Suicides among Children and Adolescents in Paraguay: An 18-year National Exploratory Study (2004-2022)

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Citações na Scopus
1
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SAGE PUBLICATIONS LTD
Autores
TORALES, Julio
BARRIOS, Ivan
TULLO-GOMEZ, Juan Edgar
MELGAREJO, Osvaldo
GOMEZ, Nora
RIEGO, Viviana
NAVARRO, Rodrigo
GARCIA, Oscar
FIGUEREDO, Pamela
ALMIRON-SANTACRUZ, Jose
Citação
INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY, v.69, n.7, p.1649-1657, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: Suicide and suicide attempts are impacting events for patients and their relatives, and these behaviors are still taboo among adults and may be even more traumatic when involving children and adolescents. Aim: In this study we aimed to describe suicide rates among children and adolescents in Paraguay over the last decades as well as associated factors such as sociodemographic characteristics and methods used for suicide. Methods: This was an observational and exploratory study describing the frequency and characteristics of suicide among children and adolescents in Paraguay between 2004 and 2022. Official records of all deaths by suicide were reviewed, and statistical analyses were performed. In addition, an attempt was made to predict the number of suicides in the next 5 years using a mathematical model based on simple linear regression. Results: In the 18-year period observed, 940 suicides among children and adolescents were recorded. The mean age was 15.05 +/- 1.8 years old. Of these, 51.17% were male, 74.6% were from urban areas, and 22.2% were from the Greater Asuncion and Central Department of Paraguay. The most frequently used method of suicide was intentional self-inflicted injury by hanging, strangulation, or suffocation, which all represented 75.3% of the cases. Our mathematical modeling based on simple linear regression determined that the expected yearly number of national suicides in the pediatric population for the following years, from 2023 to 2027, will range between 72 and 81. Conclusion: This study is the first large national epidemiological report on the emerging issue of suicide among children and adolescents in Paraguay. It may be a relevant source of information for mental health professionals, health authorities, and decision makers to develop national prevention strategies and actions against suicide among youths.
Palavras-chave
Suicide, self-injurious behavior, child, adolescent, Paraguay
URI
https://observatorio.fm.usp.br/handle/OPI/58096
Referências
  1. Abio A, 2022, SOC PSYCH PSYCH EPID, V57, P1603, DOI 10.1007/s00127-022-02287-x
  2. Aboaja A., 2022, INT J SOC PSYCHIAT, V19, P10, DOI [10.1192/bji.2021.24, DOI 10.1192/BJI.2021.24]
  3. Ahmedani BK, 2015, MED CARE, V53, P430, DOI 10.1097/MLR.0000000000000335
  4. Ballard ED, 2017, PREV SCI, V18, P174, DOI 10.1007/s11121-016-0717-5
  5. Barnes AJ, 2010, PEDIATRICS, V125, P889, DOI 10.1542/peds.2009-1814
  6. Berardelli I, 2022, INT J ENV RES PUB HE, V19, DOI 10.3390/ijerph192013309
  7. Bertolote J. M., 2009, OXFORD TXB SUICIDOLO, P87, DOI 10.1093/MED/9780198570059.003.0013
  8. Bilsen J, 2018, FRONT PSYCHIATRY, V9, DOI 10.3389/fpsyt.2018.00540
  9. CDC, 2021, WISQARS WEB BAS INJ
  10. Charpignon ML, 2022, JAMA PEDIATR, V176, P724, DOI 10.1001/jamapediatrics.2022.0515
  11. Chen H, 2021, FRONT PSYCHIATRY, V12, DOI 10.3389/fpsyt.2021.745470
  12. Cousien A, 2021, JAMA NETW OPEN, V4, DOI 10.1001/jamanetworkopen.2021.28611
  13. Curtin S., 2021, PROVISIONAL NUMBERS
  14. da Silva DA, 2021, FLOR NIGHT J NURS, V29, P294, DOI 10.5152/FNJN.2021.21035
  15. Fari├a┬▒a R., 2017, MED CLIN SOCIAL, V1, P3, DOI [10.52379/mcs.v1i3.36, DOI 10.52379/MCS.V1I3.36]
