The association between adolescent suicide rates and socioeconomic indicators in Brazil: a 10-year retrospective ecological study

Autor(es)

Denisse Jaen-Varas ^[1] ; Jair J. Mari ; Elson Asevedo ; Rohan Borschmann ; Elton Diniz ^[5] ; Carolina Ziebold ; Ary Gadelha

Afiliação do(s) autor(es)

^[1] Universidade Federal de São Paulo (UNIFESP). Departamento de Psiquiatria - Brasil

^[5] Universidade Federal de São Paulo (UNIFESP). Departamento de Psiquiatria - Brasil

• Tipo de documento: Artigo Científico
• Fonte: Revista Brasileira de Psiquiatria; v. 41, n. 5, p. 389-395, 2019-02-18.

Resumo

Objective: To examine suicide rates among adolescents from six large cities in Brazil and to analyze the relationship between adolescent suicide rates and socioeconomic indicators between 2006 and 2015. Methods: Generalized estimating equation models were used to assess the impact of socioeconomic factors – including social inequality and unemployment rates – on adolescent suicide rates. Results: The rate of adolescent suicide increased by 24% over the course of the study period. Social inequality (assessed using the Gini index), was positively associated with overall adolescent suicide rates (β = 10.68; 95%CI = 2.32-19.05; p ≤ 0.012). After disaggregating the findings by age (10-14 and 15-19 years), social inequality was associated with suicide rate only for adolescents aged 15-19 years (β = 9.63; 95%CI = 2.31-16.96; p ≤ 0.005). Disaggregating these findings by sex, the association with economic variables became significant only among females. Males had a higher overall suicide rate than females, and the highest rate was observed in male adolescents aged 15-19 years. Higher levels of unemployment were associated with higher suicide rates. Conclusion: Our findings suggest that socioeconomic indicators, particularly unemployment and social inequality, are relevant social determinants of suicide in adolescence. (AU)

• Processo FAPESP: 18/05586-7 - Avaliação da validade e confiabilidade das categorias diagnósticas da décima primeira edição da classificação internacional dos transtornos mentais na atenção primária: CID-11 AP
• Beneficiário: Carolina Andrea Ziebold Jorquera
• Modalidade de apoio: Bolsas no Brasil - Doutorado