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The association between adolescent suicide rates and socioeconomic indicators in Brazil: a 10-year retrospective ecological study
Jaen-Varas, Denisse; Mari, Jair J; Asevedo, Elson; Borschmann, Rohan; Diniz, Elton; Ziebold, Carolina; Gadelha, Ary.
Afiliação
  • Jaen-Varas, Denisse; Universidade Federal de São Paulo (UNIFESP). Departamento de Psiquiatria. São Paulo. BR
  • Mari, Jair J; Universidade Federal de São Paulo (UNIFESP). Departamento de Psiquiatria. São Paulo. BR
  • Asevedo, Elson; Universidade Federal de São Paulo (UNIFESP). Departamento de Psiquiatria. São Paulo. BR
  • Borschmann, Rohan; Murdoch Children's Research Institute. Centre for Adolescent Health. AU
  • Diniz, Elton; Universidade Federal de São Paulo (UNIFESP). Departamento de Psiquiatria. São Paulo. BR
  • Ziebold, Carolina; Universidade Federal de São Paulo (UNIFESP). Departamento de Psiquiatria. São Paulo. BR
  • Gadelha, Ary; Universidade Federal de São Paulo (UNIFESP). Departamento de Psiquiatria. São Paulo. BR
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; Braz. J. Psychiatry (São Paulo, 1999, Impr.);41(5): 389-395, Sept.-Oct. 2019. tab, graf
Article em En | LILACS | ID: biblio-1039101
Biblioteca responsável: BR1.1
ABSTRACT

Objective:

To examine suicide rates among adolescents from six large cities in Brazil and to analyze the relationship between adolescent suicide rates and socioeconomic indicators between 2006 and 2015.

Methods:

Generalized estimating equation models were used to assess the impact of socioeconomic factors - including social inequality and unemployment rates - on adolescent suicide rates.

Results:

The rate of adolescent suicide increased by 24% over the course of the study period. Social inequality (assessed using the Gini index), was positively associated with overall adolescent suicide rates (β = 10.68; 95%CI = 2.32-19.05; p ≤ 0.012). After disaggregating the findings by age (10-14 and 15-19 years), social inequality was associated with suicide rate only for adolescents aged 15-19 years (β = 9.63; 95%CI = 2.31-16.96; p ≤ 0.005). Disaggregating these findings by sex, the association with economic variables became significant only among females. Males had a higher overall suicide rate than females, and the highest rate was observed in male adolescents aged 15-19 years. Higher levels of unemployment were associated with higher suicide rates.

Conclusion:

Our findings suggest that socioeconomic indicators, particularly unemployment and social inequality, are relevant social determinants of suicide in adolescence.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Suicídio Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Adolescent / Child / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Assunto da revista: PSIQUIATRIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Austrália / Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Suicídio Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Adolescent / Child / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Assunto da revista: PSIQUIATRIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Austrália / Brasil País de publicação: Brasil