ArticleClinical practice and epidemiology in mental health : CP & EMH2018
Trends and Spatial Patterns of Suicide Among Adolescent in Ecuador, 1997-2016.
Article in Clinical practice and epidemiology in mental health : CP & EMH, 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.
- Spatial, geographic, and demographic factors associated with adolescent and youth suicide: a systematic review study.Frontiers in psychiatry · 2024Pooled it
- Quantitative Methods to Detect Suicide and Self-Harm Clusters: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Spatiotemporal clustering and epidemiological characterization of suicides in Ecuador, 2015-2023.PLOS global public health · 2026Article
- Suicide mortality in Spain (2010-2022): temporal trends, spatial patterns, and risk factors.International journal of health geographics · 2025Article
- Using Spatial Scan Statistics and Geographic Information Systems to Detect Monthly Human Mobility Clusters and Analyze Cluster Area Characteristics.JMA journal · 2024Article
- The spatio-temporal dynamics of infant mortality in Ecuador from 2010 to 2019.BMC public health · 2022Article
- Spatial Risk Analysis of Batrachochytrium dendrobatidis, A Global Emerging Fungal Pathogen.EcoHealth · 2021Article
- Sociodemographic Analysis of Suicide Rates Among Older Adults Living in Ecuador: 1997-2019.Frontiers in public health · 2021Observational
- Active school travel is associated with fewer suicide attempts among adolescents from low-and middle-income countries.International journal of clinical and health psychology : IJCHPArticle
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4 authors.
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Abstract
backgroundSuicide is a global public health problem, ranking among the top 20 leading causes of mortality.
objectiveThe aim of the present study is two-fold. Firstly, it describes the temporal trends of suicide in adolescents from 1997 to 2016 in Ecuador, allowing us to identify critical periods. Secondly, it analyzes the spatiotemporal clusters of high mortality rates and the spatial distribution due to suicide in the country, from 2011 to 2016.
methodsThis is an ecological study; we included all death certificates of suicide among adolescents in the 10 - 19 age groups both sex, from the National Institute of Statistics and Census (INEC) database in Ecuador from 1997 to 2016. In order to assess the trend of suicide rates, we obtained Annual Percentage Changes (APCs) and average Annual Percent Changes (AAPCs) through Joinpoint regression analysis. Space-time scan statistics were used to identify high-risk clusters, and the spatial autocorrelation was evaluated through global Moran index.
resultsSuicides at a national level increased from 165 deaths in 1997 to 286 deaths in 2016; rates increased from 12.7 to 23.3 per 100,000 population along with a significant increase of the trend at the national level (AAPC=3.7%; 95% CI: 2.1 to 5.2). We identified two significant spatial clusters for a high occurrence of suicide: the primary most likely cluster included 83 cantons (Risk Relative=2.28) while the second most likely cluster included 20 cantons (Risk Relative=1.74). The Global Moran I index for the study period showed a positive spatial autocorrelation (0.27; p = 0.001).
conclusionSuicide rates in adolescents significantly increased over the 20-year study period; the spatial analysis indicates the presence of high occurrence clusters in the Amazon and Southern Highlands regions of the country. This growing phenomenon may be a reflection of the lack of policies and strategies focused on the adolescent's mental health at a national level, added to factors such as family dysfunction, school failure, vulnerable ethnic groups, and immigration patterns.
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