Please use this identifier to cite or link to this item: http://ds.saudeindigena.icict.fiocruz.br/handle/bvs/1092
Title: Spatial-temporal trends and risk of suicide in Central Brazil: an ecological study contrasting indigenous and non-indigenous populations
Authors: Orellana, Jesem D.
Balieiro, Antônio A.
Fonseca, Fernanda R.
Basta, Paulo Cesar
Souza, Maximiliano L. Ponte de
Affilliation: Fundação Oswaldo Cruz. Centro de Pesquisas Leônidas & Maria Deane. Manaus, AM, Brasil.
Fundação Oswaldo Cruz. Centro de Pesquisas Leônidas & Maria Deane. Manaus, AM, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Leônidas & Maria Deane. Manaus, AM, Brasil
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Centro de Pesquisas Leônidas & Maria Deane. Manaus, AM, Brasil
Abstract: Objective: To examine spatial-temporal distribution and risk of suicide, as well as trends in suicide mortality rates, in the indigenous and non-indigenous population of the state of Mato Grosso do Sul, Brazil. Methods: Data were obtained from the Information Department of the Brazilian Unified Health System. Deaths recorded as voluntary self-inflicted injuries (ICD-10 codes X60.0 to X84.9) were considered suicide. Suicide rates were estimated and adjusted by age in the population > 9 years of age. Kernel analysis was used to assess the spatial distribution of suicide cases, while trend analysis was carried out using a non-parametric test (Mann-Kendall). Results: The suicide risk among the indigenous population was 8.1 (95%CI 7.2-9.0) times higher than in the non-indigenous population. For indigenous residents in the 15-24 age group, the risk was 18.5 (95%CI 17.5-19.6) times higher than in the non-indigenous population. The majority of indigenous cases were concentrated in a few villages in reservation areas, mainly occupied by Guarani-Kaiowá and Guarani-Ñandeva groups. Rate patterns remained stable over time in both groups. Conclusion: Suicide is a serious public health problem in Mato Grosso do Sul, and has had an alarming and disproportionate impact on the indigenous population for more than a decade.
Keywords: Brasil
Índios Sul-Americanos
Saúde de Populações Indígenas
Epidemiologia
Região Centro-Oeste
Mato Grosso do Sul
Suicídio
Saúde Mental
Estudos Epidemiológicos
Guarani-Kaiowá
Guarani-Ñandeva
Guarani Kaiowá
Desigualdades em Saúde
Sistemas de Informação em Saúde
Causas Externas
Análise Espacial
Guarani Ñandeva
DeCS: Brasil
Saúde de Populações Indígenas
Índios Sul-Americanos
Epidemiologia
Saúde Mental
Suicídio
Estudos Epidemiológicos
Disparidades nos Níveis de Saúde
Sistemas de Informação em Saúde
Causas Externas
Análise Espacial
Issue Date: 2016
Publisher: Associação Brasileira de Psiquiatria
Citation: ORELLANA, Jesem D.et al. Spatial-temporal trends and risk of suicide in Central Brazil: an ecological study contrasting indigenous and non-indigenous populations. Revista Brasileira de Psiquiatria, v. 38, n. 3, p. 222-230, 2016.
metadata.dc.identifier.doi: 10.1590/1516-4446-2015-1720
ISSN: 1516-4446 1809-452X
Copyright: open access
Appears in Collections:AN - Artigos de Periódicos

Files in This Item:
File Description SizeFormat 
248338982.pdf686.5 kBAdobe PDFThumbnail
View/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.