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[巴西米纳斯吉拉斯州青少年自杀发病率和死亡率的流行病学分析]

[Epidemiological analysis of morbidity and mortality from suicide among adolescents in Minas Gerais, Brazil].

作者信息

Abasse Maria Leonor Ferreira, de Oliveira Ronaldo Coimbra, Silva Tiago Campos, de Souza Edinilsa Ramos

机构信息

Coordenadoria de Doenças e Agravos Não Transmissíveis, Superintendência de Epidemiologia, Secretaria de Estado de Saúde de Minas Gerais, Belo Horizonte MG.

出版信息

Cien Saude Colet. 2009 Mar-Apr;14(2):407-16. doi: 10.1590/s1413-81232009000200010.

Abstract

This study is a descriptive epidemiological analysis of morbidity and mortality from suicide in people aged 10 to 19 years living in the state of Minas Gerais. The source of the mortality data were the data available in the Mortality Information System, DATASUS of the Ministry of Health, over the period 1980-2002. The morbidity data were collected from the Hospital Information System, over the period 1998-2003. Absolute and relative simple frequencies of 2.338 hospitalizations and 1.212 deaths from attempted suicide and suicide over the chosen period were analyzed according to sex, age and method used. The population data used for calculating rates was extracted from the census conducted by the Brazilian Institute of Geography and Statistics. The International Classification of Diseases - ICD 9, from the years 1980 to 1995 and the 10th review since 1996, codes E950 to E959 and X60 to X84, were adopted respectively. The highest hospitalization rates were found among women. Self-poisoning was the most common method for attempting suicide in both sexes. However, adolescent males had the highest mortality rates and the most common methods of suicide (hanging and use of firearms) were more lethal than the method commonly chosen by females (self-poisoning). Based on these findings, the authors emphasize the need for preventing these events among young people.

摘要

本研究是对米纳斯吉拉斯州10至19岁人群自杀发病率和死亡率的描述性流行病学分析。死亡率数据来源是1980 - 2002年期间卫生部数据系统(DATASUS)的死亡信息系统中的可用数据。发病率数据是在1998 - 2003年期间从医院信息系统收集的。根据性别、年龄和所使用的方法,分析了在选定期间2338例自杀未遂和自杀住院病例以及1212例死亡病例的绝对和相对简单频率。用于计算比率的人口数据是从巴西地理与统计研究所进行的人口普查中提取的。分别采用了1980年至1995年的《国际疾病分类》 - ICD 9以及1996年起的第10版,代码E950至E959和X60至X84。女性的住院率最高。自我中毒是男女自杀未遂最常见的方式。然而,青少年男性的死亡率最高,且最常见的自杀方式(上吊和使用枪支)比女性通常选择的方式(自我中毒)更具致命性。基于这些发现,作者强调有必要预防年轻人中的这些事件。

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