Suicide, A Public Health Problem in Brazil

M. C. Minayo, Camila Alves Bahia
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Abstract

This text focuses on the situation of suicide in Brazil, defines and quantifies information, and presents a description of the main risk factors, as well as a reflection on the phenomenon and the possibilities for prevention. Fatal suicide is a serious public health problem. In 2012, 172 member states of the World Health Organization registered 804,000 self-inflicted deaths, representing an annual rate of 11.4/100,000, of which 15/100,000 men and 8.0/100,000 women. Consummate suicide rates are unevenly distributed globally, within countries, according to sex and according to age groups. The mortality rate is highest in Asia (17.7/100 thousand inhabitants), followed in Europe (12/100 thousand inhabitants). The Americas have a mortality rate of 7.3/100 thousand inhabitants (WHO, 2014). In Brazil, with an unevenly distributions between the regions, gender and ages, the total rate is 4.5/100,000. In the country and everywhere, risk factors are classified as medical, psychiatric and psychological, micro social, social and environmental. The history of the occurrence of suicides shows that it is possible to prevent them and to reduce the incidence rates. This requires investment in local diagnostics and multidisciplinary action. Given the delicacy of the problem and the taboos that surround it, the protection network for people at risk for suicide needs to be constantly in the process of training and taking action. As national and international surveys show, at least two-thirds of the individuals who tried or committed suicide had somehow communicated to friends, family, acquaintances or health professionals their intention to kill themselves.
自杀:巴西的公共卫生问题
本文侧重于巴西的自杀情况,定义和量化信息,并对主要风险因素进行描述,以及对现象和预防可能性的反思。致命的自杀是一个严重的公共卫生问题。2012年,世界卫生组织172个会员国登记了804 000例自杀,年死亡率为11.4/10万,其中男性为15/10万,女性为8.0/10万。在全球范围内,在各国内部,根据性别和年龄组,自杀率分布不均匀。死亡率最高的是亚洲(17.7/10万居民),其次是欧洲(12/10万居民)。美洲的死亡率为7.3/10万居民(世卫组织,2014年)。在巴西,地区、性别和年龄分布不均,总比率为4.5/10万。在国内和世界各地,风险因素被分类为医学、精神和心理、微观社会、社会和环境。自杀发生的历史表明,预防自杀和降低自杀发生率是可能的。这需要对当地诊断和多学科行动进行投资。鉴于这一问题的微妙性和围绕它的禁忌,需要不断地对有自杀风险的人进行培训和采取行动。国家和国际调查显示,至少三分之二试图自杀或自杀的人以某种方式向朋友、家人、熟人或卫生专业人员传达了他们自杀的意图。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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