Mental health in Goiás, Brazil: suicide mortality and coverage of Psychosocial Care Centers from 2011 to 2021

Authors

  • Murillo Santos da Cruz Vieira Graduando, Medicina, Universidade Evangélica de Goiás, UniEVANGÉLICA, Anápolis, GO, Brasil https://orcid.org/0009-0006-0699-6541
  • Layanna Nayra dos Santos Graduanda, Medicina, Universidade Evangélica de Goiás, UniEVANGÉLICA, Anápolis, GO, Brasil https://orcid.org/0000-0002-0495-6320
  • Marco Aurélio da Silva Lima Preceptor do Internato de Saúde Coletiva, Medicina, Universidade Evangélica de Goiás, UniEVANGÉLICA, Anápolis, GO, Brasil https://orcid.org/0009-0000-0429-6484

DOI:

https://doi.org/10.25118/2763-9037.2024.v14.1101

Keywords:

mental health, epidemiology descriptive, Suicide

Abstract

Introduction: Suicide is a public health problem that affects millions of people worldwide. In Brazil, higher rates are in older men (60 to 69 years), ranging between 10 and 14 per 100,000 inhabitants. In this sense, the Psychosocial Care Centers (CAPS) are specialized service locations for mental health care in the Unified Health System (SUS). Objective: To present suicide rates and associated sociodemographic factors in Goiás, in addition to describing the coverage rates by CAPS 2012 and 2021. Methods: This is an ecological, descriptive study, carried out from secondary data, obtained by the National Registry of Health Establishments and by the Mortality Information System between 2011 and 2021. The calculation of suicide rates was given by the search for deaths whose basic cause was coded between X-60 and X-84, categories of self-inflicted injuries within the chapter "External Causes" of the 10th edition of the International Classification of Diseases. Results: 5,023 suicide deaths were reported in the state of Goiás between 2012 and 2021, where 78.06% were male of brown race/color (58.71%) with an age group of 20 to 29 years (22.24%). Hanging was the most common method used (69.40%). During 2011 to 2021 there was the opening of 48 CAPS, a growth of 100% in coverage. Conclusions: Therefore, the suicide rates in the state reflect the need for greater attention to the theme, with improvement of the care network and greater subsidies for mental health institutions.

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Author Biographies

Murillo Santos da Cruz Vieira, Graduando, Medicina, Universidade Evangélica de Goiás, UniEVANGÉLICA, Anápolis, GO, Brasil

Layanna Nayra dos Santos , Graduanda, Medicina, Universidade Evangélica de Goiás, UniEVANGÉLICA, Anápolis, GO, Brasil

Marco Aurélio da Silva Lima, Preceptor do Internato de Saúde Coletiva, Medicina, Universidade Evangélica de Goiás, UniEVANGÉLICA, Anápolis, GO, Brasil

References

World Health Organization. Suicide worldwide in 2019: global health estimates. Geneva: World Health Organization; 2021. https://www.who.int/publications/i/item/9789240026643

Borges G, Nock MK, Haro Abad JM, Hwang I, Sampson NA, Alonso J, Andrade LH, Angermeyer MC, Beautrais A, Bromet E, Bruffaerts R, de Girolamo G, Florescu S, Gureje O, Hu C, Karam EG, Kovess-Masfety V, Lee S, Levinson D, Medina-Mora ME, Ormel J, Posada-Villa J, Sagar R, Tomov T, Uda H, Williams DR, Kessler RC. Twelve-month prevalence of and risk factors for suicide attempts in the World Health Organization World Mental Health Surveys. J Clin Psychiatry. 2010;71(12):1617-28. https://doi.org/10.4088/jcp.08m04967blu PMID:20816034 - PMCID:PMC3000886 DOI: https://doi.org/10.4088/JCP.08m04967blu

