Introduction In Brazil, suicide is an alarming and growing health problem among adolescents. The Sustainable Development Goals aims to promote mental health. Methods Descriptive epidemiological study regarding the proportion of deaths by suicide according to ICD-10 classification, gender, Brazilian region, place of occurrence, race and year in adolescents from 10 to 19 years old in the period of 2008 to 2017 in Brazil, through the national system of health data, DATASUS. Results From 2008 to 2017, there were 175,543 deaths in adolescents due to external causes in Brazil; voluntarily self-inflicted injuries were the second main cause with 8,028 (4.6%) deaths - Among them, 728 occurred in 2008, 672 in 2009, 706 in 2010, 733 in 2011, 792 in 2012, 786 in 2013, 814 in 2014, 854 in 2015, 897 in 2016, and 1047 in 2017. Cases of strangulation/hanging/suffocation were 5,429 (67.2%); self-poisoning by pesticides were 512 (6.5%); intentional self-harm caused by the firing of another firearm and an unspecified firearm were 456 (5.7%). The most affected gender was male, with 5,536 (69%) deaths; female was 2,492 (31%). Among regions, the Southeast Region had 2,238 (27.9%) death records, followed by the Northeast, with 2,128 (26.5%). The most reported place of occurrence was home, with 4,570 (56.9%) deaths, followed by hospital, with 1,627 (20.3%). Among races, brown people were 3,803 (47.4%) deaths, and whites were 3,023 (37.7%). Conclusions Suicide of adolescents is a growing tragedy, with an increase of 55% in the analyzed period. Expanding studies on the theme will favor better conduct and management by health professionals. The timely identification of adolescents with a suicidal tendency and its specialized follow-up may be tools to reduce this sad reality. Key messages The study of child and youth suicide is important to assess the aspects that promote it, propose effective interventions and evaluate, by monitoring, the problems caused at home. It elucidates a important topic to Brazilian public health: suicide among young people. Due to its prevalence, discussing it corroborates to develop new guidelines and conducts for managing patients.

Introduction One of the Sustainable Development Goals is to promote mental health. It is then mandatory to know the death profile of this population and to develop public policies to reduce it. Methods Epidemiological descriptive study regarding the proportion of indigenous deaths according to the variables: age group, year of occurrence, gender, region, municipality and ICD-10 category, in the period 2008 to 2017 in Brazil, using data from the national database DATASUS. Results From 2008 to 2017, there were 5,489 indigenous deaths due to external causes in Brazil, with 1,107 (20.1%) due to self-caused lesions. The annual average was 110.7 cases per year: 100 in 2008, 95 in 2009, 93 in 2010, 97 in 2011, 90 in 2012, 113 in 2013, 117 in 2014, 132 in 2015, 120 in 2016, and 150 in 2017. Regarding causes, strangling/hanging/suffocation were 979 (88.4%), self-intoxication was 31 (2.8%) with other chemicals and 21 (1.8%) with pesticides. Regarding age group, 365 (32.9%) were between 15 to 19 years old, 325 (29.3%) between 20 to 29, 150 (13.5%) between 30 to 39, 131 (11.8%) between 10 to 14, and 136 (12.2%) in other age groups. Regarding gender, 807 (72.9%) were male, 299 (27.0%) were female, and 1 (0.09%) was ignored. Regarding region, the Northern Region had 575 (51.9%) cases and the Central-Western Region had 403 (36.4%) cases. The municipality of São Gabriel da Cachoeira was the one with the highest amount of cases: 132 (12.7%). Conclusions The 50% increase in the amount of deaths by suicide among indigenous people in the analyzed period reveals the infficacy of established public policies in Brazil. The number of deaths among the youth reveals the community trauma of exploration, violence and dignity loss. The Nothern and Central-Western regions had conflicts due to land demarcation and prospecting, which explain the high rates. The reduction of such tragedy demands capacitation of all the public spheres. Key messages Evaluate the aspects that promote it and to propose effective interventions in environments of difficult access and in a historically vulnerable population. Discuss some relevant characteristics among natives who are vulnerable to practicing self-made injuries, in order to make it possible to create new ways to protect this population.

Introduction One of the Sustainable Development Goals is to reduce the amount of maternal deaths. This study is essential in Brazil. Methods Epidemiological descriptive study regarding maternal deaths between 10 to 19 years old, according to race, age group, marital status, year of occurrence, schooling status, and ICD-10 category, during 2007 to 2017 in Brazil. Data was obtained from DATASUS. Results In the period, there were 2,767 maternal deaths between 10 to 19 years old; 152(5,5%) of them between 42 days to one year postpartum. Regarding age, 2,582(93%) were between 15 to 19 years old, 185(6,6%) between 10 to 14 years old. Regarding race, 1,565(56,5%) were brown, 761(27,5%) were white, 236(8,5%) were black, 69(2,5%) were indigenous. Regarding marital status, 2,060(74,4%) were single, 240(8,7%) were married. Regarding the cause of death, 542(19,5%) were due to maternal diseases with labor and puerperium complications, 348(12,5%) due to eclampsia, 209(7,5%) due to puerperal infection, 152(5,5%) due to other causes of late maternal death, 150(5,4%) due to gestational hypertension, 115(4%) due to urinary tract infection. Regarding schooling status 1,062(38,3%) had 4 to 7 school years 809(29%) had 8 to 11 years, 207(7%) had 1 to 3 years, 44(1,6%) had no schooling. The total amount of maternal deaths and late maternal deaths, respectively, according to the year, were: 220 and 12(2007), 247 and 12(2008), 267 and 7(2009), 273 and 6(2010), 242 and 12(2011), 225 and 17(2012), 241 and 17(2013), 239 and 20(2014), 235 and 19(2015), 214 and 17(2016), and 212 and 13(2017). Conclusions The limited 0,03% reduction in the amount of maternal deaths in this age group between 2007 to 2017is worrisome. The deaths among mostly single girls with some schooling level reveals that the country needs to review its sexual education policies, and to enforce guidance regarding family planning, as well as enable the female youth to recognize and denounce sexual aggressions. Key messages Know the characteristics of adolescents who suffers with the risk of maternal death in Brazil, in order to create ways of reducing these risks. Alert to Brazilian government to take part in the awareness process and start investing in improving the specialized public health service and access to information for these women.