Evidence map›Paper›PMID 33782727›Full record

ArticleSocial psychiatry and psychiatric epidemiology2021

Trends in method-specific suicide in Brazil from 2000 to 2017.

Keltie McDonald, Daiane Borges Machado, Luís F S Castro-de-Araujo, Lígia Kiss, Alexis Palfreyman, Maurício L Barreto, Delanjathan Devakumar, Glyn Lewis

Abstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
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  9. Differential impact on suicide mortality during the COVID-19 pandemic in Brazil.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2022
    Article
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  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Keltie McDonaldDivision of Psychiatry, University College London, 6th Floor Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK. k.mcdonald@ucl.ac.uk.ORCID http://orcid.org/0000-0002-0204-9049
Daiane Borges MachadoCenter of Data and Knowledge Integration for Health (CIDACS), Salvador, Brazil.ORCID http://orcid.org/0000-0003-2959-4650
Luís F S Castro-de-AraujoCenter of Data and Knowledge Integration for Health (CIDACS), Salvador, Brazil.ORCID http://orcid.org/0000-0002-0952-5052
Lígia KissInstitute for Global Health, University College London, London, UK.ORCID http://orcid.org/0000-0002-3334-7110
Alexis PalfreymanInstitute for Global Health, University College London, London, UK.ORCID http://orcid.org/0000-0001-9248-4142
Maurício L BarretoCenter of Data and Knowledge Integration for Health (CIDACS), Salvador, Brazil.ORCID http://orcid.org/0000-0002-0215-4930
Delanjathan DevakumarInstitute for Global Health, University College London, London, UK.ORCID http://orcid.org/0000-0002-8695-6817
Glyn LewisDivision of Psychiatry, University College London, 6th Floor Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK.ORCID http://orcid.org/0000-0001-5205-8245

Funding

Medical Research Council MC_PC_MR/R018677/1Wellcome TrustWellcome Trust 202912/Z/16/Z
6 · The paper itself

Abstract

purposeUnderstanding long-term patterns of suicide methods can inform public health policy and prevention strategies. In Brazil, firearm-related policies may be one salient target for suicide prevention. This study describes trends in method-specific suicide at the national and state-levels in Brazil, with a particular focus on firearm-related suicides.

methodsBrazilian mortality data for suicide and undetermined intent among people aged 10 years and older between 2000 and 2017 were obtained from the National Mortality Information System. We examined national and state-level trends in age-standardised suicide rates for hanging, self-poisoning, firearms, jumping from a high place, other, and unspecified methods. We also compared total rates of mortality from suicide and undetermined intent over the period. Applying Joinpoint regression, we tested changes in trends of firearm-specific suicide rates.

resultsThe total suicide rate increased between 2000 and 2017. Rates of hanging, self-poisoning by drugs or alcohol and jumping from a high place showed the largest increases, while firearm-specific suicide rates decreased over the study period. Trends in methods of suicide varied by sex and state.

conclusionIt is of public health concern that suicide rates in Brazil have risen this millennium. Restricting access to firearms might be an effective approach for reducing firearm-specific suicides, especially in states where firearm availability remains particularly high. Treatment and management of substance misuse may also be an important target for suicide prevention policies. More work is needed to understand the causes of rising suicide rates in Brazil and to improve the mental health of the population.

Indexed as

FirearmsSuicideBrazilHomicideHumansPublic HealthEcological studyEpidemiologyMental healthPublic healthSuicide

Identifiers

PMID33782727
PMCPMC8429168

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.