Self-inflicted injuries among adolescents: Prevalence and associated factors, Espírito Santo, Brazil
DOI:
https://doi.org/10.5294/aqui.2021.21.3.3Keywords:
Adolescent, attempted suicide, self-injurious behavior, epidemiology, health information systemsAbstract
Objective: To identify the prevalence of notified self-inflicted injuries among adolescents in Espírito Santo and to analyze the associated factors.
Materials and methods: A cross-sectional and analytical study, with the notified data of self-inflicted violence among adolescents in Espírito Santo registered in the Notifiable Diseases Information System from 2011 to 2018. The bivariate analyses considered the Chi-square (χ²) and Fisher’s Exact tests. The multivariate analysis considered the log-binomial model, and the adjustment results were presented as prevalence ratio.
Results: The prevalence of notified self-inflicted injuries was 33 % and, of this total, 79.8 % occurred among female adolescents. Prevalence was higher among adolescents aged from 13 to 17 years old (female gender) and from 18 to 19 years old (male gender), as well as among those with some disability or disorder. Higher prevalence values were found in the residence and in collective housing, as well as among those who did not consume alcohol at the event in question. In the female gender, there was also an association with the urban area (p < 0.05).
Conclusions: High prevalence of notified self-inflicted injuries is perceived among adolescents in Espírito Santo, as well as of the factors associated to this phenomenon. The importance of adopting promotion, prevention and recovery measures for the problem is verified.
Downloads
References
Claumann GS, Pinto A de A, Silva DAS, Pelegrini A. Prevalência de pensamentos e comportamentos suicidas e associação com a insatisfação corporal em adolescentes. J Bras Psiquiatr 2018;67:3-9. DOI: https://doi.org/10.1590/0047-2085000000177
Cicogna JIR, Hillesheim D, Hallal AL de LC. Mortalidade por suicídio de adolescentes no Brasil: tendência temporal de crescimento entre 2000 e 2015. J Bras Psiquiatr 2019;68:1-7. DOI: https://doi.org/10.1590/0047-2085000000218
Saxena S, Krug EG, Chestnov O. World Health Organization. Preventing suicide: A global imperative. Geneva: World Health Organization; 2014. Available from: http://apps.who.int/iris/bitstream/handle/10665/131056/9789241564779_eng.pdf;jsessionid=977D082B754978E54CA1451446031E87?sequence=1
Shain B. Suicide and suicide attempts in adolescents. Pediatrics. 2016;138. DOI: https://doi.org/10.1542/peds.2016-1420
Krug EG, Mercy JA, Dahlberg LL, Zwi AB. The world report on violence and health. Geneva: World Health Organization; 2002. Available from: https://apps.who.int/iris/bitstream/handle/10665/42495/9241545615_eng.pdf
Nock MK, Borges G, Bromet EJ, Cha CB, Kessler RC, Lee S. Suicide and suicidal behavior. Epidemiol. Rev. 2008;30:133-54. DOI: https://doi.org/10.1093/epirev/mxn002
Halicka J, Kiejna A. Non-suicidal self-injury (NSSI) and suicidal: Criteria differentiation. Adv Clin Exp Med. Journal 2018;5. Available from: https://pdfs.semanticscholar.org/f425/1ff0f2e7dbe5fbd732e56b46ea5e367ccd2a.pdf?_ga=2.40949922.1611151854.1627309860-1985543323.1623091705
Stanley B, Winchel R, Molcho A, Simeon D, Stanley M. Suicide and the self-harm continuum: Phenomenological and biochemical evidence. Int. Rev. Psychiatry 1992;4:149-55. DOI: https://doi.org/10.3109/09540269209066312
Whitlock J, Muehlenkamp J, Eckenrode J. Variation in nonsuicidal self-injury: Identification and Features of Latent Classes in a College Population of Emerging Adults. J Clin Child Adolesc Psychol 2008;12. DOI: https://doi.org/10.1080/15374410802359734
Beckman K, Mittendorfer-Rutz E, Waern M, Larsson H, Runeson B, Dahlin M. Method of self-harm in adolescents and young adults and risk of subsequent suicide. J Child Psychol Psychiatr. 2018;59:948-56. DOI: https://doi.org/10.1111/jcpp.12883
Lee S, Dwyer J, Paul E, Clarke D, Treleaven S, Roseby R. Differences by age and sex in adolescent suicide. Aust N Z J Public Health. 2019;43:248-53. DOI: https://doi.org/10.1111/1753-6405.12877
