The rising trends of self-harm in Brazil: an ecological analysis of notifications, hospitalisations, and mortality between 2011 and 2022

Oliveira Alves, Flávia Jôse; Fialho, Erika; Paiva de Araújo, Jacyra Azevedo; Naslund, John A.; Barreto, Maurício L.; Patel, Vikram; Machado, Daiane Borges

doi:10.1016/j.lana.2024.100691

Cited by 8 publications

(3 citation statements)

References 24 publications

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“…The predominance of suicides due to intentional self-poisoning by medicines (55.5%) in women contrasts with what is observed in relation to overall suicide (by all methods), since suicide among men is consistently higher ( 15 ), both in Brazil ( 16 ) and globally ( 17 ). In line with our study, in general population from northern Tunisia, 59% of suicides by intentional self-poisoning (including all substances) occurred in women ( 18 ) and, in general Brazilian population, among the 147,698 suicides due to intentional self-poisoning by medicines, 55.7% occurred in women and 44.3% in men ( 16 ).…”

Section: Discussionmentioning

confidence: 67%

The rise in mortality due to intentional self-poisoning by medicines in Brazil between 2003 and 2022: relationship with regional and global crises

Souza,

Orellana,

Jesus

et al. 2024

Front. Public Health

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In recent years, suicide rates in Brazil have increased, but little is known about the temporal behavior and characteristics of suicides due to intentional self-poisoning by medicines. The aim of the present study was to provide an overview of sociodemographic characteristics and place of death related to suicide due to intentional self-poisoning by medicines, to evaluate the trend of mortality rates in Brazil between 2003 and 2022, and its relationship with regional and global crises. Ecological time series study with data from the Mortality Information System of the Brazilian Ministry of Health, related to individuals aged 10 years and over, who committed suicides due to intentional drug overdose, in the period from 2003 to 2022. The analyses were performed in the R environment in RStudio. Between 2003 and 2022, there was a predominance of deaths in women (55.5%), individuals aged 30–49 years (47.2%), of White race/color (53.2%), occurring in health facilities (67.0%), using drugs or unspecified substances (40.4%); a higher concentration in the southern region (22.8%) and a positive trend in mortality rates due to intentional drug overdose, especially from 2016 onwards. A rise of 264% was observed in the comparison of 2022 and 2003. A peculiar sociodemographic profile was observed in the victims of intentional self-poisoning by medicines and a positive temporal trend in mortality rates, especially in a period marked by regional and global crises.

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Section: Discussionmentioning

confidence: 67%

The rise in mortality due to intentional self-poisoning by medicines in Brazil between 2003 and 2022: relationship with regional and global crises

Souza,

Orellana,

Jesus

et al. 2024

Front. Public Health

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“…Nevertheless, individuals in treatment for chronic diseases tend to be older. This characteristic is a major caveat for addressing and preventing MH among youth -a population with increasingly rates of suicide in Brazil whose MH must be considered a priority [29].…”

Section: Discussionmentioning

confidence: 99%

Availability of mental health care and mental health disorders in Brazil

De Boni,

Mota,

Alves

et al. 2024

Preprint

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Purpose We aimed to describe the prevalence of 12-month reported MHD and evaluate associations with availability mental health (MH) care in Brazil.Methods Data from a nationwide probability survey (n = 16,273) and from the National Registry of Health Services have been analyzed. The main outcomes were 12-month reported diagnosis/treatment for anxiety, depression, and severe MHD. Multivariate logistic regressions were performed to assess the associations of the rates of psychiatrists, outpatient MH services (CAPS) and primary health care services (PHC) with the outcomes.Results The overall prevalence of anxiety, depression, bipolar disorder and schizophrenia were 15.5% (95%CI:14.4–16.6), 7.3% (95%CI:6.6–7.9), 1.0% (95%CI:0.8–1.3), and 0.4% (95%CI 0.3–0.5), respectively, with lower prevalences observed in less developed macroregions. The rate of psychiatrists varied from 1.52 (North) to 12.26 (South)/100,000 inhabitants, the rate of CAPS from 1.52 (North) to 2.72 (Northeast), and the rate of PHC from 26.12 (Southeast) to 52.25 (Northeast). Individuals living in regions with higher rates of psychiatrists and PHCs were more likely to report anxiety and depression, while those living in regions with higher rates of CAPS were more likely report severe MHD.Conclusion The distribution of services mirrors the emphasis on PHC and CAPS to enhance equity within the Brazilian Universal Health System. However, diagnostic and treatment rates remain elevated in regions with larger psychiatrist presence. Addressing information gaps is imperative to optimize MH policies and resources allocation.

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“…Our study analysed annual rates of suicide and self-harm, considering the estimated Brazilian yearly population. 1 Reanalyses could offer further insights into the topic. For instance, to assess short-term events, particularly the impact of the COVID-19 pandemic, we recognise the importance of absolute monthly numbers of occurrences, as Volpe and Lacerda did.…”

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confidence: 99%

Reanalyzing self-harm notifications trends in Brazil, 2011–2022- Author’s response to Volpe and Lacerda

Oliveira Alves,

Fialho,

Barreto

et al. 2024

The Lancet Regional Health - Americas

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The rising trends of self-harm in Brazil: an ecological analysis of notifications, hospitalisations, and mortality between 2011 and 2022

Cited by 8 publications

References 24 publications

The rise in mortality due to intentional self-poisoning by medicines in Brazil between 2003 and 2022: relationship with regional and global crises

The rise in mortality due to intentional self-poisoning by medicines in Brazil between 2003 and 2022: relationship with regional and global crises

Availability of mental health care and mental health disorders in Brazil

Reanalyzing self-harm notifications trends in Brazil, 2011–2022- Author’s response to Volpe and Lacerda

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