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1.
Rev. habanera cienc. méd ; 20(4): e3967, 2021. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1289628

ABSTRACT

Introducción: el suicidio es un grave problema de salud pública mundial, más de 800,000 personas se suicidan cada año y entre 10 y 20 millones lo intentan cada año. Ha sido considerado como una conducta prevenible y el intento es un predictor clínicamente relevante que está presente en un tercio de los suicidios consumados, así como padecer un trastorno mental es otro factor de riesgo para el suicido. Objetivo: determinar la relación entre los intentos de suicidio y los trastornos mentales. Material y Métodos: se realizó una búsqueda en las bases de datos; Dialnet, Redalyc, Scielo, Biblioteca Virtual en Salud (BVS), PubMed, Science Direct y Google Académico, en español e inglés y limitada a las publicaciones entre 01 de enero 2010 y 31 de diciembre de 2020. Desarrollo: la prevalencia de vida del intento de suicidio en pacientes con Trastorno Bipolar es del 33,9 por ciento, en pacientes con Trastorno Depresivo Mayor es del 31 por ciento, y en pacientes con Esquizofrenia es del 26,8 por ciento. Conclusiones: los pacientes con trastorno bipolar y trastorno depresivo mayor, presentan mayor porcentaje de intentos de suicidio. Aunado a una comorbilidad psiquiátrica (consumo de alcohol, consumo de tabaco y trastorno de la personalidad límite), más intentos de suicidio previos, aumenta el riesgo del comportamiento suicida(AU)


Introduction: Suicide is a serious global public health problem. More than 800,000 people commit suicide every year and between 10 and 20 million people attempt suicide annually. Suicide has been considered a preventable behavior and suicide attempt is a clinically relevant predictor which is present in one-third of consummated suicides. Besides, having a mental disorder is another risk factor for suicide. Objective: To determine the relationship between suicide attempts and mental disorders such as depressive and anxiety disorders, bipolar disorder, substance-related disorders, schizophrenia and other psychotic disorders, personality disorders, and eating disorders. Material and Methods: A search was performed in Dialnet, Redalyc, Scielo, Virtual Health Library (VHL), PubMed, Science Direct, and Google Scholar databases in Spanish and English. It was limited to publications between January 1, 2010 and December 31, 2020. Development: The lifetime prevalence of suicide attempt is 31 percent in patients with Bipolar Disorder; 33,9 percent in patients with Major Depressive Disorder and 26.8 percent in patients with Schizophrenia. Conclusions: Patients with bipolar disorder and major depressive disorder have higher rates of suicide attempts. Coupled with psychiatric comorbidity (alcohol consumption, smoking, borderline personality disorder), more previous suicide attempts increase the risk of suicidal behavior(AU)


Subject(s)
Humans , Male , Female , Suicide/psychology , Suicide, Attempted/psychology , Behavior , Bipolar Disorder/prevention & control , Comorbidity , Depressive Disorder, Major , Mental Disorders , Suicide, Attempted/prevention & control , Suicide, Attempted/statistics & numerical data , Prevalence , Risk Factors
2.
Rev. urug. enferm ; 16(1): 1-11, mar. 2021.
Article in Spanish | LILACS, BDENF, BNUY | ID: biblio-1283491

ABSTRACT

El suicidio es una de las primeras causas de muerte violenta en los jóvenes a nivel mundial y la situación de privación de libertad lo incrementa. La etapa de ingreso a la prisión es uno de los momentos de mayor riesgo y también en la etapa de pre egreso, ésta última probablemente vinculada a la ansiedad y expectativas de retorno a un medio vulnerable y de incertidumbre. El objetivo del presente trabajo fue determinar el efecto de la etapa de pre egreso sobre el intento de suicidio grave en adolescentes varones y mujeres privados de libertad en Uruguay durante el año 2017. Se realizó una investigación no experimental, de estudio de casos transversal, correlacional retrospectivo y se analizaron los episodios de intento de suicidio en relación a la fecha de egreso de la prisión. Se identificaron 39 episodios en varones y 22 en mujeres, todos entre 14 a 18 años, edad promedio 15.94 (DE = 1.17). Los resultados muestran que la etapa de pre egreso aumenta 1.7 (0.9 ­ 3.0) veces el riesgo de intento de suicidio en jóvenes privados de libertad y que las mujeres poseen 34 veces más (17.5-68.2) riesgo de suicidio que los varones en esa condición.


Suicide is one of the leading causes of violent death in adolescence and youth in the world, and incarceration increases it. The stage of entering the prison is one of the moments of greatest risk and also in the before release stage, which may be linked to anxiety and expectations of return to a vulnerable environment and uncertainty. The objective of this work was to determine the eff ect of the pre release stage on crittical suicide attempts in young imprisoned in Uruguay during 2017. A non-experimental, cross-sectional, retrospective correlational case study was conducted and episodes of attempted suicide were analyzed in relation to the date of release from prison. Were identified 39 episodes in men and 22 in women between 14 to 18 years old, whit an average age of 15.94 (SD = 1.17). The results show that the pre release stage increases the risk of suicide attempt among young people imprisioned by 1.7 (0.9 - 3.0) times and women have 34 times more than men (17.5-68.2) suicide risk in this condition.


O suicídio é uma das principais causas de morte violenta na adolescência e juventude no mundo, e o encarceramento o agrava. A prisão geralmente predispõe ao suicídio no estágio de admissão e também no estágio anterior à liberação, o que pode estar ligado à ansiedade e às expectativas de retorno a um ambiente violento e vulnerável. O objetivo do presente trabalho foi determinar o efeito da fase de pre-liberação na tentativa de suicídio grave em adolescentes privados de liberdade no Uruguai durante 2017. Foi realizada uma investigação de estudo de caso correlacional retrospectivo, não experimental, transversal, e os episódios de tentativa de suicídio foram analisados em relação à data da libertação da prisão. Foram identifi cados 39 episódios em homens e 22 em mulheres, todos com idade entre 14 e 18 anos, idade média 15,94 (DP = 1,17). Os resultados mostram que a fase anterior à liberação aumenta 1,7 (0,9 - 3,0) vezes o risco de tentativa de suicídio em jovens privados de liberdade e que as mulheres têm 34 vezes mais (17,5-68,2) risco de suicídio que os homens nessa condição.


Subject(s)
Humans , Male , Female , Adolescent , Prisoners , Suicide, Attempted/statistics & numerical data , Adolescent Behavior , Uruguay/epidemiology , Cross-Sectional Studies , Retrospective Studies
3.
Rev. bras. educ. méd ; 45(2): e061, 2021. tab
Article in English | LILACS | ID: biblio-1180906

ABSTRACT

Abstract: Introduction: Generalized anxiety disorder (GAD) is a common pathology in modern life. Furthermore, Brazil ranks among one of the countries in Latin America with the highest increase in the number of suicides. Objective: The goal of this study is to evaluate the prevalence of GAD and suicide risk and their association in medical students from Belém - PA. Methods: The observational, cross-sectional and quantitative study included undergraduate medical students attending the 1st, 3rd and 5th years of Universidade do Estado do Pará as subjects of this research, totaling 153 students. It used a protocol created by the authors and the Mini International Neuropsychiatric Interview. The software BioEstat® 5.3 was used to perform the statistical analysis. Results: 52 (32,7%) of the 159 students have GAD and 48 (30,2%) pose a suicide risk, of which 18 have a mild risk (11,3%), 17 a moderate risk (10,7%) and 13 a high risk (8,2%). 46,7% and 50% of the 1st and 3rd-year students, respectively, have higher risk of suicide, which could be related to the competition faced during the University admission process and also during the first years of the clinical cycle. Of the 5th year students who pose a suicide risk, only 21,7% have high risk. Conclusion: It can be observed that GAD and suicide risk show high prevalence among medical students, which has to be investigated and treated aiming to reduce the impacts of those disorders on health professionals and students.


