Association between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalities
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2020 |
| Outros Autores: | , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/46058 |
Resumo: | Medical Research Council (MC_PC_MR/R018677/1) |
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Machado, Daiane BorgesMcDonald, KeltieAraujo, Luis F. S. Castro deDevakumar, DelanAlves, Flávia Jôse OliveiraKiss, LígiaLewis, GlynBarreto, Mauricio Lima2021-02-12T13:21:00Z2021-02-12T13:21:00Z2020MACHADO, Daiane Borges et al. Association between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalities. BMJ Open, v. 10, p. 1-15, 4 Nov. 2020.2044-6055https://www.arca.fiocruz.br/handle/icict/4605810.1136/bmjopen-2020-0400692044-6055Medical Research Council (MC_PC_MR/R018677/1)Wellcome Trust (202912/Z/16/Z)National Institute for Health Research, University College London Hospital, Biomedical Research CentreFundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil / London School of Hygiene & Tropical Medicine. Centre for Global Mental Health. London, United Kingdom.University College London, Division of Psychiatry. London, UK.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil / The University of Melbourne. Department of Psychiatry. Heidelberg, Victoria, Australia.University College London. Institute for Global Health. London, UK.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.University College London. Institute for Global Health. London, UK.University College London, Division of Psychiatry. London, UK.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.Objective: To estimate the association between homicide and suicide rates in Brazilian municipalities over a period of 7 years. Design We conducted a longitudinal ecological study using annual mortality data from 5507 Brazilian municipalities between 2008 and 2014. Multivariable negative binomial regression models were used to examine the relationship between homicide and suicide rates. Robustness of results was explored using sensitivity analyses to examine the influence of data quality, population size, age and sex on the relationship between homicide and suicide rates. Setting: A nationwide study of municipality-level data. Participants: Mortality data and corresponding population estimates for municipal populations aged 10 years and older. Primary and secondary outcome measures: Age-standardised suicide rates per 100 000. Results: Municipal suicide rates were positively associated with municipal homicide rates; after adjusting for socioeconomic and demographic factors, a doubling of the homicide rate was associated with 22% increase in suicide rate (rate ratio=1.22, 95% CI: 1.13 to 1.33). A dose–response effect was observed with 4% increase in suicide rates at the third quintile, 9% at the fourth quintile and 12% at the highest quintile of homicide rates compared with the lowest quintile. The observed effect estimates were robust to sensitivity analyses. Conclusions: Municipalities with higher homicide rates have higher suicide rates and the relationship between homicide and suicide rates in Brazil exists independently of many sociodemographic and socioeconomic factors. Our results are in line with the hypothesis that changes in homicide rates lead to changes in suicide rates, although a causal association cannot be established from this study. Suicide and homicide rates have increased in Brazil despite increased community mental health support and incarceration, respectively; therefore, new avenues for intervention are needed. The identification of a positive relationship between homicide and suicide rates suggests that population-based interventions to reduce homicide rates may also reduce suicide rates in Brazil.engBMJ Publishing GroupAssociaçãoSaúde mentalFatores socioeconômicosEstimativas de populaçãoSuicídioBrasilAssociationMental healthSocioeconomic factorsPopulation estimatesSuicideBrazilAssociation between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalitiesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83097https://www.arca.fiocruz.br/bitstream/icict/46058/1/license.txt36b51ef91c52b5338d9d29ba0cc807bcMD51ORIGINALMACHADO et al Association between homicide.. v.10 pg. 1-6.pdfMACHADO et al Association between homicide.. v.10 pg. 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| dc.title.pt_BR.fl_str_mv |
Association between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalities |
| title |
Association between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalities |
| spellingShingle |
Association between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalities Machado, Daiane Borges Associação Saúde mental Fatores socioeconômicos Estimativas de população Suicídio Brasil Association Mental health Socioeconomic factors Population estimates Suicide Brazil |
| title_short |
Association between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalities |
| title_full |
Association between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalities |
| title_fullStr |
Association between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalities |
| title_full_unstemmed |
Association between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalities |
| title_sort |
Association between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalities |
| author |
Machado, Daiane Borges |
| author_facet |
Machado, Daiane Borges McDonald, Keltie Araujo, Luis F. S. Castro de Devakumar, Delan Alves, Flávia Jôse Oliveira Kiss, Lígia Lewis, Glyn Barreto, Mauricio Lima |
| author_role |
author |
| author2 |
McDonald, Keltie Araujo, Luis F. S. Castro de Devakumar, Delan Alves, Flávia Jôse Oliveira Kiss, Lígia Lewis, Glyn Barreto, Mauricio Lima |
| author2_role |
author author author author author author author |
| dc.contributor.author.fl_str_mv |
Machado, Daiane Borges McDonald, Keltie Araujo, Luis F. S. Castro de Devakumar, Delan Alves, Flávia Jôse Oliveira Kiss, Lígia Lewis, Glyn Barreto, Mauricio Lima |
| dc.subject.other.pt_BR.fl_str_mv |
Associação Saúde mental Fatores socioeconômicos Estimativas de população Suicídio Brasil |
| topic |
Associação Saúde mental Fatores socioeconômicos Estimativas de população Suicídio Brasil Association Mental health Socioeconomic factors Population estimates Suicide Brazil |
| dc.subject.en.pt_BR.fl_str_mv |
Association Mental health Socioeconomic factors Population estimates Suicide Brazil |
| description |
Medical Research Council (MC_PC_MR/R018677/1) |
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2020 |
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2020 |
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2021-02-12T13:21:00Z |
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2021-02-12T13:21:00Z |
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MACHADO, Daiane Borges et al. Association between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalities. BMJ Open, v. 10, p. 1-15, 4 Nov. 2020. |
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https://www.arca.fiocruz.br/handle/icict/46058 |
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2044-6055 |
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10.1136/bmjopen-2020-040069 |
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2044-6055 |
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MACHADO, Daiane Borges et al. Association between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalities. BMJ Open, v. 10, p. 1-15, 4 Nov. 2020. 2044-6055 10.1136/bmjopen-2020-040069 |
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