Spatial-temporal trends and risk of suicide in Central Brazil: an ecological study contrasting indigenous and non-indigenous populations
Copyright
open access
Type
Article
Date
2016
Journal Title
Journal ISSN
Volume Title
Publisher
Associação Brasileira de Psiquiatria
Alternative Title
Affilliation
Fundação Oswaldo Cruz. Centro de Pesquisas Leônidas & Maria Deane. Manaus, AM, Brasil.
Fundação Oswaldo Cruz. Centro de Pesquisas Leônidas & Maria Deane. Manaus, AM, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Leônidas & Maria Deane. Manaus, AM, Brasil
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Centro de Pesquisas Leônidas & Maria Deane. Manaus, AM, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Leônidas & Maria Deane. Manaus, AM, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Leônidas & Maria Deane. Manaus, AM, Brasil
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Centro de Pesquisas Leônidas & Maria Deane. Manaus, AM, Brasil
Advisor
Co-Advisor
Committee Member
Organizer
Coordinator(s)
Institutional author
Director
item.page.production
Screenplay
Producer
Recorder
Abstract
Abstract
Objective: To examine spatial-temporal distribution and risk of suicide, as well as trends in suicide mortality rates, in the indigenous and non-indigenous population of the state of Mato Grosso do Sul, Brazil. Methods: Data were obtained from the Information Department of the Brazilian Unified Health System. Deaths recorded as voluntary self-inflicted injuries (ICD-10 codes X60.0 to X84.9) were considered suicide. Suicide rates were estimated and adjusted by age in the population > 9 years of age. Kernel analysis was used to assess the spatial distribution of suicide cases, while trend analysis was carried out using a non-parametric test (Mann-Kendall). Results: The suicide risk among the indigenous population was 8.1 (95%CI 7.2-9.0) times higher than in the non-indigenous population. For indigenous residents in the 15-24 age group, the risk was 18.5 (95%CI 17.5-19.6) times higher than in the non-indigenous population. The majority of indigenous cases were concentrated in a few villages in reservation areas, mainly occupied by Guarani-Kaiowá and Guarani-Ñandeva groups. Rate patterns remained stable over time in both groups. Conclusion: Suicide is a serious public health problem in Mato Grosso do Sul, and has had an alarming and disproportionate impact on the indigenous population for more than a decade.
Abstract in Spanish
Abstract in French
Description
Keywords in Portuguese
Brasil, Índios Sul-Americanos, Saúde de Populações Indígenas, Epidemiologia, Região Centro-Oeste, Mato Grosso do Sul, Suicídio, Saúde Mental, Estudos Epidemiológicos, Guarani-Kaiowá, Guarani-Ñandeva, Guarani Kaiowá, Desigualdades em Saúde, Sistemas de Informação em Saúde, Causas Externas, Análise Espacial, Guarani Ñandeva, Alimentação e Nutrição
Keywords
Keywords in Spanish
Keywords in French
DeCS
Brasil, Saúde de Populações Indígenas, Índios Sul-Americanos, Epidemiologia, Saúde Mental, Suicídio, Estudos Epidemiológicos, Disparidades nos Níveis de Saúde, Sistemas de Informação em Saúde, Causas Externas, Análise Espacial, Alimentos, Dieta e Nutrição
Event Date
Previous version
Related Document
Means of dissemination
Duration
Duration
Original color system
Target audience context
Audience occupation
Educational Description
Evaluation
Peer Reviewed
Publication Status
Sponsorship
Latest version
Version
Event Location
Event title
Event Type
Citation
ORELLANA, Jesem D.et al. Spatial-temporal trends and risk of suicide in Central Brazil: an ecological study contrasting indigenous and non-indigenous populations. Revista Brasileira de Psiquiatria, v. 38, n. 3, p. 222-230, 2016.
ISBN
ISSN
1516-4446 1809-452X
DOI
10.1590/1516-4446-2015-1720