Resumo: Introdução: O transtorno de ansiedade generalizada (TAG) é uma patologia comum da modernidade. Além disso, o Brasil figura entre um dos países da América Latina com o maior aumento do número de suicídios. Objetivo: Este estudo teve como objetivo avaliar a prevalência de TAG e risco de suicídio e a associação entre eles em estudantes de Medicina de Belém, no Pará. Métodos: O estudo observacional, transversal e quantitativo teve como sujeitos da pesquisa graduandos do curso de Medicina que estavam matriculados no primeiro, terceiro e quinto anos na Universidade do Estado do Pará, totalizando 159. Utilizaram-se questionário de autoria dos pesquisadores e o Mini International Neurophsychiatric Interview, sendo a análise estatística feita com o software BioEstat® 5.3. Resultados: Dos 159 estudantes, 52 (32,7%) apresentaram TAG; e 48 (30,2%), risco de suicídio, dos quais 18 tiveram risco leve (11,3%); 17, risco moderado (10,7%); e 13, risco elevado (8,2%). Dos alunos, 46,7% e 50%, respectivamente do primeiro e terceiro anos, apresentaram risco elevado de suicídio, fato que pode estar associado com a pressão do vestibular e do início do ciclo clínico. Dos alunos do quinto ano com risco de suicídio, somente 21,7% apresentaram risco elevado. Conclusão: Percebe-se uma importante taxa de TAG e de risco de suicídio entre os estudantes de Medicina, o que precisa ser investigado e trabalhado para minimizar os impactos desses transtornos nos discentes.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Anxiety Disorders/epidemiology , Suicide, Attempted/statistics & numerical data , Anxiety Disorders/psychology , Socioeconomic Factors , Suicide, Attempted/psychology , Brazil/epidemiology , Sex Factors , Prevalence , Cross-Sectional Studies , Age Factors
4.
Article in Portuguese | LILACS | ID: biblio-1359391

ABSTRACT

RESUMO: Objetivo: Descrever o perfil epidemiológico sobre tentativas e mortes por suicídio no Brasil. Método: Pesquisa retrospectiva, quantitativa, com dados obtidos em setembro de 2020 no banco de dados do Departamento de Informática do Sistema Único de Saúde do Brasil. Resultados: Aumento gradual no número de notificações de violência autoprovocada de 497,5% entre 2011 e 2018. Para tentativa de suicídio, em 2018, mulheres foram 68,9%; entre 20 e 59 anos com 65,6%; 49,4% em pessoas brancas. Quanto ao suicídio no período 2009 a 2018, 108.020 óbitos; maiores taxas no sexo masculino; dados de 2018: faixas etárias com distribuição semelhantes; maioria pessoas brancas (49,2%) e pardas (42,8%), há importantes diferenças regionais; em 2017 e 2018 maior percentual proporcional em pessoas com 8 a 11 anos de estudo, 33,1 e 35,6%. Conclusão: Aumento crescente nas taxas de tentativa de suicídio e suicídio, com especificidades por região e estado brasileiros; aumento na morte de indígenas, homens, brancos, solteiros, separados e viúvos, com mais anos de escolaridade, em todas as faixas etárias, morte em casa, método de enforcamento. (AU)


ABSTRACT: Objective: Describe the epidemiological profile of suicide attempts and deaths in Brazil. Method: Retrospective, quantitative research, data obtained in September 2020 in the database of the Department of Informatics of the Brazilian Unified Health System. Results: Gradual increase in self-harm reports by 497.5% between 2011 and 2018. In 2018, from those who attemped suicide, 68.9% were women, 65.6% were aged between 20 and 59 years; and 49.4% were white. Between 2009 and 2018, there were 108,020 deaths; higher rates among males. In data from 2018, we noted similar age groups; there were important regional differences mostly among white (49.2%) and brown (42.8%); in 2017 and 2018, we noted the highest proportional percentage in people with 8 to 11 years of study: 33.1 and 35.6%, respectively. Conclusion: Increase in suicide attempt and suicide rates, according to Brazilian regions and states. Increase in the death of indigenous people; white people; men; in those single, divorced, and widowed; with more years of schooling; from all age groups; who died at home by hanging. (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Suicide/statistics & numerical data , Suicide, Attempted/statistics & numerical data , Epidemiology , Age Groups
5.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 12: 447-453, jan.-dez. 2020. graf, tab
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1052980

ABSTRACT

Objetivo: caracterizar as tentativas de suicídio notificadas em um hospital de ensino no estado do Rio Grande do Sul, Brasil. Método: pesquisa quantitativa e retrospectiva, que foi realizada no Núcleo de Vigilância Epidemiológica de um hospital de ensino, a partir da análise de notificações de tentativa de suicídio registradas entre os anos de 2014 e 2016. Os dados foram analisados segundo estatística descritiva. Resultados: registraram-se 344 notificações de tentativa de suicídio, com uma tendência decrescente no período. As características foram predominantes para o sexo feminino (65,1%), faixa etária de 25 a 59 anos (67,7%), e meio de autoagressão por intoxicação exógena (61,6%). Para 93% das pessoas que tentaram suicídio registrou-se alguma deficiência ou transtorno associado. Conclusão: a tendência decrescente de notificações precisa ser esclarecida, uma vez que os números de suicídios ascendem em nível estadual e nacional. Dar visibilidade a esse panorama possibilita a instrumentalização da gestão


Objective: to characterize the suicide attempts reported in a teaching hospital in the state of Rio Grande do Sul, Brazil. Method: a quantitative and retrospective study that was carried int the Center for Epidemiological Surveillance of a teaching hospital, based on the analysis of reports of attempted suicide recorded between the years 2014 and 2016. The analysis of the data occurred according to descriptive statistics. Results: there were 344 reports of attempted suicide, with a decreasing trend in the period. The characteristics were predominant for females (65,1%), aged between 25 and 59 years (67,7%), and self-harm due to exogenous intoxication (61,6%). For 93% of those who attempted suicide there was some associated disability or disorder. Conclusion: the declining trend of reporting needs to be clarified, as suicide numbers rise at the state and national levels. Giving visibility to this scenario enables the instrumentalization of management


Objetivos: caracterizar los intentos de suicidio notificados en un hospital de enseñanza en el estado del Rio Grande do Sul, Brasil. Método: investigación cuantitativa y retrospectiva, que fue realizada en el Núcleo de Vigilancia Epidemiológica de un hospital de enseñanza, por la análisis de notificaciones de intento de suicidio registradas entre los años 2014 y 2016. Los datos fueron analizados según estadística descriptiva. Resultados: se registraron 344 notificaciones de intento de suicidio, con una tendencia decreciente en el período. Las características fueron predominantes para el sexo femenino (65,1%), grupo de edad de 25 a 59 años (67,7%), y autoagresión por intoxicación exógena (61,6%). Para 93% de las personas que intentaron suicidio se registró alguna deficiencia o trastorno asociado. Conclusión: la tendencia decreciente de notificaciones debe ser aclarada, ya que los números de suicidios ascienden a nivel estatal y nacional. Dar visibilidad a ese panorama posibilita la instrumentalización de la gestión


