Palma Danielly Cristina de Andrade, Santos Emerson Soares Dos, Ignotti Eliane
Universidade Federal de Mato Grosso do Sul, Coxim, Brasil.
Universidade do Estado de Mato Grosso, Cáceres, Brasil.
Cad Saude Publica. 2020 Apr 6;36(4):e00092819. doi: 10.1590/0102-311X00092819. eCollection 2020.
This study aimed to analyze the spatial pattern in mortality rates from suicide in Brazil from 1990 to 2015. A spatial analysis was performed for the mortality rates from suicide in municipalities (counties) in three-year periods using Bayesian inference and clusters according to risk of death adjusted by sex and age bracket. The mortality rate from suicide increased from 3.5 deaths in 1990 to 5.3 deaths/100,000 inhabitants in 2015, when there was one death from suicide every 64 minutes. There was a predominance of suicide deaths in males in all the periods, while the variables age and race/color showed some changes. High suicide mortality rates among youth and indigenous people were seen in the most recent three-year period. We observed a loss of areas without suicide reporting, a reduction in areas with low suicide mortality rates, as opposed to an increase in areas with medium rates in all the regions of Brazil. The high rates, previously concentrated in the South of Brazil, had expanded to other regions of the country. Very high rates emerged in southern Mato Grosso do Sul state. Clusters with higher likelihood in all the periods were observed in the South. Suicide mortality rates increased, with changes in the spatial during the 25-year period. Despite the initial concentration of high suicide mortality rates in the South, the deaths spread to other regions of the country with different magnitudes. There was a reduction in suicide deaths among the elderly in the South and an increase in the Northeast, and an increase in deaths in adults and black Brazilians in the Central and among youth and indigenous persons in northwestern Amazonas state.
本研究旨在分析1990年至2015年巴西自杀死亡率的空间格局。利用贝叶斯推断和根据性别及年龄组调整后的死亡风险聚类，对各市（县）三年期的自杀死亡率进行了空间分析。自杀死亡率从1990年的每10万人中有3.5人死亡增加到2015年的每10万人中有5.3人死亡，即每64分钟就有1人自杀死亡。在所有时期，自杀死亡以男性为主，而年龄和种族/肤色变量呈现出一些变化。在最近一个三年期内，青年和原住民的自杀死亡率较高。我们观察到无自杀报告地区减少，自杀死亡率低的地区减少，相反，巴西所有地区自杀死亡率中等的地区增加。此前集中在巴西南部的高自杀率地区已扩展到该国其他地区。南马托格罗索州南部出现了极高的自杀率地区。在所有时期，南部地区出现自杀可能性较高的聚类。在这25年期间，自杀死亡率上升，空间格局发生变化。尽管最初高自杀死亡率集中在南部，但死亡人数以不同幅度蔓延到该国其他地区。南部老年人自杀死亡人数减少，东北部增加，中部地区成年人和巴西黑人自杀死亡人数增加，亚马逊州西北部青年和原住民自杀死亡人数增加。
