RESUMO
BACKGROUND: Adolescent suicide rates (ASR) are a matter of concern worldwide. Causes of this trend are not understood and could correspond to socioeconomic factors such as inequality. AIM: To investigate sociodemographic variables related to ASR, particularly the potential association with indicators of socioeconomic inequality. METHOD: Cross-sectional ecological study analyzing data from 29 health districts with univariate and multivariable multilevel Poisson models. RESULTS: ASR were higher in male adolescents and at increasing age. No association was found between ASR and inequality (Gini coefficient and 20/20 ratio). Analysis revealed that living in a single-parent family is associated with ASR. CONCLUSIONS: The usual demographic patterns of adolescent suicide apply in Chile. An emerging variable of interest is single-parent family. No cross-sectional association between social inequality and ASR was found based on conflicting evidence. These results should be explored in future prospective population studies to further understand associated social factors.
Assuntos
Renda/estatística & dados numéricos , Pobreza/estatística & dados numéricos , Família Monoparental/estatística & dados numéricos , Suicídio/estatística & dados numéricos , Desemprego/estatística & dados numéricos , Adolescente , Criança , Chile/epidemiologia , Estudos Transversais , Escolaridade , Características da Família , Feminino , Humanos , Masculino , Características de Residência/estatística & dados numéricos , Fatores SocioeconômicosRESUMO
Delusional misidentification syndromes (DMSs) are complex psychotic phenomena that may be present in a variety of ways within the context of several neurological and psychiatric disorders. Since the first case of Capgras syndrome was described in 1923, various other syndromes have been identified, including Fregoli syndrome, intermetamorphosis, subjective doubles, reduplicative paramnesia, mirrored self, delusional companions, and clonal pluralization of the self. In this article, we review each of the different syndromes in definition and presentation, as well as the field's attempts at classifying them. We then describe their role in forensic psychiatry, particularly in regard to their potential as a marker of a particular subpopulation or of illness severity and their consideration in risk assessments of violence. A review of the literature was conducted for this purpose, and, although it was extended to include publications from over four decades, it revealed a paucity of research on DMSs.