Suicides among Children and Adolescents in Paraguay: An 18-year National Exploratory Study (2004-2022).


Journal

The International journal of social psychiatry
ISSN: 1741-2854
Titre abrégé: Int J Soc Psychiatry
Pays: England
ID NLM: 0374726

Informations de publication

Date de publication:
Nov 2023
Historique:
medline: 20 11 2023
pubmed: 24 4 2023
entrez: 24 04 2023
Statut: ppublish

Résumé

Suicide and suicide attempts are impacting events for patients and their relatives, and these behaviors are still taboo among adults and may be even more traumatic when involving children and adolescents. In this study we aimed to describe suicide rates among children and adolescents in Paraguay over the last decades as well as associated factors such as sociodemographic characteristics and methods used for suicide. This was an observational and exploratory study describing the frequency and characteristics of suicide among children and adolescents in Paraguay between 2004 and 2022. Official records of all deaths by suicide were reviewed, and statistical analyses were performed. In addition, an attempt was made to predict the number of suicides in the next 5 years using a mathematical model based on simple linear regression. In the 18-year period observed, 940 suicides among children and adolescents were recorded. The mean age was 15.05 ± 1.8 years old. Of these, 51.17% were male, 74.6% were from urban areas, and 22.2% were from the Greater Asunción and Central Department of Paraguay. The most frequently used method of suicide was intentional self-inflicted injury by hanging, strangulation, or suffocation, which all represented 75.3% of the cases. Our mathematical modeling based on simple linear regression determined that the expected yearly number of national suicides in the pediatric population for the following years, from 2023 to 2027, will range between 72 and 81. This study is the first large national epidemiological report on the emerging issue of suicide among children and adolescents in Paraguay. It may be a relevant source of information for mental health professionals, health authorities, and decision makers to develop national prevention strategies and actions against suicide among youths.

Sections du résumé

BACKGROUND UNASSIGNED
Suicide and suicide attempts are impacting events for patients and their relatives, and these behaviors are still taboo among adults and may be even more traumatic when involving children and adolescents.
AIM UNASSIGNED
In this study we aimed to describe suicide rates among children and adolescents in Paraguay over the last decades as well as associated factors such as sociodemographic characteristics and methods used for suicide.
METHODS UNASSIGNED
This was an observational and exploratory study describing the frequency and characteristics of suicide among children and adolescents in Paraguay between 2004 and 2022. Official records of all deaths by suicide were reviewed, and statistical analyses were performed. In addition, an attempt was made to predict the number of suicides in the next 5 years using a mathematical model based on simple linear regression.
RESULTS UNASSIGNED
In the 18-year period observed, 940 suicides among children and adolescents were recorded. The mean age was 15.05 ± 1.8 years old. Of these, 51.17% were male, 74.6% were from urban areas, and 22.2% were from the Greater Asunción and Central Department of Paraguay. The most frequently used method of suicide was intentional self-inflicted injury by hanging, strangulation, or suffocation, which all represented 75.3% of the cases. Our mathematical modeling based on simple linear regression determined that the expected yearly number of national suicides in the pediatric population for the following years, from 2023 to 2027, will range between 72 and 81.
CONCLUSION UNASSIGNED
This study is the first large national epidemiological report on the emerging issue of suicide among children and adolescents in Paraguay. It may be a relevant source of information for mental health professionals, health authorities, and decision makers to develop national prevention strategies and actions against suicide among youths.

Identifiants

pubmed: 37092764
doi: 10.1177/00207640231169656
doi:

Types de publication

Observational Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1649-1657

Déclaration de conflit d'intérêts

Conflict of interestThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Auteurs

Julio Torales (J)

Department of Child and Adolescent Psychiatry, School of Medical Sciences, National University of Asunción, San Lorenzo, Paraguay.
Department of Medical Psychology, School of Medical Sciences, National University of Asunción, San Lorenzo, Paraguay.

Iván Barrios (I)

Department of Statistics, School of Medical Sciences, National University of Asunción, Santa Rosa del Aguaray Campus, Santa Rosa del Aguaray, Paraguay.

Juan Edgar Tullo-Gómez (JE)

General Directorate of Strategic Health Information, Ministry of Public Health and Social Welfare, Asunción, Paraguay.

Osvaldo Melgarejo (O)

Universidad Científica del Sur, Lima, Perú.

Nora Gómez (N)

Department of Child and Adolescent Psychiatry, School of Medical Sciences, National University of Asunción, San Lorenzo, Paraguay.

Viviana Riego (V)

Department of Child and Adolescent Psychiatry, School of Medical Sciences, National University of Asunción, San Lorenzo, Paraguay.

Rodrigo Navarro (R)

Department of Child and Adolescent Psychiatry, School of Medical Sciences, National University of Asunción, San Lorenzo, Paraguay.

Oscar García (O)

Department of Child and Adolescent Psychiatry, School of Medical Sciences, National University of Asunción, San Lorenzo, Paraguay.

Pamela Figueredo (P)

Department of Child and Adolescent Psychiatry, School of Medical Sciences, National University of Asunción, San Lorenzo, Paraguay.

José Almirón-Santacruz (J)

Department of Child and Adolescent Psychiatry, School of Medical Sciences, National University of Asunción, San Lorenzo, Paraguay.

Tomás Caycho-Rodríguez (T)

Universidad Científica del Sur, Lima, Perú.

João Mauricio Castaldelli-Maia (JM)

Department of Neuroscience, Fundação do ABC., Santo André, SP, Brazil.
Department of Psychiatry, University of São Paulo. São Paulo, SP, Brazil.

Antonio Ventriglio (A)

Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.

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Classifications MeSH