TY  - JOUR
PY  - 2020//
TI  - Geographical clusters and social risk factors for suicide in the city of São Paulo, 2006-2015: an ecologic study
JO  - International journal of social psychiatry
A1  - Bando, Daniel Hideki
A1  - Barrozo, Ligia Vizeu
A1  - Volpe, Fernando Madalena
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: To identify geographical clusters of suicide in São Paulo, Brazil (2006-2015) and to verify the associations of suicide with sociocultural characteristics of its 96 districts. <br><br>METHODS: Spatial scan test was used to detect the geographical clusters. Correlation and multiple regression techniques were used to estimate the association of socioeconomic and cultural variables with suicide. <br><br>RESULTS: The mean suicide rate was 4.8/100,000. Three clusters were identified which are as follows: one of increased risk in downtown and two of decreased risk in the South and in the Southeast. The mean suicide rate of the high-risk clustered districts (7.99/100,000) presented significantly higher average incomes per household, higher proportion of formally educated, of no religious affiliation, of recent migrants, of all-times migrants and lower proportion of married. The multiple model selected two independent risk factors - people with no religious affiliation (β = 0.182) and of recent migrants (β = 0.278) - and two protective factors - the proportion of married (β = -0.185) and of total migrants (β = -0.075), which jointly explained 58.4% of the variance. <br><br>CONCLUSION: Durkheimian social and cultural risk factors for suicide were confirmed. Compared to a previous study period (1996-2005), suicide rates and geographical clusters remained relatively stable in the subsequent decade (2006-2015).<p />  <p>Language: en</p>
LA  - en
SN  - 0020-7640
UR  - http://dx.doi.org/10.1177/0020764020918618
ID  - ref1
ER  -