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Suicide/statistics & numerical data , Suicide, Attempted/statistics & numerical data , Epidemiological Monitoring , Hospitals, University , Mental Health , Retrospective Studies , Disease Notification/statistics & numerical data
6.
Rev. bras. epidemiol ; 23: e200024, 2020. tab, graf
Article in Portuguese | LILACS | ID: biblio-1101598

ABSTRACT

Resumo: Introdução: As intoxicações por agrotóxicos causam elevada morbimortalidade. A vigilância é necessária da produção até o uso desses produtos. Objetivo: Analisar as intoxicações e os fatores associados à letalidade por agrotóxicos. Método: Trata-se de estudo caso controle baseado nos atendimentos de intoxicação por agrotóxicos realizados em 2017 por centros de informação e assistência toxicológica do Brasil. Pacientes que evoluíram a óbito compuseram o grupo caso, e os sobreviventes, o grupo controle. Calculou-se odds ratio (OR) dos fatores de risco para óbito, com intervalo de confiança (IC) de 95%. Com base no modelo de regressão, desenvolveu-se um modelo preditivo de morte, estratificado por faixa etária, sexo e contexto ocupacional, para investigação do risco dos trabalhadores agropecuários intoxicados por agentes extremamente tóxicos. Resultados: Identificaram-se 3.826 pacientes intoxicados por agrotóxicos, dos quais 146 evoluíram para óbito. Idosos (OR = 4,94; IC95% 2,49 - 9,80), homens (OR = 1,68; IC95% 1,15 - 2,46), trabalhadores do setor agropecuário (OR = 2,20; IC95% 1,15 - 4,24), tentativas de suicídio (OR = 13,27; IC95% 6,48 - 27,19) e exposição a produtos extremamente tóxicos (OR = 2,77; IC95% 1,84 - 4,16) apresentaram mais chances de óbito nas intoxicações por agrotóxicos. Conclusão: Em cada 100 intoxicações por agrotóxicos, quatro evoluíram para óbito. Idosos, homens, trabalho no setor agropecuário, tentativas de suicídio e produtos extremamente tóxicos apresentaram mais chances de óbito.


ABSTRACT: Background: Pesticide poisoning causes high morbidity and mortality. Surveillance is required for post-marketing monitoring of these products. Aim: To assess poisonings and associated factors with lethality by pesticides. Method: This is a case-control study based on the cases of pesticide poisoning assisted in 2017 by Brazilian Poison Control Centers. Patients who died were the cases and the survivors, the control. The odds ratio (OR) of death and 95% confidence interval (CI) were calculated. From the regression model, a predictive model of death was developed, stratified by age, gender and occupational context to investigate the risk of agricultural workers poisoned by extremely hazardous agents. Results: 3,826 patients poisoned by pesticides were identified, of which 146 died. Older people (OR = 4.94; 95%CI 2.49 - 9.80), males (OR = 1.68; 95%CI 1.15 - 2.46), agricultural workers (OR = 2.20; 95%CI 1.15 - 4.24), suicide attempts (OR = 13.27; 95%CI 6.48 - 27.19) and exposure to extremely hazardous products (OR = 2.77; 95%CI 1.84 - 4.16) odds of death from pesticide poisoning. Conclusion: Out of 100 pesticides poisoning, four died. Elderly, males, working in the agricultural sector, suicide attempts and extremely hazardous products had a higher risk of death.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Adult , Young Adult , Pesticides/poisoning , Poisoning/mortality , Suicide, Attempted/statistics & numerical data , Brazil/epidemiology , Case-Control Studies , Logistic Models , Sex Factors , Risk Factors , Occupational Exposure/adverse effects , Occupational Exposure/statistics & numerical data , Age Factors , Sex Distribution , Age Distribution , Agricultural Workers' Diseases/mortality , Farmers/statistics & numerical data , Middle Aged
7.
Rev. bras. epidemiol ; 23: e200010, 2020. tab
Article in Portuguese | LILACS | ID: biblio-1092612

ABSTRACT

RESUMO: Objetivo: Investigar a associação da tentativa de suicídio (TS) com o transtorno de estresse pós-traumático (TEPT), a violência por parceiro íntimo (VPI) e variáveis relacionadas aos aspectos socioeconômicos e demográficos em uma coorte de mulheres cadastradas na Estratégia Saúde da Família do Recife. Métodos: Foi realizado um estudo transversal, aninhado em um estudo de coorte prospectivo, com 644 mulheres de 18 a 49 anos, cadastradas na Estratégia Saúde da Família do Distrito Sanitário II da cidade do Recife (PE), entre julho de 2013 e dezembro de 2014. A TS foi avaliada pela pergunta "Já tentou pôr fim à sua vida?", e o TEPT, diagnosticado por meio do Post-traumatic Stress Disorder Checklist - Civilian Version (PCL-C). Foram realizadas uma modelagem hierarquizada, a aplicação do teste χ2 e a análise de resíduos padronizados. A associação das variáveis independentes com a TS foi estimada por meio de regressão logística simples e ajustada. Resultados: A prevalência da TS foi de 10,9%, e a frequência de TEPT, de 16%. As mulheres que tinham TEPT e também as que não possuíam religião tiveram maior chance de tentar o suicídio (odds ratio - OR = 5,11, intervalo de confiança de 95% - IC95% 2,9 - 8,7; OR = 1,76, IC95% 1,0 - 2,9, respectivamente). Conclusões: Houve maior risco de TS nas mulheres que tiveram TEPT e baixa adesão a uma religião. Sendo assim, compreendeu-se que o enfrentamento do TEPT se dá prevenindo esse transtorno, tratando dele e promovendo mais conhecimentos sobre ele, além do efeito agregador e protetor social que a religiosidade promove, que também podem ser estratégias de redução e prevenção da TS.


ABSTRACT: Objective: To investigate the association of suicide attempt (SA) with Post-Traumatic Stress Disorder (PSTD), Intimate Partner Violence (IPV) and variables related to socioeconomic and demographic aspects in a cohort of women enrolled in the Family Health Strategy in Recife. Methods: A cross-sectional study was carried out, nested in a prospective cohort study with 644 women aged 18 to 49 enrolled in the Family Health Strategy of the Sanitary District II of Recife, PE, between July 2013 and December 2014. The SA was evaluated by the question "Have you ever tried to end your life?" PTSD was diagnosed through the Post-traumatic Stress Disorder Checklist - Civilian Version (PCL-C). A hierarchical modeling was performed, applying the χ2 test and Standardized Waste Analysis. The association of the independent variables with SA was estimated through simple and adjusted Logistic Regression. Results: The prevalence of SA was 10.9%, and the frequency of PSTD was 16%. Women who had PTSD and those who did not have a religion showed higher risk for suicide (odds ratio - OR = 5.11, 95%CI 2.9 - 8.7, OR = 1.76, 95%CI 1.0 - 2.9 respectively). Conclusions: There was a higher risk of SA in women who had PTSD and low adherence to a religion. Thus, it was understood that coping with PTSD comes from preventing, treating and promoting greater knowledge about this disorder, in addition to aggregating and social protective effect promoted by religiosity, which can be a strategy for the reduction and prevention of SA.


