7 deaths/100 000 inhabitants. Except in the North and North-East, suicide mortality rates increased from the very large (> 200 000) to the micro counties (< 10 000 population). Very high rates were scattered in the North and Mid-West among the indigenous peoples (> 30 deaths per 100 000). At highest risk were micro counties in the South (13.6 deaths per 100 000), with elderly males (60+ years, 31.4) and males 40-59 years (31.3) being the sex/age group with the highest rates. Conclusions. To reduce suicide mortality in Brazil...

Suicide risk in a Portuguese non-clinical sample of adults

Campos, Rui C.; Holden, Ronald R.
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
37.1%
Background and Objectives: This exploratory study simultaneously tests the contribution of socio-demographic, clinical, distress, and personality variables for identifying suicide risk in a non-clinical sample. Methods: A convenience sample of 810 adults ranging in age from 19 to 67 years (M = 36.34, SD = 12.46) and living in various Portuguese regions participated. Their education varied from 6 to 21 years of schooling (M = 11.74, SD = 5.14). Participants responded to sociodemographic questions, the Depressive Experiences Questionnaire, the Center for the Epidemiological Studies of Depression Scale, and the Suicide Behaviors Questionnaire-Revised. Results: In the present sample, 4.3% of participants indicated past suicide attempts, 27.9% reported some lifetime suicide ideation, and 6.4% indicated a past suicide plan. Depressive symptoms, having seen a psychologist or psychiatrist, self-criticism, and education discriminated between participants who had attempted suicide (n = 35) and those who had not attempted to die by suicide (n = 775). Depressive symptoms, having seen a psychologist or psychiatrist, self-criticism, psychiatric disease and age discriminated between participants who scored below (n = 650) and who scored equal to or above (n = 160) the cut-off score for the Suicide Behaviors Questionnaire-Revised. Conclusions: Results have implications for the assessment of suicide risk.

Distress in Portuguese Family Members Bereaved by Suicide: An Exploratory Study

Santos, Sara; Tavares, Sofia; Campos, Rui
Fonte: Taylor & Francis Publicador: Taylor & Francis
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
37.05%
The present study examined the impact of several sociodemographic and suicide related variables on the distress of family members bereaved by suicide. A sample of Portuguese family members bereaved by suicide (N=93) living in the Alentejo region completed a sociodemographic and suicide information questionnaire and the Brief Symptom Inventory. Forward Multiple Linear Regression Analysis demonstrated that several sociodemographic and suicide variables related with general distress, depression and anxiety. Results contribute to characterize family members bereaved by suicide and have implications for the implementation of postvention programmes.

Spatial analysis of suicide attack incidences in Kabul City

Amin, Mohammad Ruhul
Tipo: info:eu-repo/semantics/masterthesis
Publicado em 07/02/2011 Português
Relevância na Pesquisa
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Dissertation submitted in partial fulfillment of the requirements for the Degree of Master of Science in Geospatial Technologies.; In the last two decades, suicide bombings became quite common among some communities in Iraq, Afghanistan, Pakistan, India, USA, and a few African and European countries. The modeling of reported suicide bombings has been the subject of a few studies, but the pattern of incidents turned out to be difficult to assess. Nevertheless, to uncover the bombing patterns in past incident locations is of major importance because it can improve social security and save human lives. The Capital city of Afghanistan, Kabul, has experienced on average around one suicide attack in every month since 2001. The overall objective of this study is to characterize the spatial and temporal patterns of suicide attacks in Kabul City. This research primarily used last 5 years descriptive spatial information on suicide attacks in Kabul that brought to public by some local and international news paper to generate geographic point data. Suicide attack location points and potential target group establishment point’s data analyzed separately to explore inherent spatial point pattern in terms of intensity and interaction. Finally it analyzed spatial tendency between suicide attack location points on target group establishment locations. It has been explored that both suicide attack locations that occurred from year 2006 to 2010 within the urban habitat of Kabul and target group’s establishment locations are characterized by inhomogeneous intensity and clustered interaction pattern at 98% level of significance. Moreover...

