10 岁以下儿童的自伤行为和相关死亡率：巴西的一项回顾性健康记录研究。
Self-injurious behavior and related mortality in children under 10 years of age: a retrospective health record study in Brazil.
机构信息
Ambulatório de Transtorno do Humor e Ansiedade (CETHA), Complexo Hospitalar Universitário Professor Edgard Santos (HUPES), Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil.
Programa de Pós-Graduação em Medicina e Saúde, UFBA, Salvador, BA, Brazil.
出版信息
Braz J Psychiatry. 2020 Jan-Feb;42(1):40-45. doi: 10.1590/1516-4446-2018-0355.
OBJECTIVE
To describe and analyze data on self-injurious behavior (SIB) and related mortality in children under 10 years old in Brazil.
METHODS
A descriptive study was performed using secondary public health care data extracted from the Hospital Information System (Sistema de Informações Hospitalares, SIH) and Mortality Information System (Sistema de Informações sobre Mortalidade, SIM) in Brazil. The databases are available for online access at http://datasus.saude.gov.br/.
RESULTS
In Brazil, according to SIH data, 11,312 hospitalizations of patients under 10 years of age were recorded from 1998 to 2018 as resulting from SIB (ICD-10 X60-X84 codes). Of these, 65 resulted in death. According to the SIM, from 1996 to 2016, 91 deaths related to SIB were recorded, 81 (89%) in children aged 5 to 9 years, nine (9.9%) in children aged 1 to 4 years, and one (1.1%) in a child below 1 year of age.
CONCLUSION
These results highlight the relevance of creating measures to better understand SIB and related mortality in this age group. They also reveal the vulnerability of children in Brazil and warrant further studies to address these issues.
目的
描述和分析巴西 10 岁以下儿童自伤行为（SIB）及相关死亡率的数据。
方法
本研究采用描述性研究方法，使用巴西医院信息系统（Sistema de Informações Hospitalares，SIH）和死亡率信息系统（Sistema de Informações sobre Mortalidade，SIM）中的二次公共卫生保健数据进行分析。这些数据库可通过以下网址在线访问：http://datasus.saude.gov.br/。
结果
根据 SIH 数据，1998 年至 2018 年期间，巴西有 11312 例 10 岁以下儿童因 SIB（ICD-10 X60-X84 代码）住院，其中 65 例死亡。根据 SIM，1996 年至 2016 年期间，共记录了 91 例与 SIB 相关的死亡，其中 81 例（89%）发生在 5 至 9 岁儿童中，9 例（9.9%）发生在 1 至 4 岁儿童中，1 例（1.1%）发生在 1 岁以下儿童中。
结论
这些结果强调了制定措施以更好地了解该年龄段 SIB 和相关死亡率的重要性。它们还揭示了巴西儿童的脆弱性，需要进一步研究来解决这些问题。
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