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老年人自杀:一项流行病学研究。

Suicide in the elderly: an epidemiologic study.

机构信息

Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Materno Infantil e Psiquiátrica, São Paulo, SP, Brazil.

Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem em Saúde Coletiva, São Paulo, SP, Brazil.

出版信息

Rev Esc Enferm USP. 2021 May 31;55:e03694. doi: 10.1590/S1980-220X2019026603694. eCollection 2021.

Abstract

OBJECTIVE

To analyze the incidence and means of elderly suicide in Brazil.

METHOD

Epidemiologic, cross-sectional, quantitative, and retrospective study. The data were obtained in a platform maintained by the Ministry of Health and analyzed. The mortality rate was calculated and means and percentages regarding the employed means of suicide were obtained.

RESULTS

In this period, 8,977 suicides took place among the population over 60 years. The highest suicide rates were concentrated in the population over 80, which presented a mean 8.4/100,000 for this period, and between 70 and 79 years, with a mean rate of 8.2/100,000. Considering the total elderly population over 60 years, this value reached 7.8/100,000, whereas in the general population this was 5.3/100,000. The values are always higher among the elderly population: the mean rate in the last five years among the elderly is 47.2% higher than the mean for the general population. The main mean of suicide was hanging (68%), followed by firearm (11%), self-intoxication (9%), falling from a high place (5%), and undefined or undetermined means (6%).

CONCLUSION

Epidemiologic analyses bring visibility to the dyad aging and suicide, corroborating the pertinence of this theme.

摘要

目的

分析巴西老年人自杀的发生率和方式。

方法

这是一项采用流行病学、横断性、定量和回顾性研究设计的研究。数据来自卫生部维护的一个平台,并对其进行了分析。计算了死亡率,并获得了关于自杀方式的平均值和百分比。

结果

在此期间,60 岁以上人群中有 8977 人自杀。自杀率最高的人群集中在 80 岁以上,这一时期的平均自杀率为每 10 万人 8.4 例;其次是 70 至 79 岁人群,平均自杀率为每 10 万人 8.2 例。考虑到 60 岁以上的所有老年人,这一数值达到了每 10 万人 7.8 例,而在普通人群中这一数值为每 10 万人 5.3 例。这些数值在老年人群体中总是更高:在过去五年中,老年人的平均自杀率比普通人群高 47.2%。主要的自杀方式是上吊(68%),其次是枪支(11%)、自我中毒(9%)、从高处坠落(5%)和未定义或未确定的方式(6%)。

结论

流行病学分析使老龄化和自杀这一对偶现象变得可见,证实了这一主题的相关性。

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