Global, regional, and national burden of suicide mortality 1990 to 2016 : systematic analysis for the Global Burden of Disease Study 2016

Detalhes bibliográficos
Autor(a) principal: Naghavi, Mohsen
Data de Publicação: 2019
Outros Autores: Kieling, Christian Costa, Global Burden of Disease Self-Harm Collaborators
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFRGS
Texto Completo: http://hdl.handle.net/10183/203975
Resumo: OBJECTIVES To use the estimates from the Global Burden of Disease Study 2016 to describe patterns of suicide mortality globally, regionally, and for 195 countries and territories by age, sex, and Socio-demographic index, and to describe temporal trends between 1990 and 2016. DESIGN Systematic analysis. MAIN OUTCOME MEASURES Crude and age standardised rates from suicide mortality and years of life lost were compared across regions and countries, and by age, sex, and Sociodemographic index (a composite measure of fertility, income, and education). RESULTS The total number of deaths from suicide increased by 6.7% (95% uncertainty interval 0.4% to 15.6%) globally over the 27 year study period to 817000 (762000 to 884000) deaths in 2016. However, the age standardised mortality rate for suicide decreased by 32.7% (27.2% to 36.6%) worldwide between 1990 and 2016, similar to the decline in the global age standardised mortality rate of 30.6%. Suicide was the leading cause of age standardised years of life lost in the Global Burden of Disease region of high income Asia Pacific and was among the top 10 leading causes in eastern Europe, central Europe, western Europe, central Asia, Australasia, southern Latin America, and high income North America. Rates for men were higher than for women across regions, countries, and age groups, except for the 15 to 19 age group. There was variation in the female to male ratio, with higher ratios at lower levels of Socio-demographic index. Women experienced greater decreases in mortality rates (49.0%, 95% uncertainty interval 42.6% to 54.6%) than men (23.8%, 15.6% to 32.7%). CONCLUSIONS Age standardised mortality rates for suicide have greatly reduced since 1990, but suicide remains an important contributor to mortality worldwide. Suicide mortality was variable across locations, between sexes, and between age groups. Suicide prevention strategies can be targeted towards vulnerable populations if they are informed by variations in mortality rates.
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spelling Naghavi, MohsenKieling, Christian CostaGlobal Burden of Disease Self-Harm Collaborators2019-12-28T04:01:52Z20190959-8146http://hdl.handle.net/10183/203975001106577OBJECTIVES To use the estimates from the Global Burden of Disease Study 2016 to describe patterns of suicide mortality globally, regionally, and for 195 countries and territories by age, sex, and Socio-demographic index, and to describe temporal trends between 1990 and 2016. DESIGN Systematic analysis. MAIN OUTCOME MEASURES Crude and age standardised rates from suicide mortality and years of life lost were compared across regions and countries, and by age, sex, and Sociodemographic index (a composite measure of fertility, income, and education). RESULTS The total number of deaths from suicide increased by 6.7% (95% uncertainty interval 0.4% to 15.6%) globally over the 27 year study period to 817000 (762000 to 884000) deaths in 2016. However, the age standardised mortality rate for suicide decreased by 32.7% (27.2% to 36.6%) worldwide between 1990 and 2016, similar to the decline in the global age standardised mortality rate of 30.6%. Suicide was the leading cause of age standardised years of life lost in the Global Burden of Disease region of high income Asia Pacific and was among the top 10 leading causes in eastern Europe, central Europe, western Europe, central Asia, Australasia, southern Latin America, and high income North America. Rates for men were higher than for women across regions, countries, and age groups, except for the 15 to 19 age group. There was variation in the female to male ratio, with higher ratios at lower levels of Socio-demographic index. Women experienced greater decreases in mortality rates (49.0%, 95% uncertainty interval 42.6% to 54.6%) than men (23.8%, 15.6% to 32.7%). CONCLUSIONS Age standardised mortality rates for suicide have greatly reduced since 1990, but suicide remains an important contributor to mortality worldwide. Suicide mortality was variable across locations, between sexes, and between age groups. Suicide prevention strategies can be targeted towards vulnerable populations if they are informed by variations in mortality rates.application/pdfengBMJ. Vol. 364, no. l94 (2019), 11 p.MortalidadeSuicídioEpidemiologiaDistribuição por idade e sexoComparação transculturalCarga global da doençaSaúde globalFatores socioeconômicosGlobal, regional, and national burden of suicide mortality 1990 to 2016 : systematic analysis for the Global Burden of Disease Study 2016Estrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001106577.pdf.txt001106577.pdf.txtExtracted