The situation of suicide in Antioquia during 2016 and 2017: Results of epidemiological surveillance data
DOI:
https://doi.org/10.17533/10.17533/udea.iatreia.132Keywords:
Potential Years of Life Lost, Public Health Surveillance, SuicideAbstract
Background: Identifying the patterns, distribution, and characteristics of suicide in a region is possible with epidemiological surveillance which may lay the foundations for suicide prevention.
Objective: To describe the situation of suicide in Antioquia during the period 2016-2017.
Methods: Descriptive study based on data from the Epidemiological Surveillance System for External
Cause Injuries of the National Institute of Legal Medicine and Forensic Sciences. Suicides rates and Years of Life Lost (YLL) were calculated and the circumstances of the event were described.
Results: There were 425 suicides in 2016 and 419 in 2017, with a suicides rate of 6.50 and 6.34 per 100,000 inhabitants/year respectively, and 16,446.8 YLL for 2016 and 16,019.94 YLL for 2017. Most of the suicides occurred
in males, in young age groups, urban residents and single marital status. Regarding the characteristics of suicide, the most frequently used mechanism was mechanical asphyxia followed by poisoning, in about 40% of cases a triggering life event was established, such as partner conflicts, and were more frequent on Sunday and Monday and at night and early morning.
Conclusion: The incidence of suicide in Antioquia increased in 2016 and 2017 compared to previous years.
It was more frequent in economically productive ages, which explains the high YLL. The description of the characteristics of suicide may facilitate the discussion of preventive interventions.
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(1) Suicide data [Internet]. Ginebra: OMS; 1998. [Citado 209 jul 1]. Disponible en: https://www.who.int/mental_health/prevention/suicide/
(2) Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2095–128. DOI 10.1016/S0140-6736(12)61728-0.
(3) Corso P, Mercy J, Simon T, Finkelstein E, Miller T. Medical Costs and Productivity Losses Due to Interpersonal and Self-Directed Violence in the United States. Am J Prev Med. 2007;32(6):474-82. DOI 10.1016/j.amepre.2007.02.010.
(4) Stack S. Societal Economic Costs and Benefits from Death: Another Look. Death Stud. 2007;31(4):363–72. DOI 10.1080/07481180601187217.
(5) Naghavi M. Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016. BMJ. 2019;l94. DOI 10.1136/bmj.l94.
(6) Doessel DP, Williams RFG, Whiteford H. Policy-Appropriate Measurement of Suicide: Headcount vs. Potential Years of Life Lost, Australia, 1907–2005. Arch Suicide Res. 2009;13(1):87–99. DOI 10.1080/13811110802572197.
(7) Organización Mundial de la Salud. Prevención del suicidio: un imperativo global. Ginebra: OMS; 2012.
(8) De Leo D, Burgis S, Bertolote JM, Kerkhof AJFM, Bille-Brahe U. Definitions of Suicidal Behavior. Crisis. 2006;27(1):4–15. DOI 10.1027/0227-5910.27.1.4.
(9) Gvion Y, Apter A. Suicide and Suicidal Behavior. Public Health Rev 2012;34(2):9. DOI 10.1007/BF03391677.
(10) Klonsky ED, May AM, Saffer BY. Suicide, Suicide Attempts, and Suicidal Ideation. Annu Rev Clin Psychol. 2016;12(1):307–30. DOI 10.1146/annurevclinpsy-021815-093204.
(11) Mościcki EK. Epidemiology of completed and attempted suicide: toward a framework for prevention. Clin Neurosci Res. 2001;1(5):310–23. DOI 10.1016/S1566-2772(01)00032-9.
(12) Turecki G, Brent DA. Suicide and suicidal behaviour. Lancet. 2016 Mar;387(10024):1227–39. DOI 10.1016/S0140-6736(15)00234-2.
(13) Vijayakumar L, John S, Pirkis J, Whiteford H. Suicide in Developing Countries. Crisis. 2005 May;26(3):112–9. DOI 10.1027/0227-5910.26.3.112.
(14) Hoeflein B, Chiu L, Corpus G, Lien M, Jorden MA, Chu J. Ethnic variations in suicide method and location: An analysis of decedent data. Death Stud. 2020;0(0):1–5. DOI 10.1080/07481187.2020.1805820.
(15) Ramchand R, Gordon JA, Pearson JL. Trends in Suicide Rates by Race and Ethnicity in the United States. JAMA Netw Open. 2021;4(5):e2111563. DOI 10.1001/jamanetworkopen.2021.11563.
(16) Mendez-Bustos P, de Leon-Martinez V, Miret M, Baca-Garcia E, Lopez-Castroman J. Suicide Reattempters. Harv Rev Psychiatry. 2013;21(6):281–95. DOI 10.1097/HRP.0000000000000001.
