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新冠疫情对巴西某州涉及物质使用的自杀案例特征的影响:一项为期6年的分析。

The influence of the COVID-19 pandemic on the profile of suicide cases involving substances in a state Brazil: an analysis of a 6-year period.

作者信息

da Silva Bruna Espíndola, de Souza Boff Bruna, Filho Jair Silveira, Schroeder Samilla Driessen, Rezin Kéttulin Zomer, Marchioni Camila

机构信息

Pharmacy, Federal University of Santa Catarina, St. Delfino Conti S/N, Florianopolis, SC, 88040-370, Brazil.

Scientific Police of Santa Catarina, Florianópolis, Brazil.

出版信息

Forensic Sci Med Pathol. 2025 Jan 24. doi: 10.1007/s12024-025-00947-3.

Abstract

This article aimed to analyze the epidemiological and toxicological profile of died of suicides in the state of Santa Catarina, Brazil, over a period of 6 years, and understand how the COVID-19 pandemic influenced it. A cross-sectional, quantitative, descriptive, and retrospective study was conducted based on the suicide cases registered in the Scientific Police of Santa Catarina over six years. A total of 3,557 cases were analyzed, with small variations being observed between the years in question. The victims were predominantly male (79.73%) and adults, most of whom were aged 50 to 59 (14.76%). In 43.18% of cases, at least one psychoactive substance was identified, with antidepressants (20.65%), anxiolytics (18.48%), and cocaine (13.35%) standing out. In most cases (72.52%), the alcohol concentration was less than 1 dg/L. The use of medication, drugs, and alcohol before suicide was more prevalent in women (p < 0.05), whereas cocaine was more prevalent among men (p < 0.05). The data characterize the epidemiological profile of suicide victims, in addition to demonstrating the low variations in the number of suicides comparing the year with the COVID-19 Pandemic and without a pandemic, in the short term.

摘要

本文旨在分析巴西圣卡塔琳娜州6年间自杀死亡者的流行病学和毒理学特征,并了解新冠疫情对其产生了怎样的影响。基于圣卡塔琳娜州科学警察局登记的6年自杀案件,开展了一项横断面、定量、描述性回顾性研究。共分析了3557起案件,相关年份间存在细微差异。受害者主要为男性(79.73%)且为成年人,其中大多数年龄在50至59岁之间(14.76%)。在43.18%的案件中,至少发现了一种精神活性物质,其中抗抑郁药(20.65%)、抗焦虑药(18.48%)和可卡因(13.35%)最为突出。在大多数案件(72.52%)中,酒精浓度低于1 dg/L。自杀前使用药物、毒品和酒精的情况在女性中更为普遍(p < 0.05),而可卡因在男性中更为普遍(p < 0.05)。这些数据不仅描述了自杀受害者的流行病学特征,还表明短期内,与有新冠疫情和无疫情年份相比,自杀人数变化不大。

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