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2017 年至 2020 年,巴西南里奥格兰德州西南部一市尝试自杀的流行病学特征。

Epidemiological profile of suicide attempts in a municipality in southwest Paraná, from 2017 to 2020.

机构信息

Universidade Estadual do Oeste do Paraná, Programa de Pós-Graduação em Ciências Aplicadas à Saúde - Francisco Beltrão (PR), Brazil.

Universidade Estadual do Oeste do Paraná, Centro de Ciências da Saúde, Curso de Medicina - Francisco Beltrão (PR), Brazil.

出版信息

Rev Assoc Med Bras (1992). 2022 Apr;68(4):519-523. doi: 10.1590/1806-9282.20211242.

Abstract

OBJECTIVE

This study aimed to analyze the epidemiological profile and psychological disorder of the suicide attempt cases in Francisco Beltrão, Paraná.

METHODS

This is an epidemiological descriptive/qualitative study of suicide attempts conducted between 2017 and 2020. This study used data from the Brazilian Information system for notifications involving suicide attempts (Sistema de Informação de Agravos de Notificação, SINAN) and 447 notifications were obtained. An analysis of the electronic medical record of these patients was performed in order to investigate the mental disorders, using a questionnaire.

RESULTS

Of the 447 notifications, 382 were eligible for the study. Using the 95% confidence interval, there was a higher frequency of females with 71.7% aged between 18 and 35 years representing 48.4%, with 77.2% white race/color, the singles appeared in the majority with 47.6% with a history of previous suicide attempts, using exogenous intoxication as a method in the attempt with 67.5%. Regarding mental health, 66.5% of the patients had some mental disorders, with the highest prevalence of recurrent depressive disorder found in 40.6%.

CONCLUSION

It was observed that there is a need for training of health professionals and implementation of programs and preventive measures aimed primarily at females aged between 18 and 35 years with mental disorders, especially with recurrent depressive disorder and with a history of previous suicide attempt.

摘要

目的

本研究旨在分析巴西南里奥格兰德州弗朗西斯科·贝尔特朗的自杀未遂病例的流行病学特征和心理障碍。

方法

这是一项在 2017 年至 2020 年期间进行的自杀未遂的流行病学描述性/定性研究。本研究使用了巴西自杀企图通报信息系统(Sistema de Informação de Agravos de Notificação,SINAN)的数据,共获得了 447 例通报。对这些患者的电子病历进行了分析,以使用问卷调查精神障碍。

结果

在 447 例通报中,有 382 例符合研究条件。使用 95%置信区间,女性的频率更高,占 71.7%,年龄在 18 至 35 岁之间,占 48.4%,种族/肤色为白色的占 77.2%,单身者居多,占 47.6%,有过自杀未遂史的占 77.2%,自杀未遂时使用外源性中毒的方法占 67.5%。在心理健康方面,66.5%的患者存在一些精神障碍,其中复发性抑郁障碍的患病率最高,为 40.6%。

结论

研究表明,需要对卫生专业人员进行培训,并实施以 18 至 35 岁之间有精神障碍、尤其是有复发性抑郁障碍和有自杀未遂史的女性为主要目标的方案和预防措施。

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