Representations about suicide of women with history of domestic violence and suicide attempt

Correia,Cíntia Mesquita; Gomes,Nadirlene Pereira; Couto,Telmara Menezes; Rodrigues,Adriana Diniz; Erdmann,Alacoque Lorenzini; Diniz,Normélia Maria Freire
Fonte: Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Publicador: Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2014 Português
Relevância na Pesquisa
37.08%
Suicide attempt is characterized by complex and multifaceted phenomena with significance on global public health. The aim of this study was to grasp the structure of social representations of suicide of women with history of domestic violence and suicide attempt. The study was developed with a qualitative approach, based on the Theory of Social Representations. There were 30 women that responded the Free Word Association Test, all of them with history of domestic violence and suicide attempt by poisoning. Data were processed through the EVOC software and the results were grouped into three categories: core elements, intermediate elements and peripheral elements. The representation of women about suicide is related to life histories characterized by rejection and lack of love, which leads to disease, especially because of depression. The feeling of powerlessness in face of the need for change and release produce emotional problems that culminate in the decision of committing suicide.

Epidemiology of suicide in Brazil (1980 - 2000): characterization of age and gender rates of suicide

Mello-Santos,Carolina de; Bertolote,José Manuel; Wang,Yuan-Pang
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2005 Português
Relevância na Pesquisa
37.11%
OBJECTIVE: To describe the suicide rates in Brazil in recent decades, drawing comparisons with the worldwide epidemiological situation. METHODS: Descriptive analyses of Brazilian suicide data, relating to the 1980-2000 period and extracted from the DATASUS database. Brazilian suicide trends were examined by age and gender. RESULTS: The overall rate of suicide in Brazil increased 21% in 20 years. Men were found to be 2.3 to 4.0 times more likely to commit suicide than were women, and the highest suicide rates were found in the over-65 age group. The greatest increase in suicide rates (1900%) was seen in the 15-24 age range. CONCLUSION: Brazilian suicide rates, although low, are consistent with the global trend toward growth. Although the highest rates are still seen among the elderly, members of the younger population have been killing themselves with ever-increasing frequency.

Bipolar disorder first episode and suicidal behavior: are there differences according to type of suicide attempt?

Neves,Fernando Silva; Malloy-Diniz,Leandro Fernandes; Barbosa,Izabela Guimarães; Brasil,Paulo Marcos; Corrêa,Humberto
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2009 Português
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OBJECTIVE: The objective of this study was to test the hypothesis that the polarity of the first mood episode may be a marker for suicidal behavior, particularly the violent subtype. METHOD: One hundred and sixty-eight patients diagnosed with bipolar disorder (DSM-IV) were grouped according to type of first episode: depression or manic/hypomanic. Groups were compared for demographic and clinical variables. We performed logistic regression in order to test the association between first episode polarity and suicidal behavior. RESULTS: We found that depressed patients have a lifetime history of more suicide attempts. However, univariate analysis of number of suicide attempts showed that the best model fits the bipolar II subtype (mean square = 15.022; p = 0.010) and lifetime history of psychotic episodes (mean square = 17.359; p = 0.021). Subgrouping the suicide attempts by subtype (violent or non-violent) revealed that manic/hypomanic patients had a greater tendency toward attempting violent suicide (21.2 vs. 14.7%, X² = 7.028, p = 0.03). Multiple logistic regression analysis confirmed this result. CONCLUSION: Depressed patients had more suicide attempts over time, which could be explained by the higher prevalence of bipolar II subtype in this group...

Epidemiological profile of suicide in the Santa Catarina Coal Mining Region from 1980 to 2007

Portella,Carolina H.; Moretti,Gustavo P.; Panatto,Ana P.; Rosa,Maria I.; Quevedo,João; Simões,Priscyla W. T. A.
Fonte: Associação de Psiquiatria do Rio Grande do Sul Publicador: Associação de Psiquiatria do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2013 Português
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BACKGROUND: Suicide is a public health problem worldwide. Estimates have indicated that over 1 million people commit suicide every year all over the world. Brazil has a moderate suicide death rate (4.1 per 100,000 inhabitants), but the fact that it is a large country leads to the coexistence of diverse characteristics and levels of development across the different Brazilian regions. In this sense, the South region has been shown to present suicide rates above the national average. OBJECTIVE: To estimate the profile of suicide in municipalities comprising the Santa Catarina Coal Mining Region from 1980 to 2007. METHODS: This ecological, time-series, descriptive study sought to characterize epidemiological aspects related to suicide method, marital status, sex, age, and occupation in the municipalities of the region in the years 1980 to 2007. RESULTS: A total of 474 suicides occurred in the period, yielding a mean death rate of 10.83 per 100,000 inhabitants. There was a predominance of males, at a 5:1 ratio, and a peak rate in the 55-64-year age group (11.31 per 100,000 inhabitants). The suicide method most commonly used was hanging (72%) and the most frequent occupation was hard labor work (11.60%); in relation to marital status, married subjects (48%) were the ones with the highest rates of suicide. CONCLUSIONS: The Santa Catarina Coal Mining Region has suicide mortality rates above the national average. This study highlights specific characteristics of suicide in the region and may contribute to the development of preventive measures.

