Spatiotemporal analysis of suicide attempts in Colombia from 2018 to 2020

Bibliographic Data

ID5167086
AuthorsMario Julian Cañon-Ayala (0000-0002-0181-3156, Politécnico Grancolombiano), Yury Estefania Perdomo-Jurado (0000-0002-3595-482X, Politécnico Grancolombiano), Angela Gissette Caro-Delgado (0000-0002-9825-8637, Politécnico Grancolombiano, Colombia; Universidad Nacional de Colombia, Colombia)
Year2024
Volume40
Issue8
Pagese00119323-e00119323
Publication date2024-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311xen119323
PMID39292130
OpenAlexW4402620700
SCIELO_PIDS0102-311X2024000801411
LanguageEN
References cited27

Suicide is one of the leading death causes worldwide, mainly among young adults, and Colombia has experienced an increase during the XXI century. The suicide impact has diverged between age groups and locations in Colombia, where young adults have taken higher incidences than the other age groups. The COVID-19 lockdown induced changes in mental health, affecting the previous suicide trends in the country. We conducted a spatiotemporal analysis of suicide attempts in Colombia per age group, adopting Bayesian models that represent 85,526 individual records in 1,121 municipalities from 2018 to 2020 using R-INLA. We found that Colombia exhibited an increase in suicide-attempt incidence from 2018 to 2019, and suddenly, the incidence fell in the first semester of 2020. The fixed effect of the models evidenced the highest risk in overall municipalities per trimester in the age group between 15-19 years old. The spatial random effect per model evidenced municipalities with the highest risk in the age groups between 10 to 59 years, mainly in the states in the Andean region of Colombia, and other states such as Putumayo, Vaupés, Arauca, Córdoba, Amazonas, and Meta. The temporal random effect evidenced a decay in suicide trends from the fourth trimester of 2019 to 2020, except in the age group > 59 years old. Geographically, our study pinpointed specific regions in Colombia, particularly in the central, southwest, and southeast areas, where the incidence of suicide attempts exceeded 100 cases per 100,000 inhabitants. The nuanced breakdown of incidence across different age groups further underscores the importance of tailoring preventive strategies based on age-specific and regional risk factors

Age groups · Coronavirus disease 2019 (COVID-19) · Environmental health · Geography · Incidence (geometry) · Poison control · Sociology · Suicide methods · Suicide prevention · Suicide rates · Demography · Food Security and Health in Diverse Populations · Medicine · Public Health and Social Inequalities · Suicide and Self-Harm Studies

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