Abstract
The objective of this study was to analyze the temporal trend of suicide mortality in women in the states of Northeastern Brazil. This is an ecological study of a time series stratified by states in Northeast Brazil from 1996 to 2018, with data extracted from the Mortality Information System (SIM). The temporal trend was evaluated by negative binomial regression (p values≤0.05). There was a higher proportion of deaths in black and brown women (73.9%), single (57.3%), with the place of death occurring in the home (53.4%). Hanging and strangulation stood out as the perpetration means (47.6%). Most states showed an upward temporal trend, except for Pernambuco, Rio Grande do Norte, Sergipe and Maranhão, which showed a steady trend (p>0.05). An upward temporal trend was identified in the analysis of deaths by suicide in women in five states in northeastern Brazil between 1996 and 2018. The information presented can support planning and decision-making for the prevention of suicide among women in northeastern Brazil.
Highlights
IntroductionConscious and intentional act of killing oneself
Suicide is a deliberate, conscious and intentional act of killing oneself
Due to the limitations in the quality of information on death records, and because there is no consensus in the literature on the best correction method to be used[15], in this study we chose to use the methodology correction used by the Ministry of Health, in which the death records coded as suicide (X60 to X84) were added due to exogenous poisoning of undetermined intent (Y10 to Y19) and sequelae of intentional self-harm (Y87.0)[3,18,19]
Summary
Conscious and intentional act of killing oneself. It is a complex and multidetermined phenomenon, which involves psychological, biological, social, environmental and cultural issues[1]. It is considered a serious public health problem in the world. Every year 800,000 suicides are reported worldwide, corresponding to 1.4% of all causes of death (11.4 deaths per 100,000 inhabitants)[2]. The highest suicide mortality rates in 2015 were observed in Southeast Asia and Europe, with mortality rates ranging from 11.9 to 14.0 deaths per 100,000 inhabitants. The lowest coefficients were observed in the Eastern Mediterranean (3.8 to 4.3 deaths per 100,000 inhabitants). 78% of suicides occurred in developing countries[2]
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