(17) Bertolote JM, Fleischmann A, De Leo D, Wasserman D. Suicide and mental disorders: do we know enough? Br J Psychiatry. 2003 Nov 2;183(5):382–3. DOI 10.1192/bjp.183.5.382.
(18) Harris EC, Barraclough B. Suicide as an outcome for mental disorders. A meta-analysis. Br J Psychiatry. 1997 Mar;170:205–28. DOI 10.1192/bjp.170.3.205.
(19) Potter LB, Powell KE, Kachur SP. Suicide prevention from a public health perspective. Suicide Life Threat Behav. 1995;25(1):82–91.
(20) Horan JM. Injury Surveillance. Epidemiol Rev. 2003 Aug 1;25(1):24–42. DOI 10.1093/epirev/mxg010.
(21) Haas AP, Eliason M, Mays VM, Mathy RM, Cochran SD, D’Augelli AR, et al. Suicide and Suicide Risk in Lesbian, Gay, Bisexual, and Transgender Populations: Review and Recommendations. J Homosex. 2010 Dec 30;58(1):10–51. DOI 10.1080/00918369.2011.534038.
(22) Haagsma JA, Graetz N, Bolliger I, Naghavi M, Higashi H, Mullany EC, et al. The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013. Inj Prev. 2016 Feb;22(1):3–18. DOI 10.1136/injuryprev-2015-041616.
(23) Thomas K, Chang S-S, Gunnell D. Suicide epidemics: the impact of newly emerging methods on overall suicide rates - a time trends study. BMC Public Health. 2011 Dec 14;11(1):314. DOI 10.1186/1471-2458-11-314.
(24) Cendales R, Vanegas V, Fierro M, Córdoba R, Olarte A. Tendencias del suicidio en Colombia, 1985–2002. Rev Panam Salud Pública. 2007;22(4):231–8.
(25) Segura-Cardona A, Cardona-Arango D. Mortalidad y años potenciales de vida perdidos por causas externas: Colombia 1998-2015. Univ y Salud. 2018 Apr 30;20(2):149.
(26) Curtin S, Warner M, Hedegaard H. Increase in suicide in the United States, 1999–2014. Hyattsville; 2016.
(27) Hawton K. Why Has Suicide Increased in Young Males? Crisis. 1998 May;19(3):119–24. DOI 10.1027/0227-5910.19.3.119.
(28) Twenge JM, Joiner TE, Rogers ML, Martin GN. Increases in Depressive Symptoms, Suicide-Related Outcomes, and Suicide Rates Among U.S. Adolescents After 2010 and Links to Increased New Media Screen Time. Clin Psychol Sci. 2018 Jan 14;6(1):3–17. DOI 10.1177/2167702617723376.
(29) Stack S. Suicide: a 15-year review of the sociological literature. Part I: cultural and economic factors. Suicide Life Threat Behav. 2000;30(2):145–62.
(30) Möller-Leimkühler AM. The gender gap in suicide and premature death or: why are men so vulnerable? Eur Arch Psychiatry Clin Neurosci. 2003 Feb 1;253(1):1–8. DOI 10.1007/s00406-003-0397-6.
(31) Gardner JW, Sanborn JS. Years of Potential Life Lost (YPLL)—What Does it Measure? Epidemiology. 1990;1(2):322–9.
(32) Hjorthøj C, Stürup AE, McGrath JJ, Nordentoft M. Years of potential life lost and life expectancy in schizophrenia: a systematic review and meta-analysis. The Lancet Psychiatry. 2017;4(4):295–301. DOI 10.1016/S2215-0366(17)30078-0.
(33) Crepeau-Hobson F. The Psychological Autopsy and Determination of Child Suicides: A Survey of Medical Examiners. Arch Suicide Res. 2010 Jan 29;14(1):24–34. DOI 10.1080/13811110903479011.
(34) Shaffer D, Pfeffer CR. Practice Parameter for the Assessment and Treatment of Children and Adolescents With Suicidal Behavior. J Am Acad Child Adolesc Psychiatry. 2001 Jul;40(7):24S-51S.
(35) Gould MS. Psychosocial Risk Factors of Child and Adolescent Completed Suicide. Arch Gen Psychiatry. 1996 Dec 1;53(12):1155.
(36) Conwell Y, Duberstein PR, Cox C, Herrmann J, Forbes N, Caine ED. Age differences in behaviors leading to completed suicide. Am J Geriatr Psychiatry. 1998;6(2):122–6.
(37) Conwell Y, Thompson C. Suicidal Behavior in Elders. Psychiatr Clin North Am. 2008 Jun;31(2):333–56. DOI 10.1016/j.psc.2008.01.004.
(38) Corcoran P, Nagar A. Suicide and marital status in Northern Ireland. Soc Psychiatry Psychiatr Epidemiol. 2010 Aug 10;45(8):795–800. DOI 10.1007/s00127-009-0120-7.
