Mortality rates from suicide, cerebrovascular disease, ischemic heart disease, and chronic upper airway disease in brazilian elderly: a 20-year temporal analysis

• Autor(a) principal: Costa, Carolina Martins
• Data de Publicação: 2019
• Outros Autores: Bitencourt, Maira Oliveira, Bello, Alexandre Ferreira, Diaz, Alexandre Paim
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Debates em Psiquiatria (Online)
• Texto Completo: https://revistardp.org.br/revista/article/view/54
• topic: Suicídio; idosos; mortalidad; Suicide; elderly; mortality

Objective: To investigate trends in suicide rates among Brazilian elderly over a timeframe of 20 years with regard to the main causes of mortality in this population. Methods: In this temporal trend analysis, data on the number of deaths were collected from the Mortality Information System (Sistema de Informações de Mortalidade – SIM) that integrates the public national healthcare database DATASUS. Mortality rates were calculated with data obtained from the Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística - IBGE). Mortality rates in the elderly were calculated for suicide and for the three main causes of mortality in this population in the first year of the observation (1996), stratified by gender and age range. The temporal trend was estimated using linear regression analysis.Results: A signifi cant increase was found in suicide rates for both male and female elderly between 60 and 69 years of age, as well as a signifi cant reducti on in mortality rates due to cerebrovascular disease, ischemic heart disease and chronic upper airway disease in the same age range. Conclusion: It is possible that public policies targeted at reducing risk factors and improving access to treatment have had an impact on the reducti on of mortality for cerebrovascular disease, ischemic heart disease and chronic upper airway disease in the elderly. Reducti on of suicide rates will probably demand a similar approach in relati on to mental health.