Suicide in Brazilian indigenous communities

Clustering of cases in children and adolescents by household

Dados Bibliográficos

ID16780555
AutoresThomas A Lazzarini (0000-0003-1855-2957, Yale University), Crhistinne Cavalheiro Maymone Gonçalves (0009-0000-3353-7718, Universidade Federal de Mato Grosso do Sul), Walter Martins Benites (Centro Universitário da Grande Dourados), Liliane Ferreira da Silva (Centro Universitário da Grande Dourados), Daniel Henrique Tsuha (0000-0002-0723-6142, Universidade Federal de Mato Grosso do Sul), Albert I Ko (0000-0001-9023-2339, Yale University), Robert M Rohrbaugh (0000-0002-4969-4352, Yale University), Robert Rohrbaugh, Jason R Andrews (0000-0002-5967-251X, Stanford Medicine), Julio Croda (0000-0002-6665-6825, Universidade Federal de Mato Grosso do Sul)
Ano2018
Volume52
Páginas56
Data de publicação2018-05-08
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoRevista de Saúde Pública (JOURNAL)
Identificadores do periódicoISSN: 0034-8910 • E-ISSN: 0034-8910
EditoraUniversidade de Sao Paulo, Agencia USP de Gestao da Informacao Academica (AGUIA) (PUBLISHER)
DOI10.11606/s1518-8787.2018052000541
PMID29791676
OpenAlexW2799324430
IdiomaEN
Citações recebidas9
Referências citadas7

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

Environmental health · Geography · Household income · Indigenous · Injury prevention · Occupational safety and health · Poison control · Population · Psychiatry · Psychological intervention · Public health · Socioeconomic status · Sociology · Suicide prevention · Demography · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Mental Health Treatment and Access · Suicide and Self-Harm Studies