Vidal Carlos Eduardo Leal, Gontijo Eliane Costa Dias Macedo, Lima Lúcia Abelha
Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Cad Saude Publica. 2013 Jan;29(1):175-87. doi: 10.1590/s0102-311x2013000100020.
This retrospective cohort study aimed to analyze the epidemiological profile of individuals that attempted suicide from 2003 to 2009 in Barbacena, Minas Gerais State, Brazil, to calculate the mortality rate from suicide and other causes, and to estimate the risk of death in these individuals. Data were collected from police reports and death certificates. Survival analysis was performed and Cox multiple regression was used. Among the 807 individuals that attempted suicide, there were 52 deaths: 12 by suicide, 10 from external causes, and 30 from other causes. Ninety percent of suicide deaths occurred within 24 months after the attempt. Risk of death was significantly greater in males, married individuals, and individuals over 60 years of age. Standardized mortality ratio showed excess mortality by suicide. The findings showed that the mortality rate among patients that had attempted suicide was higher than expected in the general population, indicating the need to improve health care for these individuals.
这项回顾性队列研究旨在分析2003年至2009年期间在巴西米纳斯吉拉斯州巴尔巴塞纳市试图自杀的个体的流行病学特征,计算自杀及其他原因导致的死亡率,并估计这些个体的死亡风险。数据收集自警方报告和死亡证明。进行了生存分析并使用了Cox多元回归。在807名试图自杀的个体中,有52人死亡:12人死于自杀,10人死于外部原因,30人死于其他原因。90%的自杀死亡发生在自杀未遂后的24个月内。男性、已婚个体以及60岁以上个体的死亡风险显著更高。标准化死亡率显示自杀导致的死亡率过高。研究结果表明,自杀未遂患者的死亡率高于一般人群的预期,这表明需要改善对这些个体的医疗保健。