Brasil, Ministério da Saúde, Secretaria de Vigilância em Saúde. Perfil epidemiológico das tentativas e óbitos por suicídio no Brasil e a rede de atenção à saúde. Brasília: Ministério da Saúde; 2017. (Boletim epidemiológico; vol. 48, no. 30). https://www.gov.br/saude/pt-br/centrais-de-conteudo/apresentacoes/2017/2017-025-perfil-epidemiologico-das-tentativas-e-obitos-por-suicidio-no-brasil-e-a-rede-de-aten-ao-a-sa-de-pdf

Waiselfisz JJ. Os jovens do Brasil. Brasília: Secretaria-Geral da Presidência da República; 2014. https://biblioteca.flacso.org.br/files/2020/03/Mapa2014_JovensBrasil.pdf

Snowdon J, Choi NG. Undercounting of suicides: where suicide data lie hidden. Glob Public Health. 2020;15(12):1894-901. https://doi.org/10.1080/17441692.2020.1801789 PMID:32744898 DOI: https://doi.org/10.1080/17441692.2020.1801789

World Health Organization. World health statistics 2017: monitoring health for the SDGs, sustainable development goals. Geneva: World Health Organization; 2017. https://www.who.int/publications/i/item/9789241565486

Nadanovsky P, Santos APP. Mortes por causas externas no Brasil: previsões para as próximas duas décadas. Rio de Janeiro: Fundação Oswaldo Cruz; 2021. (Texto para discussão; n. 56). https://saudeamanha.fiocruz.br/wp-content/uploads/2021/05/NADANOVSKY-e-SANTOS-2021-Mortes-Causas-Externas-Brasil-previsoes-proximas-duas-decadas-Fiocruz-Saude-Amanha-TD056.pdf

Palma DCA, Santos ESD, Ignotti E. Análise dos padrões espaciais e caracterização dos suicídios no Brasil entre 1990 e 2015. Cad Saude Publica. 2020;36(4):e00092819. https://doi.org/10.1590/0102-311x00092819 PMID:32267385 DOI: https://doi.org/10.1590/0102-311x00092819

Fazel S, Runeson B. Suicide. N Engl J Med. 2020;382(3):266-74. https://doi.org/10.1056/nejmra1902944 PMID:31940700 - PMCID:PMC7116087 DOI: https://doi.org/10.1056/NEJMra1902944

World Health Organization. Preventing suicide: resource for media professionals, update 2023. Genebra: World Health Organization; 2023. https://www.who.int/publications/i/item/9789240076846

Santos PJO, Martins GML, Barroso AC. A importância das políticas públicas na esfera da saúde pública. Rev Ibero-Americana Hum Cienc Educ. 2023;9(9):4759-68. https://doi.org/10.51891/rease.v9i9.11576 DOI: https://doi.org/10.51891/rease.v9i9.11576

Lange S, Cayetano C, Jiang H, Tausch A, Oliveira e Souza R. Contextual factors associated with country-level suicide mortality in the Americas, 2000-2019: a cross-sectional ecological study. Lancet Reg Health Am. 2023;20:100450. https://doi.org/10.1016/j.lana.2023.100450 PMID:37095770 - PMCID:PMC10122114 DOI: https://doi.org/10.1016/j.lana.2023.100450

Brasil, Ministério da Saúde. Departamento de Informática do Sistema Único de Saúde (DATASUS). Brasília: Ministério da Saúde; 2021?. https://datasus.saude.gov.br/

Instituto Brasileiro de Geografia e Estatística. Estimativas de População - EstimaPop. Rio de Janeiro: IBGE; 2020.

Dantas AP, Azevedo UN, Nunes AD, Amador AE, Marques MV, Barbosa IR. Analysis of suicide mortality in Brazil: spatial distribution and socioeconomic context. Braz J Psychiatry. 2018;40(1):12-8. https://doi.org/10.1590/1516-4446-2017-2241 PMID:28832751 - PMCID:PMC6899420 DOI: https://doi.org/10.1590/1516-4446-2017-2241

World Health Organization. Preventing suicide: a global imperative. Geneva: World Health Organization; 2014. https://www.who.int/publications/i/item/9789241564779