Subject(s)
Humans , Female , Adolescent , Adult , Young Adult , Stress Disorders, Post-Traumatic/diagnosis , Suicide, Attempted/statistics & numerical data , Intimate Partner Violence/statistics & numerical data , Religion , Socioeconomic Factors , Stress Disorders, Post-Traumatic/psychology , Stress Disorders, Post-Traumatic/epidemiology , Suicide, Attempted/psychology , Brazil/epidemiology , Comorbidity , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Spouses , Intimate Partner Violence/psychology , Middle Aged
8.
Rev. bras. cir. plást ; 34(4): 509-516, oct.-dec. 2019. ilus, tab
Article in English, Portuguese | LILACS | ID: biblio-1047916

ABSTRACT

Introdução: O suicídio é um sério problema de saúde pública. Estima-se que para cada óbito existam 10 tentativas. Dentre os meios utilizados, as queimaduras têm destaque devido à gravidade das lesões, a alta taxa de letalidade e os grandes prejuízos funcionais, estéticos e psicológicos. As mulheres, por constituírem a maioria dos pacientes com história de tentativa de suicídio e morte por queimaduras, representam um grupo vulnerável que merece recorte para aprofundamento do estudo. Métodos: Estudo retrospectivo, de caráter descritivo de série temporal. Foi desenvolvido na Unidade Tratamento de Queimados e no Instituto de Medicina Legal em Brasília (DF), entre os anos de 2010 e 2015. Resultados: Foram identificadas 42 mulheres com história de suicídio por queimaduras, tentado ou consumado. Houve 15 óbitos relacionados diretamente à lesão térmica. Houve um predomínio da faixa etária entre 30 e 44 anos, seguida por 15 a 29 anos. Em 64,3% dos casos o evento aconteceu no DF. Em relação aos agentes etiológicos, o mais comum foi o álcool (71,4%). A média de superfície corporal queimada foi de 34,38%, sendo que as pacientes que faleceram apresentaram áreas queimadas maiores (59,53%) do que as que sobreviveram (20,4%). Conclusão: Os dados obtidos no DF corroboram informações da literatura. Apesar do progresso envolvendo manejo e tratamento dos pacientes queimados, a prevenção continua sendo a melhor atitude.


Introduction: Suicide is a serious public health problem. For every death, there are an estimated 10 suicide attempts. Among the means of suicide, burns are prominent due to the lesion severity, the high mortality rate, and the severe functional, aesthetic, and psychological damage. Women comprise the majority of patients with a history of attempting suicide and death by burns and represent a vulnerable group that deserves attention. Methods: This retrospective descriptive time-series study was performed in the Burn Treatment Unit at the Institute of Legal Medicine in Brasília, Distrito Federal (DF) between 2010 and 2015. Results: A total of 42 women with a history of suicide by burns, attempted or consummated, were identified; 15 deaths were directly related to the thermal injury. Suicide by burns was the most predominant among patients aged 30 to 44 years was observed, followed by those aged 15 to 29 years. In 64.3% of cases, the event occurred in the Brasília, Distrito Federal (DF). Alcohol was the most common etiological agent (71.4%). The average burned body surface area was 34.38%, and the patients who died presented larger burned areas (59.53%) than that in those who survived (20.4%). Conclusion: The data obtained from the Brasília, Distrito Federal (DF) corroborate information from the literature. Despite progress involving the management and treatment of burn patients, prevention remains the best strategy.


Subject(s)
Humans , Female , Adolescent , Adult , History, 21st Century , Suicide , Suicide, Attempted , Burn Units , Burns , Public Health , Essential Public Health Functions , Suicide/statistics & numerical data , Suicide, Attempted/psychology , Suicide, Attempted/statistics & numerical data , Burn Units/standards , Burn Units/statistics & numerical data , Burns/mortality , Burns/psychology , Burns/therapy
9.
Rev. chil. pediatr ; 90(6): 606-616, dic. 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-1058191

ABSTRACT

INTRODUCCIÓN: El intento de suicidio es el principal factor de riesgo del suicidio consumado. OBJETIVO: Analizar la prevalencia de intento de suicidio en adolescentes estudiantes de secundaria y bachillerato de la Ciudad de México, y sus factores asociados. SUJETOS Y MÉTODO: Estudio observacional, transversal y descriptivo con la Encuesta de Consumo de Drogas en Estudiantes de la Ciudad de México en 2012. El cuestionario validado, fue anónimo, estructurado y autoaplicado, contiene siete secciones: Sociodemográfica; Consumo de tabaco, alcohol y drogas; Problemas relacionados con el consumo de drogas; Conducta antisocial; Ámbito social; Ámbito interpersonal y Ámbito personal. Se crearon índices de clima familiar, comunicación con los padres y autoestima utilizando análisis de componentes principales. Se ajustó un modelo de regresión logística binomial y se analizaron las razones de momios (OR). RESULTADOS: La prevalencia estimada de intento de suicidio fue 6,8%. Los factores que incrementan la posibilidad de intento de suicido fueron: ser mujer (OR 3,1), tener menos de 16 años (OR 1,6), vivir en un clima familiar malo (OR 1,5) o con mala comunicación con los padres (OR 1,8), tener baja autoestima (OR 1,9), problemas de conducta o aprendizaje (OR 1,4) o tener una enfermedad mental (OR 3,6); haber sido forzados a tener contacto sexual (OR 2,6); o consumir drogas, tabaco o alcohol (OR 1,7, 1,2 y 1,7). CONCLUSIONES: La prevención del intento de suicidio se debe dirigir a mujeres menores de 16 años; con un desorden psiquiátrico, problema de conducta o baja autoestima; que convivan en un ambiente familiar desfavorable; con comportamientos de riesgo como consumo de tabaco, alcohol o drogas; o que hayan sido forzados a tener contacto sexual.


INTRODUCTION: Attempted suicide is the main risk factor for completed suicides. OBJECTIVE: To analyze the prevalen ce of attempted suicide in junior high school and high school students in Mexico City, and its asso ciated factors. SUBJECTS AND METHOD: Observational, cross-sectional and descriptive study conducted with data from the Mexico National Survey on Drug Use Among Students (ENCODE) 2012. The validated survey was anonymous, structured and self-applied, and contains seven sections: Sociode mographic; Tobacco, alcohol and drug use; Problems related to drug use; Antisocial behavior; Social sphere; Interpersonal sphere and Personal sphere. Family atmosphere, communication with parents, and self-esteem indexes were created using principal component analysis. A binomial logistic regres sion model was adjusted, and the odds ratio (OR) were analyzed. RESULTS: The estimated prevalence of attempted suicide was 6.8%. The factors that increased the attempted suicide possibility were: being a woman (OR 3.1), be under 16 years old (OR 1.6), living in an unfavorable family atmosphere (OR 1.5) or having a poor communication with parents (OR 1.8), having low self-esteem (OR 1.9), behavioral or learning problems (OR 1.4) or suffering a mental illness (OR 3.6); having been forced into sexual contact (OR 2.6); or drugs use, smoking or alcohol consumption (OR 1.7, 1.2 and 1.7). CONCLUSIONS: The attempted suicide prevention should be focused on women younger than 16 years, with any psychiatric disorder, behavioral problem or low self-esteem, who live in an unfavorable family atmosphere, with risky behavior such as smoking, or alcohol or drugs consumption, or who have been forced into sexual contact.


