Mental health in the Amazon: mortality from suicide and coverage of psychosocial care centers in the State of Pará, 2006 to 2015
DOI:
https://doi.org/10.25118/2763-9037.2018.v8.322Keywords:
Suicide, prevention, public healthAbstract
Objectives: To present suicide rates in the state of Pará and associated sociodemographic factors, as well as to describe coverage rates of the Psychosocial Care Centers (Centros de Atenção Psicossocial [CAPS]) between 2006 and 2015. Methods: Data were retrieved from the National Mortality Information System (Sistema de Informação sobre Mortalidade [SIM]), the National Registry of Health Establishments (Cadastro Nacional de Estabelecimentos de Saúde [CNES]), and the Brazilian Institute of Geography and Statistics (IBGE). Results: State suicide rates rose 44% between 2006 and 2015, more than double the national increase in the same period. It was observed that suicide occurs at a 4:1 ratio between males and females; a third of the deaths affects young adults; most victims have brown skin color and are single. Hanging was the suicide method most commonly used. In the same period, according to the Brazilian Ministry of Health, there was an improvement in the coverage of CAPS in the state, from 0.48 CAPS/100,000 inhabitants in 2006, considered regular/low, to 1.06 CAPS/100,000 inhabitants in 2015. Conclusion: The methodology employed does not allow to establish a causal relationship between CAPS coverage and suicide rates.
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References
World Health Organizati on (WHO). Preventi ng suicide: a global imperati ve. Genebra: WHO; 2014.
World Health Organizati on (WHO). Mental health acti on plan 2013-2020. Genebra: WHO; 2013.
United Nati ons. Transforming our world: the 2030 agenda for sustainable development. General Assembly, Seventi eth session. 2015;15-16301:1-35.
World Health Organizati on (WHO). Suicide data [Internet]. [cited 2018 May 25]. www.who.int/mental_health/prevention/suicide/suicideprevent
Brasil, Ministério da Saúde, Secretaria de Vigilância em Saúde. Suicídio. Saber, agir e prevenir. Boleti m Epidemiológico. 2017;48(30).
Mello-Santos dC, Bertolote JM, Wang YP. Epidemiology of suicide in Brazil (1980-2000): characterizati on of age and gender rates of suicide. Braz J Psychiatry. 2005;27:131-4.
Brasil, Secretaria Geral da Presidência da República, Secretaria Nacional de Juventude, Secretaria Nacional de Promoção da Igualdade Racial. Mapa da violência: os jovens no Brasil. Brasília: Secretaria Geral da Presidência da República, Secretaria Nacional de Juventude, Secretaria Nacional de Promoção da Igualdade Racial; 2014.
World Health Organizati on (WHO). World health stati sti cs 2017: monitoring health for The SDGs. Geneva: WHO; 2017.
Dantas AP, Azevedo UN, Nunes AD, Amador AE, Marques MV, Barbosa IR. Analysis of suicide mortality in Brazil: spati al distributi on and socioeconomic context. Braz J Psychiatry. 2018;40:12-8.
World Health Organizati on (WHO). Preventi ng suicide: s resource for media professionals - update 2017. Genebra: WHO; 2017.
Organização Mundial Da Saúde (OMS). Classificação Estatística Internacional de Doenças e Problemas Relacionados com a Saúde – CID 10. Vol. 2. São Paulo: EDUSP; 2007.
Pritchard C, Hansen L. Examining undetermined and accidental deaths as source of “underreported-suicide” by age and sex in twenty Western countries. Community Ment Health J. 2015;51:365-76.
Ishitani LH, Teixeira RA, Abreu DM, Paixão LM, França EB. Quality of mortality stati sti cs’ informati on: garbage codes as causesof death in Belo Horizonte, 2011-2013. Rev Bras de Epidemiol. 2017;20:S34-45.
Houston K, Hawton K, Shepperd R. Suicide in young people aged 15-24: a psychological autopsy study. J Aff ect Disord. 2001;63:159-70.
Instituto Brasileiro de Geografia e Estatistica (IBGE). População [Internet]. [cited 2018 Jan 21]. cidades.ibge.gov.br/brasil/pa/panorama, acessado em 21/01/2018.
Gordis L. Epidemiologia. 4ª ed. Rio de Janeiro: Revinter; 2010.
Chen YY, Chen M, Lui CSM, Yip PSF. Female labour force parti cipati on and suicide rates in the world. Soc Sci Med. 2017;195:61-7.
Anesti s MD, Selby EA, Butt erworth SE. Rising longitudinal trajectories in suicide rates: the role of fi rearm suicide rates and fi rearm legislati on. Prev Med. 2017;100:159-66.
World Health Organizati on, Mental and Behavioural Disorders Team. Figures and facts about suicide. Genebra: WHO; 1999.20. Mota AAd. Suicídio no Brasil e os contextos geográfi cos: contribuições para políti ca pública de saúde mental [dissertati on]. São Paulo: UNESP; 2014.
Mendes MFM, Rocha CMF. Artigo original avaliação em saúde mental: uma análise de políticas nacionais e internacionais. Saude Rede. 2016;2:352-9.
Onocko-Campos RT, Furtado JP, Passos E, Ferrer AL, MirandaI L, Pegolo da Gama CA. Avaliação da rede de centros de atenção psicossocial: entre a saúde coletiva e a saúde mental. Rev Saude Publica. 2009;43:16-22.
Onocko-Campos R, Furtado JP, Trapé TL, Emerich BF, Surjus LTLS. Indicadores para avaliação dos Centros de Atenção Psicossocial tipo III: resultados de um desenho participativo. Saude Debate. 2017;41:71-83.
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