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巴西南里奥格兰德州的自杀死亡率:2017-2018 年病例的横断面分析。

Suicide mortality in Rio Grande do Sul, Brazil: a cross-sectional analysis of cases, 2017-2018.

机构信息

Departamento de Perícias Laboratoriais, Instituto-Geral de Perícias do Rio Grande do Sul, Porto Alegre, RS, Brasil.

Pan American Health Organization/World Health Organization, Washington, DC, USA.

出版信息

Epidemiol Serv Saude. 2020;29(2):e2019512. doi: 10.5123/s1679-49742020000200014. Epub 2020 May 8.

DOI:10.5123/s1679-49742020000200014
PMID:32401880
Abstract

OBJECTIVE

to analyze the epidemiological and toxicological profile of suicide cases in Rio Grande do Sul, Brazil, in 2017 and 2018.

METHODS

this was a cross-sectional study with data from police incident reports and state General Forensic Institute records; multiple correspondence analyses were performed and logistic regression models were built.

RESULTS

there were 2,564 suicides (11.3/100,000 inhabitants/year), mostly involving males (79.4%), and the 50-54 years age group (10.3%); the main method was hanging (72.5%); positive results for ethanol were found in 29.1% of cases and for other psychotropic drugs in 36.1% of cases; young people were 4.5 times (95%CI 2.7;7.7) and 2.4 times (95%CI 1.5;3.6) more likely to be the victims when there were positive results for an illegal substance or parental absence, respectively.

CONCLUSION

male and adult victims predominated, hanging was the most common means, and, in one third of the cases, psychotropic drugs were present.

摘要

目的

分析巴西南里奥格兰德州 2017 年和 2018 年自杀案例的流行病学和毒理学特征。

方法

这是一项基于警察事件报告和州法医研究所记录的横断面研究;采用多元对应分析和逻辑回归模型进行分析。

结果

共有 2564 例自杀(11.3/100000 居民/年),主要涉及男性(79.4%)和 50-54 岁年龄组(10.3%);主要方法是上吊(72.5%);29.1%的案例中检测到乙醇阳性,36.1%的案例中检测到其他精神药物阳性;当存在非法物质或父母缺失阳性结果时,年轻人成为受害者的可能性分别是 4.5 倍(95%CI 2.7;7.7)和 2.4 倍(95%CI 1.5;3.6)。

结论

男性和成年受害者居多,上吊是最常见的手段,三分之一的案例中存在精神药物。

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