圣保罗市自杀的长期趋势,1904-2017。

Crisis Pub Date : 2022-12-01 Epub Date: 2021-09-14 DOI:10.1027/0227-5910/a000816
Daniel Hideki Bando, Maria Helena Prado de Mello Jorge, Eliseu Alves Waldman, Fernando Madalena Volpe, David Lester
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引用次数: 1

摘要

背景:很少有来自发展中国家的报告描述了自杀的长期趋势。目的:调查1904-2017年期间圣保罗市年龄、性别和特定方法的自杀趋势。方法:死亡率数据来源于SEADE、DATASUS和PRO-AIM。结果:自杀率在20世纪10年代中期和50年代中期达到顶峰,男性自杀率更高。男性从20世纪20年代开始,女性从30年代开始有上升趋势。自20世纪50年代中期以来,自杀率一直在下降,在过去的40年里达到了更低的水平。60岁以上男性的发病率在开始时较高,并呈下降趋势。20-39岁和40-59岁男性的自杀率在20世纪50年代中期达到顶峰,此后一直下降到70年代末,此后一直保持稳定。20-39岁的女性发病率最高,从20世纪50年代中期开始呈下降趋势。在40-59岁年龄组中没有发现趋势,60岁以上的女性呈下降趋势。20世纪70年代末以后,0-19岁女性的自杀率下降了。投毒自杀在20世纪50年代达到顶峰,火器自杀呈下降趋势,上吊自杀呈上升趋势。结论:自杀倾向因性别、年龄组和自杀方式而异。准确监测这些趋势是预防自杀和公共卫生机构和人员的一项重要任务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Secular Trends of Suicide in the City of São Paulo, 1904-2017.

Background: Few reports from developing countries have described long-term trends in suicide. Aims: To investigate the age-, sex-, and method-specific trends in suicide over the period 1904-2017 in São Paulo. Method: Mortality data were obtained from SEADE, DATASUS, and PRO-AIM. Results: Suicide peaked in the mid-1910s and mid-1950s, being higher among men. There was an upward trend from the 1920s for men and from the 1930s for women. Suicide rates have declined since the mid-1950s, reaching lower rates in the past 40 years. Men aged 60+ had higher rates at the beginning and a decreasing trend. Suicide rates among men aged 20-39 and 40-59 peaked in the mid-1950s and declined until the late 1970s, thereafter remaining stable. Women aged 20-39 years had the highest rates with decreasing trends from the mid-1950s. No trends were detected for the age group 40-59, and women aged 60+ presented a decreasing trend. Rates among women aged 0-19 declined after the late 1970s. Suicide by poisoning peaked in the 1950s, and there was a downward trend for firearms and an upward trend for hanging. Conclusion: Suicide trends vary by sex, age group, and method. Accurate monitoring of these trends is an important task for suicide prevention and public health agencies and personnel.

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