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AutorMachado, Daiane Borges
AutorMcDonald, Keltie
AutorAraujo, Luis F. S. Castro de
AutorDevakumar, Delan
AutorAlves, Flávia Jôse Oliveira
AutorKiss, Lígia
AutorLewis, Glyn
AutorBarreto, Mauricio Lima
Fecha de acceso2021-02-12T13:21:00Z
Fecha de disponibilización2021-02-12T13:21:00Z
Fecha de publicación2020
ReferenciaMACHADO, Daiane Borges et al. Association between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalities. BMJ Open, v. 10, p. 1-15, 4 Nov. 2020.pt_BR
ISSN2044-6055pt_BR
URIhttps://www.arca.fiocruz.br/handle/icict/46058
PromociónMedical Research Council (MC_PC_MR/R018677/1)pt_BR
PromociónWellcome Trust (202912/Z/16/Z)pt_BR
PromociónNational Institute for Health Research, University College London Hospital, Biomedical Research Centrept_BR
Idiomaengpt_BR
EditorBMJ Publishing Grouppt_BR
Derechos de autoropen accesspt_BR
Palabras clave en PortuguésAssociaçãopt_BR
Palabras clave en PortuguésSaúde mentalpt_BR
Palabras clave en PortuguésFatores socioeconômicospt_BR
Palabras clave en PortuguésEstimativas de populaçãopt_BR
Palabras clave en PortuguésSuicídiopt_BR
Palabras clave en PortuguésBrasilpt_BR
TítuloAssociation between homicide rates and suicide rates: a countrywide longitudinal analysis of 5507 Brazilian municipalitiespt_BR
Tipo del documentoArticlept_BR
DOI10.1136/bmjopen-2020-040069pt_BR
Resumen en InglésObjective: To estimate the association between homicide and suicide rates in Brazilian municipalities over a period of 7 years. Design We conducted a longitudinal ecological study using annual mortality data from 5507 Brazilian municipalities between 2008 and 2014. Multivariable negative binomial regression models were used to examine the relationship between homicide and suicide rates. Robustness of results was explored using sensitivity analyses to examine the influence of data quality, population size, age and sex on the relationship between homicide and suicide rates. Setting: A nationwide study of municipality-level data. Participants: Mortality data and corresponding population estimates for municipal populations aged 10 years and older. Primary and secondary outcome measures: Age-standardised suicide rates per 100 000. Results: Municipal suicide rates were positively associated with municipal homicide rates; after adjusting for socioeconomic and demographic factors, a doubling of the homicide rate was associated with 22% increase in suicide rate (rate ratio=1.22, 95% CI: 1.13 to 1.33). A dose–response effect was observed with 4% increase in suicide rates at the third quintile, 9% at the fourth quintile and 12% at the highest quintile of homicide rates compared with the lowest quintile. The observed effect estimates were robust to sensitivity analyses. Conclusions: Municipalities with higher homicide rates have higher suicide rates and the relationship between homicide and suicide rates in Brazil exists independently of many sociodemographic and socioeconomic factors. Our results are in line with the hypothesis that changes in homicide rates lead to changes in suicide rates, although a causal association cannot be established from this study. Suicide and homicide rates have increased in Brazil despite increased community mental health support and incarceration, respectively; therefore, new avenues for intervention are needed. The identification of a positive relationship between homicide and suicide rates suggests that population-based interventions to reduce homicide rates may also reduce suicide rates in Brazil.pt_BR
AfiliaciónFundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil / London School of Hygiene & Tropical Medicine. Centre for Global Mental Health. London, United Kingdom.pt_BR
AfiliaciónUniversity College London, Division of Psychiatry. London, UK.pt_BR
AfiliaciónFundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil / The University of Melbourne. Department of Psychiatry. Heidelberg, Victoria, Australia.pt_BR
AfiliaciónUniversity College London. Institute for Global Health. London, UK.pt_BR
AfiliaciónFundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.pt_BR
AfiliaciónUniversity College London. Institute for Global Health. London, UK.pt_BR
AfiliaciónUniversity College London, Division of Psychiatry. London, UK.pt_BR
AfiliaciónUniversidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.pt_BR
Palavras clave en InglêsAssociationpt_BR
Palavras clave en InglêsMental healthpt_BR
Palavras clave en InglêsSocioeconomic factorspt_BR
Palavras clave en InglêsPopulation estimatespt_BR
Palavras clave en InglêsSuicidept_BR
Palavras clave en InglêsBrazilpt_BR
e-ISSN2044-6055pt_BR
xmlui.metadata.dc.subject.ods01 Erradicação da pobreza
xmlui.metadata.dc.subject.ods03 Saúde e Bem-Estar


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