Suicide in Brazilian indigenous communities: clustering of cases in children and adolescents by household
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/145989 |
Resumo: | OBJECTIVE: To estimate age and sex-specific suicide rates, compare suicide rates between indigenous communities, and quantify the frequency of intrafamilial suicide clustering. METHODS: We performed a retrospective cohort study involving 14,666 indigenous individuals in reservations in Dourados, state of Mato Grosso do Sul, Brazil, from 2003 through 2013 using national and local census. RESULTS: The overall suicide rate was 73.4 per 100,000 person-years. Adolescent males aged 15–19 and girls aged 10–14 had the highest rates for each sex at 289.3 (95%CI 187.5–391.2) and 85.3 (95%CI 34.9–135.7), respectively. Comparing the largest reservations, Bororo had a higher suicide rate than Jaguapiru (RR = 4.83, 95%CI 2.85–8.16) and had significantly lower socioeconomic indicators including income and access to electricity. Nine of 19 suicides among children under 15 occurred in household clusters. Compared with adult suicides, a greater proportion of child (OR = 5.12, 95%CI 1.89–13.86, p = 0.001) and adolescent (OR = 3.48, 95%CI 1.29–9.44, p = 0.017) suicides occurred within household clusters. CONCLUSIONS: High rates of suicide occur among children and adolescents in these indigenous reservations, particularly in poor communities. Nearly half of child suicides occur within household clusters. These findings underscore the need for broad public health interventions and focused mental health interventions in households following a suicide. |
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Revista de Saúde Pública |
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|
spelling |
Suicide in Brazilian indigenous communities: clustering of cases in children and adolescents by householdSuicide. Child. Adolescent. Health of Indigenous Peoples. Mental Health. Health Vulnerability. Cohort Studies.OBJECTIVE: To estimate age and sex-specific suicide rates, compare suicide rates between indigenous communities, and quantify the frequency of intrafamilial suicide clustering. METHODS: We performed a retrospective cohort study involving 14,666 indigenous individuals in reservations in Dourados, state of Mato Grosso do Sul, Brazil, from 2003 through 2013 using national and local census. RESULTS: The overall suicide rate was 73.4 per 100,000 person-years. Adolescent males aged 15–19 and girls aged 10–14 had the highest rates for each sex at 289.3 (95%CI 187.5–391.2) and 85.3 (95%CI 34.9–135.7), respectively. Comparing the largest reservations, Bororo had a higher suicide rate than Jaguapiru (RR = 4.83, 95%CI 2.85–8.16) and had significantly lower socioeconomic indicators including income and access to electricity. Nine of 19 suicides among children under 15 occurred in household clusters. Compared with adult suicides, a greater proportion of child (OR = 5.12, 95%CI 1.89–13.86, p = 0.001) and adolescent (OR = 3.48, 95%CI 1.29–9.44, p = 0.017) suicides occurred within household clusters. CONCLUSIONS: High rates of suicide occur among children and adolescents in these indigenous reservations, particularly in poor communities. Nearly half of child suicides occur within household clusters. These findings underscore the need for broad public health interventions and focused mental health interventions in households following a suicide.Universidade de São Paulo. Faculdade de Saúde Pública2018-05-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/14598910.11606/S1518-8787.2018052000541Revista de Saúde Pública; Vol. 52 (2018); 56Revista de Saúde Pública; Vol. 52 (2018); 56Revista de Saúde Pública; v. 52 (2018); 561518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/145989/139790https://www.revistas.usp.br/rsp/article/view/145989/148358Copyright (c) 2018 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessLazzarini, Thomas AdrianoGonçalves, Crhistinne Cavalheiro MaymoneBenites, Walter MartinsSilva, Liliane Ferreira daTsuha, Daniel HenriqueKo, Albert IcksangRohrbaugh, RobertAndrews, Jason RandolphCroda, Julio2018-07-20T11:44:53Zoai:revistas.usp.br:article/145989Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2018-07-20T11:44:53Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Suicide in Brazilian indigenous communities: clustering of cases in children and adolescents by household |