Subject(s)
Humans , Male , Female , Adolescent , Young Adult , Suicide, Attempted/statistics & numerical data , Self Concept , Suicide, Attempted/psychology , Alcohol Drinking/epidemiology , Smoking/epidemiology , Sex Factors , Prevalence , Cross-Sectional Studies , Risk Factors , Age Factors , Substance-Related Disorders/epidemiology , Family Relations , Mexico/epidemiology
10.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 41(5): 437-440, Sept.-Oct. 2019. tab
Article in English | LILACS | ID: biblio-1039112

ABSTRACT

Objective: To investigate the prevalence rates of suicidal ideation (SI) and suicide attempts (SA) and their association with substance use in a nationally representative sample of Brazilians. Methods: The Second Brazilian National Alcohol and Drug Survey (II BNADS) is a household cross-sectional survey that investigated the consumption of psychotropic drugs and associated risk factors. This national probability sample survey used a multistage cluster design to select 4,607 participants aged 14 or older and had a total response rate of 77%. Illegal drug use, SI and SA were obtained by confidential self-report assessment. Results: SI and SA were reported by 9.9 and 5.4% of the sample, respectively. This prevalence was 20.8 and 12.4% among individuals with alcohol use disorders (AUD), 31.5 and 16.5% among cannabis users and 40.0 and 20.8% among cocaine users. After adjusting for demographic characteristics, tobacco use, family history of suicide and depression, both SI and SA were positively associated with AUD, cannabis and cocaine use. Conclusion: AUD, cannabis and cocaine use were significantly associated with SI and SA, even after the adjustments. Public health initiatives targeting suicide prevention should consider including assessment and management of substance misuse, and therapeutic approaches to substance misuse should include assessment of suicidality.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Suicide, Attempted/statistics & numerical data , Substance-Related Disorders/psychology , Substance-Related Disorders/epidemiology , Drug Users/psychology , Suicidal Ideation , Psychiatric Status Rating Scales , Socioeconomic Factors , Brazil/epidemiology , Poisson Distribution , Prevalence , Cross-Sectional Studies , Risk Factors , Sex Distribution , Age Distribution , Middle Aged
11.
Ciênc. Saúde Colet ; 24(10): 3763-3772, Oct. 2019. tab
Article in Spanish | LILACS | ID: biblio-1039472

ABSTRACT

Resumen El objetivo fue determinar si existe asociación entre comportamientos de riesgo de suicidio (CRS) y menor calidad de vida relacionada con la salud (CVRS) y si esta asociación es independiente del consumo de sustancias, violencia y variables sociodemográficas. Estudio transversal, con 1229 estudiantes universitarios mexicanos; 62.4% mujeres y 37.6% hombres, edad 18.2 ± .6 años. Se aplicaron los instrumentos YRBS y KIDSCREEN-52. Presentaron desesperanza 14.2%, ideación suicida (IS) 4.7%, planeación suicida (PS) 4.0% e intento suicida 2.3%. Modelos de regresión logística múltiple muestran que la desesperanza aumentó la posibilidad de menor puntuación en todos los dominios de CVRS excepto en recursos económicos, con odds ratio OR (IC95%) que van de 1.5 (1.0-2.3) para autonomía, hasta 4.6 (3.1-6.8) para estado de ánimo. La IS incrementó la posibilidad de menor puntuación en relación con los padres y vida familiar (3.9, 1.7-8.9) y en amigos y apoyo social (2.9, 1.3-6.4). La PS aumentó la posibilidad de menor bienestar físico (2.7, 1.2-6.1) y psicológico (3.1, 1.3-7.2). En estudiantes mexicanos la CVRS se asocia a los CRS aún después de ajustar por consumo de sustancias y violencia. Se destaca que la desesperanza se asocia negativamente a los distintos dominios de la CVRS de los estudiantes.


Abstract The objective was to determine if suicide-related behavior (SRB) and health-related quality of life (HRQL) are associated and whether this association is independent of substance use, violence, and sociodemographic variables. It involved a cross-sectional study with 1,229 Mexican university students: 62.4% women; 37.6% men; age 18.2± .6 years. The YRBS and KISDSCREEN questionnaires were applied. The results were as follows: 14.2% students reported despair; 4.7% had suicidal ideation (SI); 4% had suicidal tendencies (ST); and 2.3% had attempted suicide. Multiple logistic regression models show that despair increased the possibility of lower scores in all HRQL domains except economic resources with odds ratio OR (CI 95%) ranging from 1.5 (1.0-2.3) for autonomy to 4.6 (3.1-6.8) for state of mind. The SI increased the possibility of a lower score in relationships with parents and family life (3.9, 1.7-8.9) and in friends and social support (2.9, 1.3-6.4). The ST increased the possibility for lower physical (2.7, 1.2-6.1) and psychological well-being (3.1, 1.3-7.2). HRQL is associated with SRB among Mexican students even after adjustment for substance use and violence. It highlights the fact that despair is negatively associated with different domains of the HRQL of the students.


Subject(s)
Humans , Male , Female , Adolescent , Young Adult , Quality of Life , Students/statistics & numerical data , Suicide, Attempted/statistics & numerical data , Suicidal Ideation , Parent-Child Relations , Social Support , Students/psychology , Universities , Violence/statistics & numerical data , Cross-Sectional Studies , Surveys and Questionnaires , Risk Factors , Substance-Related Disorders/epidemiology , Mexico
12.
Trends psychiatry psychother. (Impr.) ; 41(4): 394-400, Oct.-Dez. 2019. tab
Article in English | LILACS | ID: biblio-1059182

ABSTRACT

Abstract Introduction Child suicidal behavior is related to specific childhood variations, constituting risk factors, including predisposing factors, internal factors, and environmental factors. Objective To characterize suicidal behavior among children aged 5 to 12 years diagnosed with a depressive episode. Methods Fifteen participants, aged 5 to 12, were assessed at a child and adolescent mental health center in Belo Horizonte, state of Minas Gerais, Brazil. All participants had a history of suicide attempt and were in a depressive episode at the time of assessment. Results Vulnerabilities related to the children themselves were self-harm, aggression, loss of an important family figure, sexual abuse, sexuality disorders, use of alcohol or other drugs, and ill-treatment. Factors of family structure and dynamics found were psychiatric illness in family members, family conflict or violence, abandonment or rejection, history of suicidal behavior in family, parents users of alcohol and other drugs, and separated parents. Factors related to school were bullying, school difficulties/delays, high school performance, bad behavior, physical aggression, school dropout, and aggressiveness. The main methods used in suicide attempts were injury by sharp or blunt objects and intentional self-poisoning. Conclusions Psychiatric comorbidities and a previous history of disturbances in the family and at school are important factors to consider with relation to suicidal behavior by children with depressive episodes.


Resumo Introdução O comportamento suicida infantil está relacionado com vicissitudes específicas da infância, representadas por fatores de risco, incluindo fatores predisponentes, internos e ambientais. Objetivo Caracterizar o comportamento suicida em crianças de 5 a 12 anos com diagnóstico de episódio depressivo. Métodos Quinze participantes, com idades entre 5 e 12 anos, foram avaliados em um centro de saúde mental da infância e adolescência de Belo Horizonte, MG, Brasil. Todos os participantes tinham histórico de tentativa de suicídio e estavam em um episódio depressivo no momento da avaliação. Resultados As vulnerabilidades relacionadas às próprias crianças foram automutilação, agressão, perda de uma figura familiar importante, abuso sexual, distúrbios da sexualidade, uso de álcool ou outras drogas e maus-tratos. Em relação a estrutura e dinâmica familiar, foram encontrados fatores como doença psiquiátrica na família, conflito ou violência familiar, abandono ou rejeição, histórico de comportamento suicida na família, pais usuários de álcool e outras drogas e pais separados. Os fatores relacionados à escola foram assédio moral, dificuldades/atrasos escolares, bom desempenho escolar, mau comportamento, agressão física, abandono escolar e agressividade. Os principais métodos utilizados nas tentativas de suicídio foram lesões por objetos pontiagudos ou contundentes e autoenvenenamento intencional. Conclusão As comorbidades psiquiátricas e o histórico prévio de distúrbios na família e na escola são fatores importantes a serem considerados em relação ao comportamento suicida em crianças com episódios depressivos.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Suicide, Attempted/psychology , Depression/psychology , Suicide, Attempted/statistics & numerical data , Family/psychology , Comorbidity , Risk Factors
13.
Ciênc. Saúde Colet ; 24(4): 1393-1404, abr. 2019. tab, graf
Article in Portuguese | LILACS | ID: biblio-1001748

