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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 D; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
  • Mari JJ; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
  • Asevedo E; Instituto Nacional de Psiquiatria do Desenvolvimento para Crianças e Adolescentes (INPD), São Paulo, SP, Brazil.
  • Borschmann R; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
  • Diniz E; Instituto Nacional de Psiquiatria do Desenvolvimento para Crianças e Adolescentes (INPD), São Paulo, SP, Brazil.
  • Ziebold C; Global Mental Health Program, Columbia University, New York, NY, USA.
  • Gadelha A; Centre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, Australia.
Braz J Psychiatry ; 41(5): 389-395, 2019.
Article em En | MEDLINE | ID: mdl-30785539
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 (ß = 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 (ß = 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: MEDLINE Assunto principal: Suicídio Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Adolescent / Adult / Child / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Braz J Psychiatry Assunto da revista: PSIQUIATRIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

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