ArticleRevista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)2019
Contextual risk factors of depression and suicidal thoughts in Brazilian adults: a multilevel analysis.
Article in Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed.
- Individual and area-level factors associated with depression in indonesia: a multilevel analysis using the 2018 national basic health research.BMC public health · 2025Article
- Cross-national examination of adolescent suicidal behavior: a pooled and multi-level analysis of 193,484 students from 53 LMIC countries.Social psychiatry and psychiatric epidemiology · 2022Article
- Loneliness, but not social distancing, is associated with the incidence of suicidal ideation during the COVID-19 outbreak: a longitudinal study.Journal of affective disorders · 2021Article
- Developing effective strategies for the management of depression and suicidal thoughts.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2019Article
- Population density, depressive symptoms, and suicidal thoughts.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)Article
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5 authors.
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Abstract
objectiveTo evaluate the association between social and health contextual variables, and between major depressive episodes (MDE) and suicidal thoughts in Brazilian adults.
methodsThis population-based cross-sectional study used data from the 2013 National Health Survey (Pesquisa Nacional de Saúde). The Patient Health Questionnaire was used to evaluate the presence of MDE and suicidal thoughts. We used number of Family Health Strategy teams (FHS) per 20,000 state population, number of Psychosocial Care Centers (Centros de Atenção Psicossocial [CAPS]) per 1,000 state population, gross domestic product (GDP), and Gini index for each Brazilian state as contextual variables. Multilevel logistic regression models were used to calculate OR and the intraclass correlation coefficient (ICC).
resultsPrevalence of MDE and suicidal thoughts was 4.1% (95%CI 3.8-4.4) and 3.8% (95%CI 3.5-4.1), respectively. Multilevel regression models showed an ICC of 1.1% for MDE (95%CI 0.5-2.3) and 1.3% for suicidal thoughts (95%CI 0.6-2.6). Neither GDP, Gini, FHS, or CAPS showed evidence of association with the outcomes.
conclusionsIn general, contextual variables, within each Brazilian state, do not seem to affect the prevalence of MDE and suicidal thoughts.
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