Gianvecchio Victor Alexandre Percinio, Jorge Maria Helena Prado de Mello
Instituto Médico Legal de São Paulo. R. Moncorvo Filho 410, Butantã. 05507-060 São Paulo SP
Faculdade Saúde Pública, Universidade de São Paulo. São Paulo SP Brasil.
Cien Saude Colet. 2022 Jun;27(6):2427-2436. doi: 10.1590/1413-81232022276.16112021. Epub 2021 Sep 26.
Suicide is prevalent among people of almost all ages and has a high social and economic cost. It is widely known, however, that its true prevalence is underestimated. This article aims to study suicide in São Paulo based on Public Safety data, compared with mortality information system data (SIM/MS), in order to assess possible information gains. A database (Banco SSP) was assembled from spreadsheets for police reports, complemented with existing Forensic Medicine Institute information, which was compared with the SIM/MS data. The Banco SSP database (2,469) was 7.5% higher than SIM/MS (2,297), with results reflected in the sex and age of the victims, showing the highest rates among elderly men (rate of 12.8 per 100,000 inhabitants). In relation to the method of suicide, there was a predominance of hanging (60.2%); 92.5% of unspecified cases were clarified, with an increase in deaths from exogenous poisoning (55.7%). The police reports revealed variables considered as possible risk factors for suicide, such as the mention of mental disorders (39.4%), other pathologies (5.0%), other problems (23.2%) and earlier attempted suicides (10.0%). The source studied enabled obtaining quantitative and qualitatively enhanced data compared to the SIM/MS data.
自杀在几乎所有年龄段的人群中都很普遍，且具有高昂的社会和经济成本。然而，众所周知，其实际发生率被低估了。本文旨在基于公共安全数据，与死亡率信息系统数据（SIM/MS）相比较，研究圣保罗的自杀情况，以评估可能获得的信息。一个数据库（Banco SSP）由警方报告的电子表格汇编而成，并辅以法医研究所的现有信息，将其与SIM/MS数据进行比较。Banco SSP数据库（2469例）比SIM/MS（2297例）高7.5%，结果体现在受害者的性别和年龄上，老年男性的自杀率最高（每10万居民中有12.8例）。关于自杀方式，上吊占主导（60.2%）；92.5%未明确的案例得到了澄清，外源性中毒导致的死亡有所增加（55.7%）。警方报告揭示了被视为自杀可能风险因素的变量，如提及精神障碍（39.4%）、其他疾病（5.0%）、其他问题（23.2%）和先前的自杀未遂（10.0%）。与SIM/MS数据相比，所研究的数据源能够获得数量上和质量上更丰富的数据。