ABSTRACT

Resumo Apresenta-se um estudo sobre trabalhos científicos sobre ideação, tentativa de suicídio e autonegligência de idosos residentes em ILPI de 2002 a 2017. Foram estudados documentos das fontes: BVS/SP, SciELO, Scopus, PubMed, e Web of Science com os seguintes descritores: tentativa de suicídio, ideação suicida, autonegligência, idoso, instituição de longa permanência, e seus correspondentes em língua inglesa, espanhola e francesa. Encontraram-se 26 artigos sobre a temática. Existe consenso entre os autores, cujos textos foram analisados, sobre os fatores que levam os idosos ao comportamento suicida: depressão, doença e dor, luto complicado e traumático, ansiedade e desespero após recuperação de episódio depressivo, condições de vida precária, morte de parentes próximos e amigos, conflitos familiares, história familiar de eventos autoinfligidos. Os fatores de proteção encontrados são religiosidade, estilo de vida otimista, satisfação com a vida e investimento na autonomia e no poder dos relacionamentos e da comunicação e tratamento farmacológico acompanhado para transtornos mentais como depressão.


Abstract This is a study on scientific work on the ideation, suicide attempt and self-neglect of elderly residents in LTCEs from 2002 to 2017. Documents were retrieved from the following sources: BVS/SP, SciELO, Scopus, PubMed and Web of Science, with the following descriptors: suicide attempt, suicidal ideation, self-neglect, elderly, long-term care establishment, and their correspondents in Portuguese, Spanish and French. Twenty-six papers on the subject were found. There is a consensus among the authors, whose texts are analyzed here, concerning the factors that lead the elderly to suicidal behavior: depression, illness and pain, complicated and traumatic mourning, anxiety and despair after recovery from depressive episode, poor living conditions, death of close relatives, friends, family conflicts, family history of self-inflicted events. The protection factors found are religiosity, optimistic lifestyle, satisfaction with life and investment in the autonomy and power of relationships and communication and monitored drug therapy for mental disorders such as depression.


Subject(s)
Humans , Aged , Suicide, Attempted/statistics & numerical data , Suicidal Ideation , Self-Neglect/statistics & numerical data , Periodicals as Topic/statistics & numerical data , Risk Factors , Long-Term Care , Protective Factors
14.
Trends psychiatry psychother. (Impr.) ; 41(1): 9-17, Jan.-Mar. 2019. tab, graf
Article in English | LILACS | ID: biblio-1004840

ABSTRACT

Abstract Objective To explore and describe a profile of patients admitted to a psychiatric emergency facility, comparing patients with and without a recent suicide attempt in terms of their clinical characteristics and aggression. Methods This was an exploratory comparative study where patients were assessed using the Brief Psychiatric Rating Scale (BPRS) and the Overt Aggression Scale (OAS). Participants with a suicide attempt in the last 24 hours (SA) were compared to participants with a prior history of suicide attempt but no recent attempt (PHSA). Results 63 individuals (SA: 26; PHSA: 37) were selected. Both groups had similar demographic and clinical characteristics. The most prevalent diagnoses were mood (57.1%) and personality (50.8%) disorders. The majority of patients in both groups had a history of aggression episodes. Physical aggression in the week prior to admission was more prevalent in the PHSA group (51.4 vs. 19.2%, p = 0.017). The PHSA group also presented higher activation scores (p = 0.025), while the SA group presented higher affect scores on BPRS dimensions (p = 0.002). Conclusion The majority of individuals with a history of suicide attempt also presented a history of aggression. Inpatients with recent suicide attempt were hospitalized mainly due to the risk of suicide, while those with no recent suicide attempt were hospitalized mainly due to the risk of hetero-aggression. These findings support the hypothesis of an aggressive profile in suicidal patients and may open up a path for future research.


Resumo Objetivo Explorar e descrever o perfil de pacientes internados em uma unidade de emergência psiquiátrica, comparando os pacientes com e sem tentativa recente de suicídio em termos de suas características clínicas e agressividade. Métodos Trata-se de um estudo exploratório comparativo, onde os pacientes foram avaliados por meio da Escala Breve de Avaliação Psiquiátrica (BPRS) e da Escala de Agressividade Declarada (OAS). Os participantes com tentativa de suicídio (TS) nas últimas 24 horas foram comparados com participantes com história prévia de tentativa de suicídio, mas sem tentativa recente (HPTS). Resultados Foram selecionados 63 indivíduos (TS: 26; HPTS: 37). Ambos os grupos tinham características demográficas e clínicas semelhantes. Os diagnósticos mais prevalentes foram transtornos de humor (57,1%) e de personalidade (50,8%). A maioria dos pacientes em ambos os grupos apresentava história de agressão. A agressão física na semana anterior à internação foi mais prevalente no grupo HPTS (51,4 vs. 19,2%, p = 0,017). O grupo HPTS também apresentou maior ativação (p = 0,025), enquanto o grupo TS apresentou maior afetividade nas dimensões da BPRS (p = 0,002). Conclusão A maioria dos indivíduos com história de tentativa de suicídio também apresentou história de agressão. Os pacientes internados com tentativa recente de suicídio foram hospitalizados principalmente devido ao risco de suicídio, enquanto aqueles sem tentativa recente de suicídio foram hospitalizados principalmente devido ao risco de heteroagressão. Esses achados apoiam a hipótese de um perfil agressivo em pacientes suicidas e podem abrir caminho para pesquisas futuras.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Aged , Young Adult , Aggression/physiology , Mental Disorders/physiopathology , Personality Disorders/physiopathology , Personality Disorders/therapy , Suicide, Attempted/statistics & numerical data , Mood Disorders/physiopathology , Mood Disorders/therapy , Emergency Services, Psychiatric/statistics & numerical data , Hospitalization/statistics & numerical data , Mental Disorders/therapy , Middle Aged
15.
Salud pública Méx ; 61(1): 16-26, ene.-feb. 2019. tab
Article in English | LILACS | ID: biblio-1043354

ABSTRACT

Abstract: Objective: To estimate psychopathology and self-harm behavior of incoming first-year college students, socio-demographic correlates, service use and willingness to seek treatment. Materials and methods: 4 189 male and female incoming first-year students of six universities in four different states of Mexico responded to an online survey with a 79.3% response rate. Results: Almost one in three incoming students has experienced some type of psychopathology; however, only one in five has received treatment. Female, students who are older, whose parents are not married or deceased, and who have a non-heterosexual orientation, no religion or a non-Catholic/Christian religion have greater odds (1.18 - 1.99), whereas those who attend a private university and have a parent with some college education have lower odds (0.68 - 0.75) of experiencing any probable disorder. Conclusions: Substantial unmet need for mental health services combined with reported willingness to use university services suggests an opportunity for the detection, referral, and treatment of incoming students to promote a successful transition.