(39) Kposowa AJ. Marital status and suicide in the National Longitudinal Mortality Study. J Epidemiol Community Heal. 2000 Apr 1;54(4):254–61. DOI 10.1136/jech.54.4.254.
(40) Luoma JB, Pearson JL. Suicide and Marital Status in the United States, 1991–1996: Is Widowhood a Risk Factor? Am J Public Health. 2002 Sep;92(9):1518–22. DOI 10.2105/ajph.92.9.1518.
(41) Echeverri L. Transformaciones recientes en la familia colombiana. Rev Trab Soc. 1998;51–60.
(42) Manrique RD, Ochoa FL, Fernández LM, Escamilla R, Vélez E. Comportamiento del suicidio en Antioquia 1998-2000. Rev CES Med. 2002;16(3):7–17.
(43) Aguirre K, Restrepo J. Arms control as a strategy for violence-reduction in Colombia: Pertinence, status and challenges. Rev Crim. 2010;52(1):265–84.
(44) Anglemyer A, Horvath T, Rutherford G. The Accessibility of Firearms and Risk for Suicide and Homicide Victimization Among Household Members. Ann Intern Med. 2014 Jan 21;160(2):101–10. DOI 10.7326/M13-1301.
(45) Vecino-Ortiz AI, Guzman-Tordecilla DN. Gun-carrying restrictions and gun-related mortality, Colombia: a difference-in-difference design with fixed effects. Bull World Health Organ. 2020 Mar 1;98(3):170–6. DOI 10.2471/BLT.19.236646.
(46) García-Valencia J, Palacio-Acosta, Carlos, Diago J, Zapata C, López G, Ortiz JD, López M. Eventos vitales adversos y suicidio: un estudio de autopsia psicológica en Medellín, Colombia. Rev Colomb Psiquiatr. 2008;37(1):11–28.
(47) Gabennesch H. When Promises Fail: A Theory of Temporal Fluctuations in Suicide. Soc Forces. 1988 Sep 1;67(1):129–45.
(48) Massing W, Angermeyer MC. The monthly and weekly distribution of suicide. Soc Sci Med. 1985 Jan;21(4):433–41.
(49) Maldonado G, Kraus JF. Variation in Suicide Occurrence by Time of Day, Day of the Week, Month, and Lunar Phase. Suicide Life-Threatening Behav. 1991;21(2):174–87. DOI 10.1111/j.1943-278X.1991.tb00464.x
(50) Beauchamp GA, Ho ML, Yin S. Variation in Suicide Occurrence by Day and during Major American Holidays. J Emerg Med. 2014 Jun;46(6):776–81. DOI 10.1016/j.jemermed.2013.09.023.
(51) Perlis ML, Grandner MA, Brown GK, Basner M, Chakravorty S, Morales KH, et al. Nocturnal Wakefulness as a Previously Unrecognized Risk Factor for Suicide. J Clin Psychiatry. 2016 Jun 22;77(06):e726–33. DOI 10.4088/JCP.15m10131.
(52) Pigeon WR, Pinquart M, Conner K. Meta-Analysis of Sleep Disturbance and Suicidal Thoughts and Behaviors. J Clin Psychiatry. 2012 Sep 15;73(09):e1160–7. DOI 10.4088/JCP.11r07586.
(53) Barraclough BM. Time of day chosen for suicide. Psychol Med. 1976 May 9;6(2):303–5. DOI 10.1017/s0033291700013866.
(54) Gallerani M, Avato FM, Dal Monte D, Caracciolo S, Fersini C, Manfredini R. The time for suicide. Psychol Med. 1996 Jul 9;26(4):867–70. DOI 10.1017/s0033291700037909.
(55) Preti A, Miotto P. Diurnal variations in suicide by age and gender in Italy. J Affect Disord. 2001 Aug;65(3):253–61. DOI 10.1016/s0165-0327(00)00232-9.
(56) van Houwelingen CAJ, Beersma DGM. Seasonal changes in 24-h patterns of suicide rates: a study on train suicides in The Netherlands. J Affect Disord. 2001 Oct;66(2–3):215–23. DOI 10.1016/s0165-0327(00)00308-6.
(57) Behere P, Bhise M. Farmers′ suicide: Across culture. Indian J Psychiatry. 2009;51(4):242. DOI 10.4103/0019-5545.58286.
(58) Fazel S, Runeson B. Suicide. Ropper AH, editor. N Engl J Med. 2020 Jan 16;382(3):266–74. DOI 10.1056/NEJMra1902944.
(59) John A, Pirkis J, Gunnell D, Appleby L, Morrissey J. Trends in suicide during the covid-19 pandemic. BMJ. 2020 Nov 12;m4352. DOI 10.1136/bmj.m4352.
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