Epidemiologia do suicídio na região metropolitana de Maceió: fatores associados, análise temporal e espacial

• Ano de defesa: 2021
• Autor(a) principal: Silva, Alessandra Vieira da
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Brasil; Campus Piranhas
• Palavras-chave em Português: Análise Espacial. Estudos de Séries Temporais. Epidemiologia. Suicídio. Violência.; CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA
• Link de acesso: https://repositorio.ifal.edu.br/handle/123456789/984

Suicide has been a worldwide problem that has affected the lives of millions of people around the world. The World Health Organization estimates that the annual number of people who commit suicide is twice that of homicide. The aim of this study was to perform a temporal and spatial analysis of suicidal violence in the metropolitan region of Maceió - AL, describing the sociodemographic characteristics, related to the place of residence, place of occurrence, in addition to the characteristics related to the event itself. This is an observational epidemiological study, with a quantitative method approach. To investigate the associated factors-time-space triad, data were collected from the Instituto Médico Legal Estácio de Lima de Maceió from 2016 to 2018, and from the Mortality Information System for the period from 2000 to 2019. A modeling was used. statistical analysis through multiple logistic regression, using males as the reference category for the analysis, where the Odds Ratio (OR) values were calculated using the binary method, estimating the Confidence Interval (CI) of 95%. The prerequisites for the regression were the absence of multicollinearity (autocorrelation of the independent variable with the outcome), expressed as Tolerance values > 0.1 and VIF values < 10, another item observed was the absence of outliers. The choice of the final model observed the significance of the model, the R Square of Nagelkerke, the classification capacity of the model and the significance of Hosmer and Lemeshow. In all analyses, the significance level was set at 5%, using the SPSS statistical package (version 20.0) to aid in data processing. Results of the present study indicate that the pattern of victimization for suicide in the MR of Maceió is predominantly male and that it affects individuals of mixed ethnicity, single, salaried, whose residence and occurrence is mainly in the city of Maceió. Hanging was the main mechanism of suicide, followed by poisoning and intentional falling. Weekends and Fridays were the days with the highest occurrence of cases. Factors associated with male suicide indicated that they are related to ethnicity, work status, mechanism of suicide and trimester of occurrence. Suicide rates were higher in men, ranging from 4.1-7.6 x 100,000 population compared to female victims 2.9-4.1 x 100,000 population. The city of Barra de São Miguel had the highest suicide mortality rate, followed by Maceió, Marechal Deodoro, Rio Largo and Pilar. The capital Maceió has the highest number of cases and place of residence of the suicide act. We conclude by showing that there was a significant increase in suicide notifications between 2000 and 2009. This increase was mainly explained by the increase in notifications of female victims, within the same period considered. The present study had limitations based on the use of secondary data on suicide mortality, coming from a system that is subject to underreporting and inadequate filling in the documentation used to record these data, as well as in the system's feed.