Intrapersonal Positive Future Thinking Predicts Repeat Suicide Attempts in Hospital-Treated Suicide Attempters

O’Connor, Rory C.; Smyth, Roger; Williams, J. Mark G.
Fonte: American Psychological Association Publicador: American Psychological Association
Tipo: text
Português
Relevância na Pesquisa
37.13%
Objective: Although there is clear evidence that low levels of positive future thinking (anticipation of positive experiences in the future) and hopelessness are associated with suicide risk, the relationship between the content of positive future thinking and suicidal behavior has yet to be investigated. This is the first study to determine whether the positive future thinking–suicide attempt relationship varies as a function of the content of the thoughts and whether positive future thinking predicts suicide attempts over time. Method: A total of 388 patients hospitalized following a suicide attempt completed a range of clinical and psychological measures (depression, hopelessness, suicidal ideation, suicidal intent and positive future thinking). Fifteen months later, a nationally linked database was used to determine who had been hospitalized again after a suicide attempt. Results: During follow-up, 25.6% of linked participants were readmitted to hospital following a suicide attempt. In univariate logistic regression analyses, previous suicide attempts, suicidal ideation, hopelessness, and depression—as well as low levels of achievement, low levels of financial positive future thoughts, and high levels of intrapersonal (thoughts about the individual and no one else) positive future thoughts predicted repeat suicide attempts. However...

Social and Geographical Inequalities in Suicide in Japan from 1975 through 2005: A Census-Based Longitudinal Analysis

Suzuki, Etsuji; Kashima, Saori; Kawachi, Ichiro; Subramanian, S.V. Venkata
Fonte: Public Library of Science Publicador: Public Library of Science
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
37.1%
Background: Despite advances in our understanding of the countercyclical association between economic contraction and suicide, less is known about the levels of and changes in inequalities in suicide. The authors examined social and geographical inequalities in suicide in Japan from 1975 through 2005. Methods: Based on quinquennial vital statistics and census data, the authors analyzed the entire population aged 25–64 years. The total number of suicides was 75,840 men and 30,487 women. For each sex, the authors estimated odds ratios (ORs) and 95% credible intervals (CIs) for suicide using multilevel logistic regression models with “cells” (cross-tabulated by age and occupation) at level 1, seven different years at level 2, and 47 prefectures at level 3. Prefecture-level variance was used as an estimate of geographical inequalities in suicide. Results: Adjusting for age and time-trends, the lowest odds for suicide was observed among production process and related workers (the reference group) in both sexes. The highest OR for men was 2.52 (95% CI: 2.43, 2.61) among service workers, whereas the highest OR for women was 9.24 (95% CI: 7.03, 12.13) among security workers. The degree of occupational inequalities increased among men with a striking change in the pattern. Among women...

Risk factors for fatal and nonfatal repetition of suicide attempts: a literature review

Beghi, Massimiliano; Rosenbaum, Jerrold F; Cerri, Cesare; Cornaggia, Cesare M
Fonte: Dove Medical Press Publicador: Dove Medical Press
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
37.11%
Objectives: This review aimed to identify the evidence for predictors of repetition of suicide attempts, and more specifically for subsequent completed suicide. Methods: We conducted a literature search of PubMed and Embase between January 1, 1991 and December 31, 2009, and we excluded studies investigating only special populations (eg, male and female only, children and adolescents, elderly, a specific psychiatric disorder) and studies with sample size fewer than 50 patients. Results: The strongest predictor of a repeated attempt is a previous attempt, followed by being a victim of sexual abuse, poor global functioning, having a psychiatric disorder, being on psychiatric treatment, depression, anxiety, and alcohol abuse or dependence. For other variables examined (Caucasian ethnicity, having a criminal record, having any mood disorders, bad family environment, and impulsivity) there are indications for a putative correlation as well. For completed suicide, the strongest predictors are older age, suicide ideation, and history of suicide attempt. Living alone, male sex, and alcohol abuse are weakly predictive with a positive correlation (but sustained by very scarce data) for poor impulsivity and a somatic diagnosis. Conclusion: It is difficult to find predictors for repetition of nonfatal suicide attempts...