ArticleRevista de saude publica2018
Suicide in Brazilian indigenous communities: clustering of cases in children and adolescents by household.
Article in Revista de saude publica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- The science of child and adolescent mental health in Brazil: a nationwide systematic review and compendium of evidence-based resources.BMJ global health · 2026Pooled it
- Quantitative Methods to Detect Suicide and Self-Harm Clusters: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Understanding the Social Determinants of Suicidality Among Young People Aged 12-26 Years: A Mixed-Methods Systematic Review.Community mental health journal · 2026Article
- Exploring support systems for young people with climate anxiety: Suggestions from Brazil.Annals of the New York Academy of Sciences · 2025Article
- Disparities in Suicide Mortality Between Indigenous and Non-Indigenous Populations in Southern Brazil (2010-2019).International journal of environmental research and public health · 2025Article
- Suicide among Indigenous peoples in Brazil from 2000 to 2020: a descriptive study.Lancet regional health. Americas · 2023Article
- A mixed-methods study protocol on factors contributing to suicide clusters among Native American youth in a northern plains reservation.Frontiers in public health · 2023Article
- Suicide rates amongst individuals from ethnic minority backgrounds: A systematic review and meta-analysis.EClinicalMedicine · 2022Article
- [Suicide and indigenous populations in Brazil: systematic reviewEl suicidio y los pueblos indígenas brasileños: revisión sistemática].Revista panamericana de salud publica = Pan American journal of public health · 2020Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
OBJECTIVE To estimate age and sex-specific suicide rates, compare suicide rates between indigenous communities, and quantify the frequency of intrafamilial suicide clustering. METHODS We performed a retrospective cohort study involving 14,666 indigenous individuals in reservations in Dourados, state of Mato Grosso do Sul, Brazil, from 2003 through 2013 using national and local census. RESULTS The overall suicide rate was 73.4 per 100,000 person-years. Adolescent males aged 15-19 and girls aged 10-14 had the highest rates for each sex at 289.3 (95%CI 187.5-391.2) and 85.3 (95%CI 34.9-135.7), respectively. Comparing the largest reservations, Bororo had a higher suicide rate than Jaguapiru (RR = 4.83, 95%CI 2.85-8.16) and had significantly lower socioeconomic indicators including income and access to electricity. Nine of 19 suicides among children under 15 occurred in household clusters. Compared with adult suicides, a greater proportion of child (OR = 5.12, 95%CI 1.89-13.86, p = 0.001) and adolescent (OR = 3.48, 95%CI 1.29-9.44, p = 0.017) suicides occurred within household clusters. CONCLUSIONS High rates of suicide occur among children and adolescents in these indigenous reservations, particularly in poor communities. Nearly half of child suicides occur within household clusters. These findings underscore the need for broad public health interventions and focused mental health interventions in households following a suicide.
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