  16. Fergusson DM, 2005, PSYCHOL MED, V35, P983, DOI 10.1017/S0033291704004167
  17. Fontanella CA, 2015, JAMA PEDIATR, V169, P466, DOI 10.1001/jamapediatrics.2014.3561
  18. Garavito G. E., 2011, CULTURA EDUCACION SO, V2, P1
  19. Goto R, 2022, LANCET REG HEALTH-W, V27, DOI 10.1016/j.lanwpc.2022.100567
  20. Guerreiro L., 2022, SUICIDAS FIN MUNDO
  21. Gutiérrez IT, 2020, CHILD DEV, V91, pE491, DOI 10.1111/cdev.13263
  22. Hedegaard Holly, 2018, NCHS Data Brief, P1
  23. Horwitz A. G., 2016, Health promotion for children and adolescents, P125
  24. Horwitz AG, 2015, J CLIN CHILD ADOLESC, V44, P751, DOI 10.1080/15374416.2014.910789
  25. Ilic M, 2022, WORLD J PSYCHIATR, V12, P1044, DOI 10.5498/wjp.v12.i8.1044
  26. Kammer J, 2021, J BEHAV HEALTH SER R, V48, P306, DOI 10.1007/s11414-020-09717-1
  27. Kemp Kathleen, 2021, Evid Based Pract Child Adolesc Ment Health, V6, P410, DOI 10.1080/23794925.2021.1908190
  28. King CA, 2014, J ABNORM CHILD PSYCH, V42, P467, DOI 10.1007/s10802-013-9794-0
  29. Knight A, 2015, J PEDIATR-US, V167, P1397, DOI 10.1016/j.jpeds.2015.07.048
  30. Knopov A, 2019, AM J PREV MED, V56, P335, DOI 10.1016/j.amepre.2018.10.027
  31. Kokkevi A, 2012, J CHILD PSYCHOL PSYC, V53, P381, DOI 10.1111/j.1469-7610.2011.02457.x
  32. Lawrence RE, 2016, ARCH SUICIDE RES, V20, P1, DOI 10.1080/13811118.2015.1004494
  33. Liu DAY, 2023, EUR ARCH PSY CLIN N, V273, P931, DOI 10.1007/s00406-022-01444-2
  34. Machado Ana Inés, 2021, Cienc. Psicol., V15, pe2214, DOI 10.22235/cp.v15i1.2214
  35. Marraccini ME, 2022, SCHOOL PSYCHOL REV, V51, P266, DOI 10.1080/2372966X.2020.1871305
  36. Mart├a┬nez-Schiavo A., 2021, MED CLIN SOCIAL, V5, P3, DOI [10.52379/mcs.v5i3.226, DOI 10.52379/MCS.V5I3.226]
  37. Mascayano Franco, 2015, Rev Fac Cien Med Univ Nac Cordoba, V72, P295
  38. Mayne SL, 2021, PEDIATRICS, V148, DOI 10.1542/peds.2021-051507
  39. Meherali S, 2021, INT J ENV RES PUB HE, V18, DOI 10.3390/ijerph18073432
  40. Méndez-Bustos P, 2022, MEDWAVE, V22, DOI 10.5867/medwave.2022.06.002567
  41. Milliman CC, 2021, J PEDIATR NURS, V59, P1, DOI 10.1016/j.pedn.2020.12.011
  42. Newton AS, 2017, ACAD EMERG MED, V24, P552, DOI 10.1111/acem.13162
  43. Nock MK, 2013, JAMA PSYCHIAT, V70, P300, DOI 10.1001/2013.jamapsychiatry.55
  44. Okuyama A, 2022, BMC PUBLIC HEALTH, V22, DOI 10.1186/s12889-022-14013-y
  45. Pan American Health Organization, 2021, SUIC MORT AM REG REP, DOI [10.37774/9789275124765, DOI 10.37774/9789275124765]
  46. Partonen T, 2022, BRIT J PSYCHIAT, V220, P38, DOI 10.1192/bjp.2021.136
  47. Pontes NMH, 2020, NURS RES, V69, P176, DOI 10.1097/NNR.0000000000000424
  48. Quinlan-Davidson M, 2014, J ADOLESCENT HEALTH, V54, P262, DOI 10.1016/j.jadohealth.2013.07.012
  49. Raheb C., 2008, CONDUCTA SUICIDA NIN
  50. Reigada LC, 2011, J SPEC PEDIATR NURS, V16, P207, DOI 10.1111/j.1744-6155.2011.00292.x
  51. Ruch DA, 2021, JAMA NETW OPEN, V4, DOI 10.1001/jamanetworkopen.2021.15683
  52. Russell ST, 2016, ANNU REV CLIN PSYCHO, V12, P465, DOI 10.1146/annurev-clinpsy-021815-093153
  53. Soole R, 2015, ARCH SUICIDE RES, V19, P285, DOI 10.1080/13811118.2014.996694
  54. Torales J., 2016, INT J CULT MENT HLTH, V9, P233, DOI [10.1080/17542863.2016.1197290, DOI 10.1080/17542863.2016.1197290]
  55. Vi├a┬▒as F., 1999, REV PSIQUIATRIA INFA, V4, P4
  56. World Health Organization, 1992, International statistical classification of diseases and related health problems (ICD 10)-instruction manual
  57. Zayas LH, 2008, SUICIDE LIFE-THREAT, V38, P334, DOI 10.1521/suli.2008.38.3.334

Coleções
Artigos e Materiais de Revistas Científicas - FM/Outros
Artigos e Materiais de Revistas Científicas - LIM/23
Artigos e Materiais de Revistas Científicas - ODS/03