Post-Graduate Program in Health Sciences, Federal University of Rio Grande, Brazil; Post-Graduate Program in Public Health, Federal University of Rio Grande, Brazil.
Post-Graduate Program in Health Sciences, Federal University of Rio Grande, Brazil.
J Affect Disord. 2020 Jan 1;260:610-616. doi: 10.1016/j.jad.2019.09.046. Epub 2019 Sep 10.
Suicide is one of the leading causes of death among adolescents and young adults worldwide. However, risk factors for suicidal thoughts might change across cultures and contexts. We aimed to assess the prevalence and associated factors of suicidal thought among adults in a southern Brazilian city.
This population-based cross-sectional study used a multistage sampling procedure to evaluated individuals with 18 years or more, living in a southern city in Brazil. We collected suicidal thought using a question from the Patient Health Questionnaire-9. In addition, we collected information on sociodemographic, behavioral, and health variables, through a questionnaire using standardized and validated instruments. We calculated prevalence ratios (PR) using Poisson Regression models with robust adjustment of the variance.
We collected information from 1295 individuals, 6.6% were positive for suicidal thought. In multivariate analysis, factors independently associated with suicidal thoughts included: being a woman, poor, reporting current tobacco use, having household food insecurity, having three or more morbidities, being in the upper tertile of the stress scores, having had a depression diagnostic in the last year and sadness.
We cannot say that the associations found are causal. Suicidal thoughts were assessed from a single question.
Suicidal thought is a prevalent condition, most likely associated with being a woman, having worst socioeconomic conditions, a poorer health, a higher stress, using tobacco and having depression and/or sadness.
自杀是全球青少年和年轻人的主要死因之一。然而，自杀念头的风险因素可能因文化和背景而异。我们旨在评估巴西南部一个城市成年人自杀念头的流行率和相关因素。
这项基于人群的横断面研究采用多阶段抽样程序，评估了巴西南部一个城市中 18 岁及以上的个体。我们使用患者健康问卷-9 中的一个问题来收集自杀念头的信息。此外，我们通过使用标准化和经过验证的工具的问卷收集了社会人口统计学、行为和健康变量的信息。我们使用泊松回归模型计算了具有方差稳健调整的患病率比 (PR)。
我们收集了 1295 名个体的信息，其中 6.6% 的个体有自杀念头。在多变量分析中，与自杀念头独立相关的因素包括：女性、贫困、报告当前吸烟、家庭食物不安全、有三种或更多的合并症、处于压力得分的上三分位数、过去一年有过抑郁症诊断和悲伤。
我们不能说发现的关联是因果关系。自杀念头是通过一个问题来评估的。
自杀念头是一种普遍存在的情况，很可能与女性、较差的社会经济状况、较差的健康状况、较高的压力、吸烟以及抑郁和/或悲伤有关。
