Universidade Federal da Bahia. Instituto Multidisciplinar em Saúde. Vitória da Conquista, BA, Brasil.
Universidade Federal de Mato Grosso. Instituto de Saúde Coletiva. Cuiabá, MT, Brasil.
Rev Saude Publica. 2024 Sep 6;58:30. doi: 10.11606/s1518-8787.2024058005564. eCollection 2024.
OBJECTIVE: To assess the trend in mortality rates and years of potential life lost (YPLL) due to suicide among adolescents in Northeast Brazil. METHODS: This is an ecological time series study, with secondary data from 2011 to 2020 from the Mortality Information System for adolescents aged 10 to 19 years in the Northeast region of Brazil. Groups of causes from the 10th Revision of the International Classification of Diseases were included: X60-X84 (intentionally self-inflicted injuries), Y10-Y19 (poisoning of undetermined intent), and Y87 (sequelae of intentional self-harm). Mortality coefficients and frequency distribution by sociodemographic variables, place of occurrence, and method of suicide were estimates. YPLL were estimated by gender and age. Joinpoint regression analysis was used, and the annual percentage change (APC) was determined with 95% confidence intervals. RESULTS: A total of 2,410 deaths were recorded, with a predominance of adolescents aged between 15 and 19, males, of mixed-race, low schooling, and home was the main place of occurrence. The trend in the death rate was increasing in the Northeast (APC: 3.6%; p = 0.001), in girls aged 10 to 14 (APC: 8.7%; p = 0.003), in boys aged 15 to 19 (APC: 4.6%; p = 0.002) and in Bahia (APC: 8.1%; p = 0.012). Hanging/strangulation was the main method adopted by both sexes. The YPLL due to suicide were 11,110 in 2011 and 14,960 in 2020. CONCLUSION: The precociousness of suicide committed by girls and the increase in mortality among older adolescents are noteworthy, and specific preventive measures need to be adopted for these groups in order to reduce this preventable cause of death.
目的:评估巴西东北部青少年自杀死亡率和潜在寿命损失年(YPLL)的趋势。
方法:这是一项生态时间序列研究,使用了巴西东北部 2011 年至 2020 年的青少年死亡率信息系统的二次数据。纳入了国际疾病分类第十版的原因分组:X60-X84(故意自我伤害)、Y10-Y19(不明意图中毒)和 Y87(故意自我伤害后遗症)。根据社会人口变量、发生地点和自杀方式估计死亡率系数和频数分布。YPLL 按性别和年龄进行估计。采用 Joinpoint 回归分析,确定 95%置信区间的年百分比变化(APC)。
结果:共记录 2410 例死亡,主要为 15-19 岁的青少年,男性,混血,受教育程度低,主要发生地点是家庭。死亡率趋势在东北部呈上升趋势(APC:3.6%;p=0.001),在 10-14 岁女孩(APC:8.7%;p=0.003)、15-19 岁男孩(APC:4.6%;p=0.002)和巴伊亚州(APC:8.1%;p=0.012)中上升。男女都采用了上吊/勒死的主要方法。2011 年自杀的 YPLL 为 11110 年,2020 年为 14960 年。
结论:需要注意的是,女孩自杀的早熟和年龄较大青少年的死亡率增加,需要针对这些群体采取具体的预防措施,以减少这种可预防的死亡原因。
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