Abstract
Suicide and suicide attempts are considered global health problems. With regard to the main causes of unnatural deaths, Brazil ranks as the eighth country with the highest absolute number of suicides. The aim of this study was to analyze the factors associated with the risk of suicide in a metropolitan city in Brazil. This was a cross-sectional study carried out in Recife, in the northeast region of Brazil. Epidemiological surveillance was conducted on the information systems regarding attempted suicide, suicide, and undetermined deaths in the period from 2007 to 2017. A record linkage between the information systems was performed. Descriptive statistics, bivariate analysis, and logistic regression were performed with an adopted a significance level of 5%. In the city of Recife, there were 4495 suicide attempts in the period, and the most frequent suicide attempts were by single females, aged between 20 and 39 years old, and who used either medication or poison to die by suicide. A total of 141 individuals died by suicide, and exogenous intoxication was the most common method. Knowing the common characteristics and associated factors of those who attempt and die by suicide is key for the development of prevention policies and intervention strategies for suicide.
Highlights
Suicide and suicide attempts are considered global health problems
The region of occurrence was predominantly urban (n = 4123; 91.7%), and residences had the highest numbers of suicide attempts (n= 3431; 76.3%)
The results show that most suicide attempts were by single females, aged between 20 and 39 years old, and who used poison as a method, as has already been found in previous studies [16,31,32]
Summary
Suicide and suicide attempts are considered global health problems. With regard to the main causes of unnatural deaths, Brazil ranks as the eighth country with the highest absolute number of suicides. In the city of Recife, there were 4495 suicide attempts in the period, and the most frequent suicide attempts were by single females, aged between 20 and 39 years old, and who used either medication or poison to die by suicide. 1. Introduction with regard to jurisdictional claims in Suicide attempts and suicides are considered global health problems, and suicide is one of the main causes of unnatural deaths [1]. Introduction with regard to jurisdictional claims in Suicide attempts and suicides are considered global health problems, and suicide is one of the main causes of unnatural deaths [1] It is the second most frequent cause of death among young people and 17th for the general population [1,2]. Other factors that are associated with people who have attempted suicide include mental disorders, being female and aged between 20 to 40 years, and easy access to poisonous substances [7,8]. Multisectoral environments are able to identify individuals at risk of suicide and can help to reduce suicidal events with specific practices of mental health actions in order to intervene more quickly when triggered [12]
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