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青少年自杀导致的死亡率趋势和潜在寿命损失年数。

Mortality trends and years of potential life lost due to suicide in adolescents.

机构信息

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.

出版信息

Rev Saude Publica. 2024 Sep 6;58:30. doi: 10.11606/s1518-8787.2024058005564. eCollection 2024.


DOI:10.11606/s1518-8787.2024058005564
PMID:39258636
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11319033/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ef/11319033/873f5ad63191/1518-8787-rsp-58-30-gf02-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ef/11319033/bf967cc06f1a/1518-8787-rsp-58-30-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ef/11319033/be335971e514/1518-8787-rsp-58-30-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ef/11319033/8c7b01e2c272/1518-8787-rsp-58-30-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ef/11319033/873f5ad63191/1518-8787-rsp-58-30-gf02-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ef/11319033/bf967cc06f1a/1518-8787-rsp-58-30-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ef/11319033/be335971e514/1518-8787-rsp-58-30-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ef/11319033/8c7b01e2c272/1518-8787-rsp-58-30-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ef/11319033/873f5ad63191/1518-8787-rsp-58-30-gf02-pt.jpg

相似文献

[1]
Mortality trends and years of potential life lost due to suicide in adolescents.

Rev Saude Publica. 2024

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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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本文引用的文献

[1]
Excess suicides in Brazil: Inequalities according to age groups and regions during the COVID-19 pandemic.

Int J Soc Psychiatry. 2022-8

[2]
The burden of suicide in Brazil: findings from the Global Burden of Disease Study 2019.

Rev Soc Bras Med Trop. 2022

[3]
Co-occurrence of health risk behaviors and the family context among Brazilian adolescents, National Survey of School Health (2015).

Rev Bras Epidemiol. 2021

[4]
Suicide trend among Brazilian adolescents between 1997 and 2016.

Epidemiol Serv Saude. 2020-9-7

[5]
Adolescent intentional self-harm notifications and hospitalizations in Brazil, 2007-2016.

Epidemiol Serv Saude. 2020

[6]
Social media, internet use and suicide attempts in adolescents.

Curr Opin Psychiatry. 2019-11

[7]
[Crisis and mental health in adolescence: the story from the perspective of those who live it].

Cad Saude Publica. 2019-3-11

[8]
Differences by age and sex in adolescent suicide.

Aust N Z J Public Health. 2019-2-20

[9]
The association between adolescent suicide rates and socioeconomic indicators in Brazil: a 10-year retrospective ecological study.

Braz J Psychiatry. 2019-2-18

[10]
Self-harm throughout all life cycles: profile of victims using urgent and emergency care services in Brazilian state capitals.

Cien Saude Colet. 2017-9

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