Texttext/plain60959http://www.lume.ufrgs.br/bitstream/10183/203975/3/001106577.pdf.txtc291ffb9b44547af04fb619dec39c8e8MD53001106577-02.pdf.txt001106577-02.pdf.txtExtracted Texttext/plain42868http://www.lume.ufrgs.br/bitstream/10183/203975/4/001106577-02.pdf.txt228fa6a42efca916fb3f54a174830a54MD54ORIGINAL001106577.pdfENapplication/pdf12953391http://www.lume.ufrgs.br/bitstream/10183/203975/1/001106577.pdfa06a231511c3c2b31d49b8a3367dab66MD51001106577-02.pdfAnexosapplication/pdf199463http://www.lume.ufrgs.br/bitstream/10183/203975/2/001106577-02.pdf04291fffc5fddc46c3223e9dd9391efcMD5210183/2039752019-12-29 05:03:23.376086oai:www.lume.ufrgs.br:10183/203975Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2019-12-29T07:03:23Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false
dc.title.pt_BR.fl_str_mv Global, regional, and national burden of suicide mortality 1990 to 2016 : systematic analysis for the Global Burden of Disease Study 2016
title Global, regional, and national burden of suicide mortality 1990 to 2016 : systematic analysis for the Global Burden of Disease Study 2016
spellingShingle Global, regional, and national burden of suicide mortality 1990 to 2016 : systematic analysis for the Global Burden of Disease Study 2016
Naghavi, Mohsen
Mortalidade
Suicídio
Epidemiologia
Distribuição por idade e sexo
Comparação transcultural
Carga global da doença
Saúde global
Fatores socioeconômicos
title_short Global, regional, and national burden of suicide mortality 1990 to 2016 : systematic analysis for the Global Burden of Disease Study 2016
title_full Global, regional, and national burden of suicide mortality 1990 to 2016 : systematic analysis for the Global Burden of Disease Study 2016
title_fullStr Global, regional, and national burden of suicide mortality 1990 to 2016 : systematic analysis for the Global Burden of Disease Study 2016
title_full_unstemmed Global, regional, and national burden of suicide mortality 1990 to 2016 : systematic analysis for the Global Burden of Disease Study 2016
title_sort Global, regional, and national burden of suicide mortality 1990 to 2016 : systematic analysis for the Global Burden of Disease Study 2016
author Naghavi, Mohsen
author_facet Naghavi, Mohsen
Kieling, Christian Costa
Global Burden of Disease Self-Harm Collaborators
author_role author
author2 Kieling, Christian Costa
Global Burden of Disease Self-Harm Collaborators
author2_role author
author
dc.contributor.author.fl_str_mv Naghavi, Mohsen
Kieling, Christian Costa
Global Burden of Disease Self-Harm Collaborators
dc.subject.por.fl_str_mv Mortalidade
Suicídio
Epidemiologia
Distribuição por idade e sexo
Comparação transcultural
Carga global da doença
Saúde global
Fatores socioeconômicos
topic Mortalidade
Suicídio
Epidemiologia
Distribuição por idade e sexo
Comparação transcultural
Carga global da doença
Saúde global
Fatores socioeconômicos
description OBJECTIVES To use the estimates from the Global Burden of Disease Study 2016 to describe patterns of suicide mortality globally, regionally, and for 195 countries and territories by age, sex, and Socio-demographic index, and to describe temporal trends between 1990 and 2016. DESIGN Systematic analysis. MAIN OUTCOME MEASURES Crude and age standardised rates from suicide mortality and years of life lost were compared across regions and countries, and by age, sex, and Sociodemographic index (a composite measure of fertility, income, and education). RESULTS The total number of deaths from suicide increased by 6.7% (95% uncertainty interval 0.4% to 15.6%) globally over the 27 year study period to 817000 (762000 to 884000) deaths in 2016. However, the age standardised mortality rate for suicide decreased by 32.7% (27.2% to 36.6%) worldwide between 1990 and 2016, similar to the decline in the global age standardised mortality rate of 30.6%. Suicide was the leading cause of age standardised years of life lost in the Global Burden of Disease region of high income Asia Pacific and was among the top 10 leading causes in eastern Europe, central Europe, western Europe, central Asia, Australasia, southern Latin America, and high income North America. Rates for men were higher than for women across regions, countries, and age groups, except for the 15 to 19 age group. There was variation in the female to male ratio, with higher ratios at lower levels of Socio-demographic index. Women experienced greater decreases in mortality rates (49.0%, 95% uncertainty interval 42.6% to 54.6%) than men (23.8%, 15.6% to 32.7%). CONCLUSIONS Age standardised mortality rates for suicide have greatly reduced since 1990, but suicide remains an important contributor to mortality worldwide. Suicide mortality was variable across locations, between sexes, and between age groups. Suicide prevention strategies can be targeted towards vulnerable populations if they are informed by variations in mortality rates.
publishDate 2019
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dc.relation.ispartof.pt_BR.fl_str_mv BMJ. Vol. 364, no. l94 (2019), 11 p.
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