Resumen: Objetivo: Estimar psicopatologías y autolesiones en universitarios de nuevo ingreso, así como los correlatos sociodemográficos, el uso de servicios y la disposición para recibir tratamiento. Material y métodos: 4 189 estudiantes de nuevo ingreso de seis universidades en cuatro estados contestaron una encuesta en línea con una tasa de respuesta de 79.3%. Resultados: 32.5% han padecido psicopatologías en su vida, pero únicamente 19.5% han recibido tratamiento. Mujeres, estudiantes con una orientación no heterosexual, estudiantes de mayor edad, quienes tienen padres fallecidos o no casados, sin religión o con una religión no católica/cristiana tienen mayor probabilidad de presentar psicopatologías (RM= 1.18-1.99), mientras que aquellos de universidades privadas y cuyos padres tienen estudios universitarios tienen menor probabilidad (RM= 0.68-0.75). Conclusiones: La alta tasa de psicopatologías no tratadas combinada con la disposición reportada de recibir servicios a través de su universidad sugiere una oportunidad para la detección, canalización y tratamiento de alumnos de nuevo ingreso para promover una transición exitosa.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Students/psychology , Self-Injurious Behavior/epidemiology , Substance-Related Disorders/epidemiology , Mental Disorders/epidemiology , Socioeconomic Factors , Suicide, Attempted/statistics & numerical data , Universities , Prevalence , Health Surveys , Sex Distribution , Suicidal Ideation , Health Services Needs and Demand , Mental Disorders/psychology , Mental Disorders/therapy , Mental Health Services/supply & distribution , Mexico/epidemiology
16.
Salud pública Méx ; 61(1): 6-15, ene.-feb. 2019. tab
Article in English | LILACS | ID: biblio-1043353

ABSTRACT

Abstract: Objective: To provide updated information regarding the 12-month prevalence and associated sociodemographic factors for suicide ideation and behavior (plan and attempts) to substantiate preventive programs in Mexico. Materials and methods: Cross-sectional nationally representative survey, conducted during 2016 (n=56 877) among those 12-65 years old living in rural, urban and metropolitan dwellings. Results: The prevalence of suicide ideation in the last 12-months was 2.3%, 0.8% of the sample reported a plan and 0.7% reported a suicide attempt. All three outcomes were about two times more common among females and suicide plan and attempt were less common among the elderly (50-65 years old). Suicide attempts were more common in urban than in rural areas. The state of Tabasco showed an increased prevalence of ideation, plan and attempts when compared to national average rates. Conclusions: Public health measures to diminish and treat suicidal behavior are urgently needed all over the country.


Resumen: Objetivo: Dar información actualizada sobre la prevalencia de 12 meses y los factores sociodemográficos asociados para la ideación y el comportamiento suicida (plan e intentos) para fundamentar programas preventivos en México. Material y métodos: Encuesta transversal representativa a nivel nacional, por sexo y grupos de edad, realizada durante 2016 (n = 56 877) entre personas de entre12 y 65 años de edad en zonas rurales, urbanas y metropolitanas. Resultados: La prevalencia de ideación suicida en los últimos 12 meses fue de 2.3%, 0.8% de la muestra informó un plan y 0.7% informó un intento de suicidio. Los tres resultados fueron aproximadamente dos veces más comunes entre las mujeres y el intento de suicidio fue menos común entre los más viejos (50 a 65 años). Los intentos de suicidio fueron más comunes en las zonas urbanas que en las rurales. El estado de Tabasco mostró una mayor prevalencia de ideas, planes e intentos en comparación con las tasas promedio nacionales. Conclusiones: Es urgente y necesario que existan medidas de salud pública para disminuir y tratar el comportamiento suicida en todo el país.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Aged , Young Adult , Suicide, Attempted/statistics & numerical data , Health Surveys , Suicidal Ideation , Socioeconomic Factors , Suicide/prevention & control , Suicide, Attempted/psychology , Prevalence , Cross-Sectional Studies , Mexico/epidemiology
17.
Psiquiatr. salud ment ; 35(3/4): 159-168, jul.-dic. 2018.
Article in Spanish | LILACS | ID: biblio-1000084

ABSTRACT

INTRODUCCÖN/ANTECEDENTES: La conducta suicida en el trastorno delirante (TD) ha sido escasamente estudiada. OBJETIVO: Profundizar en el conocimiento de las características demográficas, ambientales, psicosociales y clínicas del suicido en un grupo de pacientes con TD con la finalidad de contribuir a generar y sugerir estrategias que contribuyan a realizar nuevos estudios de mayor nivel explicativo. MÉTODO: Estudio epidemiológico descriptivo retrospectivo de Registro de Casos en el Dispensario de Psiquiatría e Higiene Mental de Córdoba sobre pacientes con TD según criterios DSM-IV-TR. Aquellos pacientes que cumplieron con los criterios de inclusión definidos constituyeron nuestra muestra final de 261 casos, de ellos 26 casos presentaron evidencias de intento de suicidio. Las variables sobre las que se recogió información en base a protocolos, fueron agrupadas con el orden siguiente: I. Sociodemográficos y generales. II. Factores de riesgo del TD (familiares y personales). III. Cuadro Clínico y el Diagnóstico del TD (Presentación, Sintomatología, Funcionalidad y Discapacidad, utilización de los recursos sanitarios, tratamiento, problemas psicosociales, evolución y curso) y medios letales utilizados. RESULTADOS: La edad media de los pacientes fue de 47 años y el 60% fueron hombres. Los datos sociodemográficos muestran que los pacientes con intento de suicidio residían en núcleos rurales (46,2%), no tenían estudios en un 15,4%, un 57,7% no trabajaba y un 26,9% recibía una pensión por enfermedad o jubilación laboral. El subtipo persecutorio con 8 casos, fue el más frecuente, seguido de los subtipos de grandiosidad (6 casos) y celotípico (6 casos), mixto (3 casos), erotomaníaco (2 casos) y somático (1 caso).DISCUSIÓN Y CONCLUSIÓN: Son necesarios futuros estudios prospectivos para investigar los factores de protección, de riesgo y/o asociados al suicidio en el TD.


Introduction / background: Suicidal behavior in delusional disorder (DD) patients has been poorly studied. Objective: Investigate the demographic, environmental, psychosocial and clinical characteristics of the suicidal behavior in a group of patients with DD. Method: Retrospective descriptive study of DD cases registered at Psychiatry and Mental Hygiene Clinic of Cordoba according to DSM-IV criteria was conducted. We obtained a sample of 261 DD patients who met the inclusion criteria, of them 26 cases presented evidence of suicidal behavior. Data and variables collected were divided into 4 groups: I. Socio-demographic and general data. II. DD risk factors (personal and family). III. DD clinical picture and diagnosis (presentation, symptoms, disability, use of health care resources, treatment, and evolution) and lethal methods used. Results: The mean age of the patients was 47 years old and 60% were males. Socio-demographic data show that 46.2% of patients with suicidal behavior lived in rural areas, only 15,4% were analphabet, 57,7% were unemployed, and 26.9% were receiving a pension because of illness or retirement. The persecutory subtype with 8 cases was the most frequent presentation, followed by grandiose (6 cases) and jealous (6 cases), mixed (3 cases), erotomanic (2 cases) and somatic (1 case) subtypes. Discussion and conclusion: It is necessary to conduct future prospective studies to investigate the protective and risks factors associated with the suicidal behavior in DD patients.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Schizophrenia, Paranoid/epidemiology , Suicide, Attempted/statistics & numerical data , Social Support , Socioeconomic Factors , Spain , Epidemiology, Descriptive , Multivariate Analysis , Retrospective Studies , Risk Factors , Longitudinal Studies , Sick Leave
18.
Ciênc. Saúde Colet ; 23(4): 1183-1192, abr. 2018. graf
Article in English | LILACS | ID: biblio-952640