Brasil, Ministério da Saúde, Secretaria de Vigilância em Saúde. Mortalidade por suicídio e notificações de lesões autoprovocadas no Brasil. Brasília: Ministério da Saúde; 2021. (Boletim epidemiológico; vol. 52, no. 33). https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/epidemiologicos/edicoes/2021/boletim_epidemiologico_svs_33_final.pdf

Ruiz AMP, Fernandez MRB, Komoda DS, Treichel CADS, Cordeiro RC. Risk and protective factors for suicide: a populational case-control study, Brazil, 2019. Rev Saude Publica. 2023;57:16. https://doi.org/10.11606/s1518-8787.2023057004606 PMID:37075399 - PMCID:PMC10118405 DOI: https://doi.org/10.11606/s1518-8787.2023057004606

Marín-León L, Barros MB. Mortes por suicídio: diferenças de gênero e nível socioeconômico. Rev Saude Publica. 2003;37(3):357-63. https://doi.org/10.1590/s0034-89102003000300015 PMID:12792688 DOI: https://doi.org/10.1590/S0034-89102003000300015

Rehkopf DH, Buka SL. The association between suicide and the socio-economic characteristics of geographical areas: a systematic review. Psychol Med. 2006;36(2):145-57. https://doi.org/10.1017/s003329170500588x PMID:16420711 DOI: https://doi.org/10.1017/S003329170500588X

Machado DB, Rasella D, Santos DN. Impact of income inequality and other social determinants on suicide rate in Brazil. PLoS One. 2015;10(4):e0124934. https://doi.org/10.1371/journal.pone.0124934 PMID:25928359 - PMCID:PMC4416030 DOI: https://doi.org/10.1371/journal.pone.0124934

Stack S. Suicide: a 15-year review of the sociological literature. Part I: cultural and economic factors. Suicide Life Threat Behav. 2000;30(2):145-62. PMID:10888055 DOI: https://doi.org/10.1111/j.1943-278X.2000.tb01073.x

Lester D. Correlates of regional suicide rates: a metaanalysis. OMEGA - J Death Dying. 1999;38(2):99-102. https://doi.org/10.2190/A12T-77GK-4ECU-16H4 DOI: https://doi.org/10.2190/A12T-77GK-4ECU-16H4

Lester D. Predicting suicide in nations. Arch Suicide Res. 2005;9(2):219-23. https://doi.org/10.1080/13811110590904052 PMID:16020164 DOI: https://doi.org/10.1080/13811110590904052

Ross CE. Recoceptualizing marital status as a condition of social attachment. J Marriage Fam. 1995;57(1):129-40. https://doi.org/10.2307/353822 DOI: https://doi.org/10.2307/353822

Stack S, Eshleman JR. Marital status and happiness: a 17 nation study. J Marriage Fam. 1998;60(2):527-36. https://doi.org/10.2307/353867 DOI: https://doi.org/10.2307/353867

Desaulniers J, Daigle MS. Inter-regional variations in men's attitudes, suicide rates and sociodemographics in Quebec (Canada). Soc Psychiatry Psychiatr Epidemiol. 2008;43(6):445-53. https://doi.org/10.1007/s00127-008-0340-2 PMID:18404236 DOI: https://doi.org/10.1007/s00127-008-0340-2

McDonald K, Machado DB, Castro-de-Araujo LFS, Kiss L, Palfreyman A, Barreto ML, Devakumar D, Lewis G. Trends in method-specific suicide in Brazil from 2000 to 2017. Soc Psychiatry Psychiatr Epidemiol. 2021;56(10):1779-90. https://doi.org/10.1007/s00127-021-02060-6 PMID:33782727 - PMCID:PMC8429168 DOI: https://doi.org/10.1007/s00127-021-02060-6

World Health Organization. Mental health action plan 2013 - 2020. Geneva: World Health Organization; 2013. https://cdn.who.int/media/docs/default-source/campaigns-and-initiatives/world-mental-health-day/2021/mental_health_action_plan_flyer_member_states.pdf?sfvrsn=b420b6f1_7&download=true

