Suicide mortality in the city of Sao Paulo: epidemiological characteristics and their social factors in a temporal trend between 2000 and 2017. Retrospective study

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorCOLOMBO-SOUZA, Patricia
dc.contributor.authorTRANCHITELLA, Fabio Boucault
dc.contributor.authorRIBEIRO, Ana Paula
dc.contributor.authorJULIANO, Yara
dc.contributor.authorNOVO, Neil Ferreira
dc.date.accessioned2020-08-20T13:26:16Z
dc.date.available2020-08-20T13:26:16Z
dc.date.issued2020
dc.description.abstractBACKGROUND: Suicide is one of the leading causes of death worldwide, accounting for one million deaths annually. Greater understanding of the causal risk factors is needed, especially in large urban centers. OBJECTIVE: To ascertain the epidemiological profile and temporal trend of suicides over two decades and correlate prevalence with social indicators. DESIGN AND SETTING: Descriptive population-based longitudinal retrospective study conducted in the city of Sao Paulo, Brazil. METHODS: A temporal trend series for suicide mortality in this city was constructed based on data from the Ministry of Health's mortality notification system, covering 2000-2017. It was analyzed using classic demographic variables relating to social factors. RESULTS: Suicide rates were high throughout this period, increasing from 4.6/100,000 inhabitants in the 2000s to 4.9/100,000 in 2017 (mean: 4.7/100,000). The increase in mortality was mainly due to increased male suicide, which went from 6.0/100,000 to the current 8.0/100,000. Other higher coefficients corresponded to social risk factors, such as being a young adult (25-44 years old), being more educated (eight years of schooling) and having white ethnicity (67.2%). Suicide was also twice as likely to occur at home (47.8%). CONCLUSION: High suicide rates were seen over the period 2000-2017, especially among young adults and males. High schooling levels and white ethnicity were risk factors. The home environment is the crucial arena for preventive action. One special aspect of primary prevention is the internet and especially social media, which provides a multitude of information for suicide prevention.eng
dc.description.indexMEDLINEeng
dc.identifier.citationSAO PAULO MEDICAL JOURNAL, v.138, n.3, p.253-258, 2020
dc.identifier.doi10.1590/1516-3180.2019.0539.R1.05032020
dc.identifier.issn1516-3180
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/37061
dc.language.isoeng
dc.publisherASSOCIACAO PAULISTA MEDICINAeng
dc.relation.ispartofSao Paulo Medical Journal
dc.rightsopenAccesseng
dc.rights.holderCopyright ASSOCIACAO PAULISTA MEDICINAeng
dc.subjectMortalityeng
dc.subjectSuicideeng
dc.subjectInformation systemseng
dc.subjectEpidemiologyeng
dc.subjectDeatheng
dc.subject.otheradolescentseng
dc.subject.otherbrazileng
dc.subject.otherriskeng
dc.subject.wosMedicine, General & Internaleng
dc.titleSuicide mortality in the city of Sao Paulo: epidemiological characteristics and their social factors in a temporal trend between 2000 and 2017. Retrospective studyeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalCOLOMBO-SOUZA, Patricia:Univ Santo Amaro UNISA, Postgrad Dept Hlth Sci, Sch Med, Sao Paulo, SP, Brazil
hcfmusp.author.externalTRANCHITELLA, Fabio Boucault:Univ Santo Amaro UNISA, Postgrad Dept Hlth Sci, Sch Med, Sao Paulo, SP, Brazil
hcfmusp.author.externalJULIANO, Yara:Univ Santo Amaro UNISA, Postgrad Dept Hlth Sci, Sch Med, Sao Paulo, SP, Brazil
hcfmusp.author.externalNOVO, Neil Ferreira:Univ Santo Amaro UNISA, Postgrad Dept Hlth Sci, Sch Med, Sao Paulo, SP, Brazil
hcfmusp.citation.scopus1
hcfmusp.contributor.author-fmusphcANA PAULA RIBEIRO
hcfmusp.description.beginpage253
hcfmusp.description.endpage258
hcfmusp.description.issue3
hcfmusp.description.volume138
hcfmusp.origemWOS
hcfmusp.origem.pubmed32578744
hcfmusp.origem.scopus2-s2.0-85088272594
hcfmusp.origem.wosWOS:000551693500012
hcfmusp.publisher.citySAO PAULOeng
hcfmusp.publisher.countryBRAZILeng
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