Risk and protective factors for suicide: a populational case-control study, Brazil, 2019

ABSTRACT OBJETIVE To estimate risk and protection factors associated with suicide in Campinas, Brazil, in 2019. METHODS This is a populational case-control study analyzing 83 cases of suicide that occurred in 2019 in Campinas, a Brazilian city with about 1.2 million inhabitants. Controls were composed of 716 inhabitants. An adjusted multiple logistic regression was used. Cases and controls were the dichotomous response variables. Sociodemographic and behavioral variables were the predictor variables. RESULTS The categories which presented higher risk of suicide were: males [OR = 5.26 (p < 0.001)]; people aged 10-29 years [OR = 5.88 (p = 0.002)]; individuals without paid work [OR = 3.06 (p = 0.013)]; individuals presenting problematic use of alcohol [OR = 33.12 (p < 0.001)] and cocaine [14.59 (p < 0.007)]; and people with disabilities [OR = 3.72 (p < 0.001)]. Moreover, the perception of fear was associated with reduced suicide risk [OR = 0.19 (p = 0.015)]. Higher district HDI levels also showed a 4% decrease in risk for each 0.01 increase in district HDI levels [OR = 0.02 (p = 0.008)]. CONCLUSIONS This study evidenced the association between sociodemographic and behavioral variables and suicide. It also emphasized the complexity in the dynamics between personal, social, and economic factors to this external cause of death.

Suicídio de idosos no Brasil: 1996-2017 / Suicide of the elderly in Brazil: 1996-2017 / Suicidio de ancianos en Brasil: 1996-2017

Objetivo: Analisar a mortalidade de idosos por suicídio no "Brasil" entre "1996 a 2017". Método: Pesquisa epidemiológica, exploratória, descritiva e quantitativa. Os dados foram extraídos no Sistema de Informação sobre Mortalidade do Ministério da Saúde (SIM/MS) e organizados no software Microsoft Excel 2016® pertencente ao pacote Microsoft Office 2016®, sendo implementada análise estatística descritiva. Resultados: Foi identificado o universo de 29.768 registros, com média e desvio-padrão de (1353,1±375,7). A região Sudeste (SE) registrou a maior preponderância com 35,2% (n=10.490). Também foi verificada maior preponderância com 54,5% (n=16.231) pessoas com 60 a 69 anos, 81,3% (n=24.213) pessoas do sexo masculino, 62,4% (n=18.582) da raça/cor branca, 19,2% (n=5.713) possuíam entre 1 a 3 anos de escolarização, 51,5% (n=15.339) se encontravam casados(as) e 66% (n=19.646) tiveram registro de óbito no domicílio. Considerações finais: Foi verificado aumento na frequência de registros de casos de suicídio de idosos no recorte geográfico e histórico analisados.

Objective: To analyze the mortality of elderly people due to suicide in "Brazil" between "1996 to 2017". Method: Epidemiological, exploratory, descriptive and quantitative research. The data were extracted in the Mortality Information System of the Ministry of Health (SIM/MS) and organized in the Microsoft Excel 2016® software belonging to the Microsoft Office 2016® package, and a descriptive statistical analysis was implemented. Results: The universe of 29,768 records was identified, with mean and standard deviation (1353,1±375,7). The Southeast region (SE) registered the largest preponderance with 35.2% (n=10.490). There was also a greater preponderance with 54.5% (n=16.231) people aged 60 to 69 years, 81.3% (n=24.213) male, 62.4% (n=18.582) of white race/color, 19.2% (n=5.713) had between 1 and 3 years of schooling, 51.5% (n=15.339) were married and 66% (n=19.646) had a death record at home. Final considerations: There was an increase in the frequency of records of suicide cases among the elderly in the analyzed geographical and historical context.

Objetivo: analizar la mortalidad de personas mayores por suicidio en "Brasil" entre "1996 a 2017". Método: Investigación epidemiológica, exploratoria, descriptiva y cuantitativa. Los datos se extrajeron en el Sistema de Información de Mortalidad del Ministerio de Salud (SIM /MS) y se organizaron en el software Microsoft Excel 2016® que pertenece al paquete Microsoft Office 2016®, y se implementó un análisis estadístico descriptivo. Resultados: Se identificó el universo de 29,768 registros, con media y desviación estándar (1353,1±375,7). La región sureste (SE) registró la mayor preponderancia con 35.2% (n=10.490). También hubo una mayor preponderancia con 54.5% (n=16.231) personas de 60 a 69 años, 81.3% (n=24.213) hombres, 62.4% (n=18.582) de raza/color blanco , 19.2% (n=5.713) tenían entre 1 y 3 años de escolaridad, 51.5% (n=15.339) estaban casados y 66% (n=19.646) tenían un registro de defunción en el hogar. Consideraciones finales: Hubo un aumento en la frecuencia de registros de casos de suicidio entre los ancianos en el contexto geográfico e histórico analizado.