Silva Hendyelle Rodrigues Ferreira E, Holanda Júnior Wanderley Pinheiro de, Magalhães Karla do Nascimento, Magalhães Dário Luis do Nascimento, Santos Alan Queiroz de Souza, Ferreira Maria Augusta Drago
Escola de Saúde Pública do Ceará, Residência Multiprofissional em Urgência e Emergência, Fortaleza, CE, Brazil.
Perícia Forense do Estado do Ceará, Núcleo de Toxicologia Forense, Fortaleza, CE, Brazil.
Epidemiol Serv Saude. 2025 Aug 4;34:e20240885. doi: 10.1590/S2237-96222025v34e20240885.en. eCollection 2025.
To outline the epidemiological profile of poisonings due to attempted suicide recorded at a toxicological information and assistance center in Fortaleza, Ceará, Brazil, in 2022.
Cross-sectional study with data recorded from January 1st to December 31, 2022. The population included all cases of poisoning due to attempted suicide registered by the center during the period. The data were collected from the Brazilian Poisoning Data System of the Toxicological Information and Assistance Centers. The analysis was based on descriptive statistics, through the calculation of absolute and relative frequencies for each variable.
360 cases of attempted suicide were identified, with the main groups of toxic agents being medications (64.4%), pesticides (18.9%) and combinations of agents (10.3%). Most of the cases involved females (61.4%), occurred in urban areas (91.1%), in Fortaleza (65.3%) and in homes (88.0%). The age group of 20-29 years (29.3%) with 'student' as the occupation (15.6%) stood out among the records. In 90.3% of cases, there were clinical signs and symptoms, and the oral route was the most used (97.5%); 45.5% required hospitalization; and 79.4% recovered. Pesticides had the highest lethality (8.8%).
The results showed that suicide attempts by poisoning mainly affect women, occur predominantly at home, and have a favorable clinical outcome. Medications were the most involved toxic agents, and pesticides were the most lethal. These results reinforce the importance of continuous monitoring of cases and the implementation of preventive strategies aimed at the most vulnerable groups.
概述2022年巴西塞阿拉州福塔莱萨市一个毒理学信息与援助中心记录的自杀未遂中毒事件的流行病学概况。
采用横断面研究，数据记录时间为2022年1月1日至12月31日。研究人群包括该中心在此期间登记的所有自杀未遂中毒病例。数据收集自毒理学信息与援助中心的巴西中毒数据系统。分析基于描述性统计，通过计算每个变量的绝对频率和相对频率进行。
共识别出360例自杀未遂病例，主要中毒剂类别为药物（64.4%）、农药（18.9%）和混合剂（10.3%）。大多数病例为女性（61.4%），发生在城市地区（91.1%）、福塔莱萨市（65.3%）和家中（88.0%）。记录中20 - 29岁年龄组（29.3%）且职业为“学生”的人群（15.6%）较为突出。90.3%的病例有临床体征和症状，最常使用的给药途径是口服（97.5%）；45.5%的病例需要住院治疗；79.4%的病例康复。农药的致死率最高（8.8%）。
结果表明，中毒自杀未遂主要影响女性，主要发生在家中，临床结局良好。药物是涉及最多的中毒剂，农药致死率最高。这些结果强化了持续监测病例以及针对最脆弱群体实施预防策略重要性。