title |
Suicide in Brazilian indigenous communities: clustering of cases in children and adolescents by household |
spellingShingle |
Suicide in Brazilian indigenous communities: clustering of cases in children and adolescents by household Lazzarini, Thomas Adriano Suicide. Child. Adolescent. Health of Indigenous Peoples. Mental Health. Health Vulnerability. Cohort Studies. |
title_short |
Suicide in Brazilian indigenous communities: clustering of cases in children and adolescents by household |
title_full |
Suicide in Brazilian indigenous communities: clustering of cases in children and adolescents by household |
title_fullStr |
Suicide in Brazilian indigenous communities: clustering of cases in children and adolescents by household |
title_full_unstemmed |
Suicide in Brazilian indigenous communities: clustering of cases in children and adolescents by household |
title_sort |
Suicide in Brazilian indigenous communities: clustering of cases in children and adolescents by household |
author |
Lazzarini, Thomas Adriano |
author_facet |
Lazzarini, Thomas Adriano Gonçalves, Crhistinne Cavalheiro Maymone Benites, Walter Martins Silva, Liliane Ferreira da Tsuha, Daniel Henrique Ko, Albert Icksang Rohrbaugh, Robert Andrews, Jason Randolph Croda, Julio |
author_role |
author |
author2 |
Gonçalves, Crhistinne Cavalheiro Maymone Benites, Walter Martins Silva, Liliane Ferreira da Tsuha, Daniel Henrique Ko, Albert Icksang Rohrbaugh, Robert Andrews, Jason Randolph Croda, Julio |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Lazzarini, Thomas Adriano Gonçalves, Crhistinne Cavalheiro Maymone Benites, Walter Martins Silva, Liliane Ferreira da Tsuha, Daniel Henrique Ko, Albert Icksang Rohrbaugh, Robert Andrews, Jason Randolph Croda, Julio |
dc.subject.por.fl_str_mv |
Suicide. Child. Adolescent. Health of Indigenous Peoples. Mental Health. Health Vulnerability. Cohort Studies. |
topic |
Suicide. Child. Adolescent. Health of Indigenous Peoples. Mental Health. Health Vulnerability. Cohort Studies. |
description |
OBJECTIVE: To estimate age and sex-specific suicide rates, compare suicide rates between indigenous communities, and quantify the frequency of intrafamilial suicide clustering. METHODS: We performed a retrospective cohort study involving 14,666 indigenous individuals in reservations in Dourados, state of Mato Grosso do Sul, Brazil, from 2003 through 2013 using national and local census. RESULTS: The overall suicide rate was 73.4 per 100,000 person-years. Adolescent males aged 15–19 and girls aged 10–14 had the highest rates for each sex at 289.3 (95%CI 187.5–391.2) and 85.3 (95%CI 34.9–135.7), respectively. Comparing the largest reservations, Bororo had a higher suicide rate than Jaguapiru (RR = 4.83, 95%CI 2.85–8.16) and had significantly lower socioeconomic indicators including income and access to electricity. Nine of 19 suicides among children under 15 occurred in household clusters. Compared with adult suicides, a greater proportion of child (OR = 5.12, 95%CI 1.89–13.86, p = 0.001) and adolescent (OR = 3.48, 95%CI 1.29–9.44, p = 0.017) suicides occurred within household clusters. CONCLUSIONS: High rates of suicide occur among children and adolescents in these indigenous reservations, particularly in poor communities. Nearly half of child suicides occur within household clusters. These findings underscore the need for broad public health interventions and focused mental health interventions in households following a suicide. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-05-08 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/145989 10.11606/S1518-8787.2018052000541 |
url |
https://www.revistas.usp.br/rsp/article/view/145989 |
identifier_str_mv |
10.11606/S1518-8787.2018052000541 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/145989/139790 https://www.revistas.usp.br/rsp/article/view/145989/148358 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 52 (2018); 56 Revista de Saúde Pública; Vol. 52 (2018); 56 Revista de Saúde Pública; v. 52 (2018); 56 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221799812694016 |