Predictors of recurrence of self-harm and suicide deaths in a Brazilian state

• Autor(a) principal: Sousa, Nágella Thaysa Bier de
• Data de Publicação: 2021
• Outros Autores: Teixeira, Letícia Oliveira Othon, Vedana, Kelly Graziani Giacchero, Miasso, Adriana Inocenti
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/12142
• topic: Suicide Attempt; Suicide; Mental Health; Self-injurious behavior.; Intento de suicidio; Suicidio; Salud mental; Conducta autodestructiva.; Tentativa de Suicídio;; Suicídio;; Saúde Mental;; Comportamento autodestrutivo.

Objectives: to characterize self-harm and to investigate sociodemographic and clinical predictors for recurrence of self-harm and death by suicide in the State of Mato Grosso Methods: This is a cross-sectional, analytical study with a quantitative approach, which included all cases of self-harm. and suicide deaths recorded in health information systems. Logistic regression models were developed to analyze the predictors of the outcomes of interest. Results: The results revealed 1507 notifications of self-harm, with 1443 people having only one self-harm and 29 people with recurrence of such injuries. Of the 1472 people with self-harm in the first notification, 424 died. There was a greater chance of recurrence of self-harm in people aged 10 to 19 years (OR 2.28, 95% CI 1.09 - 4.79), with some type of disability or disorder (OR 1.85, 95 CI % 1.13 - 3.03). A lower chance of death by suicide was identified in people aged 10 to 19 years (OR 0.06, 95% CI 0.02 - 0.17), and from 20 to 59 years old (OR 0.23, 95 CI % 0.10 - 0.54), with up to eight years of schooling (OR 0.23, 95% CI 0.15 - 0.36), women (OR 0.21, 95% CI 0.13 - 0, 32) and intentional autointoxication by medication (OR 0.17, 95% CI 0.08 - 0.38). Conclusion: This study provides subsidies for population health surveillance strategies for suicide prevention, in addition to indicating the need for actions that promote adequate notification by the instruments available in health services.