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Title: Suicide in Brazilian indigenous communities: clustering of cases in children and adolescents by household
Authors: Lazzarini, Thomas Adriano
Gonçalves, Crhistinne Cavalheiro Maymone
Benites, Walter Martins
Silva, Liliane Ferreira da
Tsuha, Daniel Henrique
Ko, Albert Icksang
Rohrbaugh, Robert
Andrews, Jason Randolph
Croda, Julio
Abstract: OBJECTIVE To estimate age and sex-specific suicide rates, compare suicide rates between indigenous communities, and quantify the frequency of intrafamilial suicide clustering. METHODS We performed a retrospective cohort study involving 14,666 indigenous individuals in reservations in Dourados, state of Mato Grosso do Sul, Brazil, from 2003 through 2013 using national and local census. RESULTS The overall suicide rate was 73.4 per 100,000 person-years. Adolescent males aged 15-19 and girls aged 10-14 had the highest rates for each sex at 289.3 (95%CI 187.5-391.2) and 85.3 (95%CI 34.9-135.7), respectively. Comparing the largest reservations, Bororo had a higher suicide rate than Jaguapiru (RR = 4.83, 95%CI 2.85-8.16) and had significantly lower socioeconomic indicators including income and access to electricity. Nine of 19 suicides among children under 15 occurred in household clusters. Compared with adult suicides, a greater proportion of child (OR = 5.12, 95%CI 1.89-13.86, p = 0.001) and adolescent (OR = 3.48, 95%CI 1.29-9.44, p = 0.017) suicides occurred within household clusters. CONCLUSIONS High rates of suicide occur among children and adolescents in these indigenous reservations, particularly in poor communities. Nearly half of child suicides occur within household clusters. These findings underscore the need for broad public health interventions and focused mental health interventions in households following a suicide.
Keywords: Brazil
Health of Indigenous Peoples
Indians, South American
Mental Health
Keywords: Região Centro-Oeste
Mato Grosso do Sul
Causas Externas
Doenças e Agravos Não Transmissíveis
DeCS: Brasil
Saúde de Populações Indígenas
Índios Sul-Americanos
Saúde Mental
Saúde da Criança
Saúde do Adolescente
Estudos Epidemiológicos
Causas Externas
Issue Date: 2018
Publisher: Universidade de São Paulo
Citation: LAZZARINI, Thomas Adriano; GONÇALVES, Crhistinne Cavalheiro Maymone; BENITES, Walter Martins; SILVA, Liliane Ferreira; TSUHA, Daniel Henrique; KO, Albert Icksang; ROHRBAUGH, Robert; ANDREWS, Jason Randolph; CRODA, Julio. Suicide in Brazilian indigenous communities: clustering of cases in children and adolescents by household. Rev Saúde Pública, v. 52, n. 56, 2018.
metadata.dc.identifier.doi: 10.11606/S1518-8787.2018052000541
ISSN: 0034-8910
Copyright: open access
Appears in Collections:DANT - Artigos de Periódicos

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