Geographical clusters and social risk factors for suicide in the city of São Paulo, 2006-2015: An ecologic study.
| Autor: | Bando DH; Institute of Natural Sciences, Federal University of Alfenas (UNIFAL-MG), Alfenas, Brazil., Barrozo LV; School of Philosophy, Literature and Human Sciences, University of São Paulo, São Paulo, Brazil., Volpe FM; Hospital Foundation of the State of Minas Gerais (FHEMIG), Belo Horizonte, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | The International journal of social psychiatry [Int J Soc Psychiatry] 2020 Aug; Vol. 66 (5), pp. 460-468. Date of Electronic Publication: 2020 Apr 28. |
| DOI: | 10.1177/0020764020918618 |
| Abstrakt: | Background: To identify geographical clusters of suicide in São Paulo, Brazil (2006-2015) and to verify the associations of suicide with sociocultural characteristics of its 96 districts. Methods: Spatial scan test was used to detect the geographical clusters. Correlation and multiple regression techniques were used to estimate the association of socioeconomic and cultural variables with suicide. Results: The mean suicide rate was 4.8/100,000. Three clusters were identified which are as follows: one of increased risk in downtown and two of decreased risk in the South and in the Southeast. The mean suicide rate of the high-risk clustered districts (7.99/100,000) presented significantly higher average incomes per household, higher proportion of formally educated, of no religious affiliation, of recent migrants, of all-times migrants and lower proportion of married. The multiple model selected two independent risk factors - people with no religious affiliation (β = 0.182) and of recent migrants (β = 0.278) - and two protective factors - the proportion of married (β = -0.185) and of total migrants (β = -0.075), which jointly explained 58.4% of the variance. Conclusion: Durkheimian social and cultural risk factors for suicide were confirmed. Compared to a previous study period (1996-2005), suicide rates and geographical clusters remained relatively stable in the subsequent decade (2006-2015). |
| Databáze: | MEDLINE |
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