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Suicidal behavior in the community: prevalence and factors associated with suicidal ideation

Neury José Botega · Marilisa Berti de Azevedo Barros · Helenice Bosco de Oliveira · Paulo Dalgalarrondo · Letícia Marín‐Léon

172 citations0/0 files storedBrazilian Journal of Psychiatry

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Suicide and Self-Harm Studies Mental Health Treatment and Access Homicide, Infanticide, and Child Abuse

Abstract

OBJECTIVES: To estimate the life prevalence rates of suicidal ideation, suicidal plans and suicide attempts and verify factors associated to suicidal ideation. METHODS: 515 individuals > or = 14 years old were selected at random (cluster and stratified sample) and assessed by means of the WHO SUPRE-MISS interview, SRQ-20 and AUDIT. Life prevalence rates were estimated. Uni and multivariate analyses were performed. Odds ratios, together with confidence intervals, were adjusted by gender and age. RESULTS: Life prevalence rates were 17.1% (95% CI: 12.9 - 21.2) for suicidal ideation, 4.8% (95% CI: 2.8 - 6.8) for plans and 2.8% (95% CI: 0.09 - 4.6) for suicide attempts. Only one-third of those who attempted suicide were later treated at a health facility. The 12-month prevalence rates were, respectively, 5.3% (95% CI: 3.5 - 7.2), 1.9% (95% CI: 1.0 - 2.8) and 0.4% (95% CI: -0.3 - 1.1). Suicidal ideation was more frequently reported by women (OR = 1.7), young adults (20-29 years old: OR = 2.9; 30-39 years old: OR = 3.6, compared to the 14-19 year old group), those living alone (OR = 4.2) and those presenting mental disorders (OR between 2.8 and 3.8). CONCLUSION: The prevalence of suicidal behavior was similar to that found in most studies carried out in other countries. Suicidal ideation was consistently associated with factors related to mental disorders or psychological distress. This should be taken into account when developing strategies to prevent suicidal behavior.

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References

1986A Validity Study of a Psychiatric Screening Questionnaire (SRQ-20) in Primary Care in the city of Sao Paulo 2004Completed Suicide After a Suicide Attempt: A 37-Year Follow-Up Study 1999Prevalence of suicide ideation and suicide attempts in nine countries 2001The international handbook of suicide and attempted suicide 2001Incidence of suicide ideation and attempts in adults: the 13-year follow-up of a community sample in Baltimore, Maryland 2000Suicidal Ideation and Suicide Attempts Among Australian Adults

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