ABSTRACT

Abstract In order to study data about suicide attempts and do the mapping of occurrence areas, it was developed an ecologic and exploring study, making use of techniques of geoprocessing, based on confirmed cases of suicide attempts. Cases of self-poisoning were included in the urban area of Campina Grande county, in the period of 2010-2013. A total of 446 suicide attempts were geo-referred, pointing up an incidence of 120 cases out of each 100,000 inhabitants. The sample was mostly feminine (66.4%), and 62.3% being up to 30 years old. Kernel's map remarked hot spot areas. Compared to surrounding areas the suicide risk of populations within the hot spots was increased (38%; Relative Risk = 1.38; p= 0.0029), with an average estimative of 165 suicide attempts out of 100,000 inhabitants. Through identification of hot spots and index of living conditions of the neighborhoods, it is possible to set priorities in terms of public policies for the prevention of suicide attempts and control of the marketing of substances that are potentially toxic.


Resumo Para estudar os dados sobre tentativas de suicídio e mapear as áreas de incidência foi desenvolvido um estudo do tipo ecológico e exploratório, usando técnicas de geoprocessamento, com base em casos confirmados. Foram incluídos os casos de autoevenenamento, ocorridos na zona urbana do município de Campina Grande, para o período 2010-2013. Um total de 446 tentativas de suicídio foi georreferenciado, apontando uma incidência de 120 casos a cada 100.000 habitantes. A amostra foi majoritariamente feminina (66,4%), com 62,3% possuindo até 30 anos de idade. O mapa de Kernel evidenciou areas de hot spots. Populações dentro dos hot spots apresentaram um risco de suicídio 38% maior (Risco Relativo= 1,38; p = 0,0029), com uma estimativa média de 165 tentativas de suicídios por 100.000 habitantes. Através da identificação das áreas de hot spots e do índice de condições de vida dos bairros, pode-se estabelecer as prioridades em termos de políticas públicas de prevenção das tentativas de suicídio e de controle da comercialização de substâncias com potencial tóxico.


Subject(s)
Humans , Male , Female , Adult , Young Adult , Public Policy , Suicide, Attempted/statistics & numerical data , Urban Population/statistics & numerical data , Geographic Mapping , Brazil/epidemiology , Sex Factors , Incidence , Risk Factors , Age Factors , Geographic Information Systems , Spatial Analysis , Middle Aged
19.
Ciênc. Saúde Colet ; 23(1): 277-286, Jan. 2018. tab
Article in Spanish | LILACS | ID: biblio-890486

ABSTRACT

Resumen Se trató de detectar y describir variables socio-demográficas y clínicas en personas que han realizado una tentativa suicida. Se llevó a cabo un análisis de los registros telemáticos sobre personas admitidas en los servicios de Urgencias del distrito sanitario norte durante el periodo 2009-2011 por trastornos mentales. Se seleccionaron 826 registros de personas, donde 485 eran mujeres, entre 14 y 94 años. Del total, 412 habían realizado un intento de suicidio, y fueron comparadas con otras personas sin tentativa suicida previa. Se aplicó un análisis de regresión logística binaria para examinar los factores más predictivos del intento de suicidio. Los resultados muestran que el riesgo de realizar un intento de suicidio aumenta con la edad, donde el periodo de mayor riesgo es el de 34 a 53 años (p < 0,001; OR = 6,99), ser de género femenino (p < 0,05; OR = 2,70) y encontrarse desempleada (p < 0,05; OR = 4,98). Los diagnósticos psicopatológicos más predictivos para la tentativa suicida fueron los trastornos de ansiedad (p < 0,01; OR = 3,95) y los trastornos del control de impulsos/adicciones (p < 0,01; OR = 3,76). Se discute la importancia de crear perfiles de riesgo y protección concretos para la puesta en marcha de políticas sanitarias contextualizadas de prevención de la tentativa suicida.


Abstract The aim was to identify and describe socio demographic and clinical variables in individuals who have made a suicide attempt. An analysis of electronically stored records on persons admitted to the emergency departments of a northern health district during the period 2009-2011 for mental disorders was conducted. The records of 826 patients (30.1% of the total), where 485 (58.7%) were female, aged between 14 and 94 years (M = 49.3; SD = 12.7), were selected. This amounted to 412 individuals (49.9%) who had made a suicide attempt, and were compared with others without prior suicide attempt. A binary logistic regression analysis was performed to examine the strongest predictors of suicide attempt. The results show that the risk of making a suicide attempt increases with age, those most at risk being aged 34 to 53 years (p < 0.01; OR = 6.99), female (p < 0.05; OR = 2.70) and unemployed (p < 0.05; OR = 4.98). The most predictive psychopathological diagnoses for suicide attempt were anxiety disorders (p < 0.01; OR = 3.95) and impulse control disorders/addictions (p < 0.01; OR = 3.76). The importance of creating specific risk and protection profiles when implementing contextualized health policies on suicide attempt prevention is discussed.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Aged , Aged, 80 and over , Young Adult , Suicide, Attempted/statistics & numerical data , Emergency Service, Hospital , Mental Disorders/epidemiology , Spain/epidemiology , Unemployment/statistics & numerical data , Logistic Models , Sex Factors , Risk Factors , Age Factors , Middle Aged
20.
Rev. bras. psiquiatr ; 40(1): 48-55, Jan.-Mar. 2018. tab
Article in English | LILACS | ID: biblio-899405

ABSTRACT

Objectives: Little is known about the prevalence and correlates of deliberate self-harm (DSH) in children from low- and middle-income countries. We investigated the prevalence of DSH and its clinical and maternal psychopathological associations in Brazilian children (n=2,508, ages 6-14y) in a community-based study. Methods: Participants of the High Risk Cohort Study for the Development of Childhood Psychiatric Disorders (HRC) and their mothers were assessed in structured interviews. Current (last month) and lifetime DSH were estimated, including analysis stratified by age groups. Logistic regressions were performed to investigate the role of the children's clinical diagnoses and maternal psychopathology on DSH prevalence estimates, adjusting for potential confounding factors. Results: The prevalence of current DSH was 0.8% (children 0.6%, adolescents 1%) and lifetime DSH was 1.6% (1.8% and 1.5%, respectively). Current and lifetime DSH were more frequent in children with depression, attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD), even in multiple models accounting for demographic variables and co-occurring psychiatric disorders. Maternal anxiety disorder was strongly associated with current and lifetime DSH in offspring; whereas current DSH, specifically in young children, was associated with maternal mood disorder. Conclusion: Diagnoses of depression, ADHD and ODD were consistently associated with DSH, as was having a mother with anxiety disorder.


Subject(s)
Humans , Male , Female , Child , Adolescent , Suicide, Attempted/statistics & numerical data , Self-Injurious Behavior/epidemiology , Anxiety Disorders/psychology , Psychopathology , Attention Deficit Disorder with Hyperactivity/psychology , Socioeconomic Factors , Suicide, Attempted/psychology , Brazil/epidemiology , Prevalence , Risk Factors , Cohort Studies , Self-Injurious Behavior/psychology , Depression/psychology , Maternal Behavior
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