Brasil, Ministério da Saúde. Portaria n° 1.876, de 14 de agosto de 2006 - Institui Diretrizes Nacionais para Prevenção do Suicídio, a ser implantadas em todas as unidades federadas, respeitadas as competências das três esferas de gestão. Brasília: Ministério da Saúde; 2006. https://bvsms.saude.gov.br/bvs/saudelegis/gm/2006/prt1876_14_08_2006.html

Rodrigues CD, Souza DS, Rodrigues HM, Konstantyner TCRO. Trends in suicide rates in Brazil from 1997 to 2015. Braz J Psychiatry. 2019;41(5):380-8. https://doi.org/10.1590/1516-4446-2018-0230 PMID:30785540 - PMCID:PMC6796812 DOI: https://doi.org/10.1590/1516-4446-2018-0230

Salgado MA, Fortes SLCL. Indicadores de saúde mental na atenção primária à saúde: avaliando a qualidade do acesso através da capacidade de detecção de casos. Cad Saude Publica. 2021;37(9):e00178520. https://doi.org/10.1590/0102-311x00178520 PMID:34669772 DOI: https://doi.org/10.1590/0102-311x00178520

Sampaio ML, Bispo Júnior JP. Rede de Atenção Psicossocial: avaliação da estrutura e do processo de articulação do cuidado em saúde mental. Cad Saude Publica. 2021;37(3):e00042620. Portuguese. https://doi.org/10.1590/0102-311x00042620 PMID:33852660 DOI: https://doi.org/10.1590/0102-311x00042620

Peres GM, Crepaldi MA, Motta CCL, Grigolo TM. Limites e desafios da rede de atenção psicossocial na perspectiva dos trabalhadores de saúde mental. Cadernos Brasileiros de Saúde Mental. 2018;10(27):34-52. https://doi.org/10.5007/cbsm.v10i27.69033

Senicato C, Azevedo RCS, Barros MBA. Common mental disorders in adult women: identifying the most vulnerable segments. Cien Saude Colet. 2018;23(8):2543-54. https://doi.org/10.1590/1413-81232018238.13652016 PMID:30137124 DOI: https://doi.org/10.1590/1413-81232018238.13652016

Muller SA, Pereira GS, Zanon RB. Estratégias de prevenção e pósvenção do suicídio: estudo com profissionais de um Centro de Atenção Psicossocial. Rev Psicol IMED. 2017;9(2):6-23. https://doi.org/10.18256/2175-5027.2017.v9i2.1686 DOI: https://doi.org/10.18256/2175-5027.2017.v9i2.1686

Prefeitura da Cidade do Rio de Janeiro, Secretaria Municipal de Saúde. Avaliação do Risco de Suicídio e sua Prevenção. Rio de Janeiro: Secretaria Municipal da Saúde; 2016. (Coleção guia de referência rápida); (Série F. Comunicação e Educação em Saúde). https://subpav.org/download/prot/Guia_Suicidio.pdf

Silva ACF, Hora VLA. Psicofobia: enfrentando os transtornos mentais e o preconceito no Brasil. Caderno Discente. 2022;6(1). https://revistas.esuda.edu.br/index.php/Discente/article/view/826/313

Brabo BS, Pereira LF, Piani PPF. Saúde mental na Amazônia: mortalidade por suicídio e cobertura dos Centros de Atenção Psicossocial no estado do Pará de 2006 a 2015. Debates em Psiquiatria. 2018;8(5):6-15. https://revistardp.org.br/revista/article/view/322 DOI: https://doi.org/10.25118/2763-9037.2018.v8.322

Published

2024-09-08

How to Cite

1.
Vieira MS da C, Santos LN dos, Lima MA da S. Mental health in Goiás, Brazil: suicide mortality and coverage of Psychosocial Care Centers from 2011 to 2021. Debates em Psiquiatria [Internet]. 2024 Sep. 8 [cited 2024 Oct. 18];14:1-21. Available from: https://revistardp.org.br/revista/article/view/1101

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