TY - JOUR PY - 2019// TI - The association between adolescent suicide rates and socioeconomic indicators in Brazil: a 10-year retrospective ecological study JO - Revista brasileira de psiquiatria A1 - Jaen-Varas, Denisse A1 - Mari, Jair J. A1 - Asevedo, Elson A1 - Borschmann, Rohan A1 - Diniz, Elton A1 - Ziebold, Carolina A1 - Gadelha, Ary SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: To examine suicide rates among adolescents from six large cities in Brazil and to analyze the relationship between adolescent suicide rates and socioeconomic indicators between 2006 and 2015.

METHODS: Generalized estimating equation models were used to assess the impact of socioeconomic factors - including social inequality and unemployment rates - on adolescent suicide rates.

RESULTS: The rate of adolescent suicide increased by 24% over the course of the study period. Social inequality (assessed using the Gini index), was positively associated with overall adolescent suicide rates (β = 10.68; 95%CI = 2.32-19.05; p ≤ 0.012). After disaggregating the findings by age (10-14 and 15-19 years), social inequality was associated with suicide rate only for adolescents aged 15-19 years (β = 9.63; 95%CI = 2.31-16.96; p ≤ 0.005). Disaggregating these findings by sex, the association with economic variables became significant only among females. Males had a higher overall suicide rate than females, and the highest rate was observed in male adolescents aged 15-19 years. Higher levels of unemployment were associated with higher suicide rates.

CONCLUSION: Our findings suggest that socioeconomic indicators, particularly unemployment and social inequality, are relevant social determinants of suicide in adolescence.

Language: en

LA - en SN - 1516-4446 UR - http://dx.doi.org/10.1590/1516-4446-2018-0223 ID - ref1 ER -