Geulayov G, Casey D, McDonald KC, Foster P, Pritchard K, Wells C et al. Incidence of suicide, hospital-presenting non-fatal self-harm, and community-occurring non-fatal self-harm in adolescents in England (the iceberg model of self-harm): A retrospective study. Lancet Psychiat. 2018;5:167-74. DOI: https://doi.org/10.1016/S2215-0366(17)30478-9
McMahon EM, Keeley H, Cannon M, Arensman E, Perry IJ, Clarke M et al. The iceberg of suicide and self-harm in Irish adolescents: A population-based study. Soc Psychiatry Psychiatr Epidemiol. 2014;49:1929-35. DOI: https://doi.org/10.1007/s00127-014-0907-z
Gillies D, Christou MA, Dixon AC, Featherston OJ, Rapti I, Garcia-Anguita A et al. Prevalence and characteristics of self-harm in adolescents: Meta-analyses of Community-based studies 1990-2015. J. Am. Acad. Child Adolesc. Psychiatry. 2018; 57:733-41. DOI: https://doi.org/10.1016/j.jaac.2018.06.018
Lim K-S, Wong CH, McIntyre RS, Wang J, Zhang Z, Tran BX et al. Global Lifetime and 12-month prevalence of suicidal behavior, deliberate self-harm and non-suicidal self-injury in children and adolescents between 1989 and 2018: A meta-analysis. Int J Environ Res Public Health. 2019;16:4581. DOI: https://doi.org/10.3390/ijerph16224581
Bahia CA, Avanci JQ, Pinto LW, Minayo MC de S. Notificações e internações por lesão autoprovocada em adolescentes no Brasil, 2007-2016. Epidemiol Serv Saúde. 2020;29. DOI: https://doi.org/10.5123/S1679-49742020000200006
Baiden P, Mengo C, Small E. History of Physical Teen Dating Violence and its association with suicidal behaviors among adolescent high school students: Results From the 2015 youth risk behavior survey. J Interpers Violence. 2019. DOI: https://doi.org/10.1177/0886260519860087
Mokhtari AM, Gholamzadeh S, Salari A, Hassanipour S, Mirahmadizadeh A. Epidemiology of suicide in 10-19 years old in southern Iran, 2011-2016: A population-based study on 6720 cases. J. Forensic Leg. Med. 2019;66:129-33. DOI: https://doi.org/10.1016/j.jflm.2019.06.018
Parker G, Ricciardi T. The risk of suicide and self-harm in adolescents is influenced by the “type” of mood disorder. J Nerv Ment Dis 2019;207:1-5. DOI: https://doi.org/10.1097/NMD.0000000000000917
Sharp C, Green KL, Yaroslavsky I, Venta A, Zanarini MC, Pettit J. The Incremental validity of borderline personality disorder relative to major depressive disorder for suicidal ideation and deliberate self-harm in adolescents. J Pers Disord 2012;26:927-38. DOI: https://doi.org/10.1521/pedi.2012.26.6.927
Zhao C, Dang X, Su X, Bai J, Ma L. Epidemiology of suicide and associated socio-demographic factors in emergency department patients in 7 general hospitals in northwestern China. Med Sci Monit. 2015;21:2743-9. DOI: https://doi.org/10.12659/MSM.894819
Ministério da Saúde do Brasil. Portaria n.º 1.271, de 6 de junho de 2014. Define a lista nacional de notificação compulsória de doenças, agravos e eventos de saúde pública nos serviços de saúde públicos e privados em todo o território nacional, nos termos do anexo, e dá outras providências. Diário Oficial da União Jan 2011; seção 1. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2014/prt1271_06_06_2014
Ministério da Saúde do Brasil. Secretaria de Vigilância em Saúde. Viva: instrutivo notificação de violência interpessoal e autoprovocada. Brasília: Ministério da Saúde; 2016. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/viva_instrutivo_violencia_interpessoal_autoprovocada_2ed.pdf
Ministério da Saúde do Brasil. Secretaria de Vigilância em Saúde. Sinan: normas e rotinas Brasília: Ministério da Saúde; 2007. Disponível em: http://portalsinan.saude.gov.br/images/documentos/Portarias/Manual_Normas_e_Rotinas.pdf
Instituto Brasileiro de Geografia e Estatística. Brasil/Espírito Santo Panorama. Disponível em: https://cidades.ibge.gov.br/brasil/es/panorama
Secretaria de Vigilância em Saúde, Ministério da Saúde do Brasil. Viva Inquérito 2017: vigilância de violências e acidentes em serviços sentinelas de urgência e emergência – Capitais e municípios. Brasília: Ministério da Saúde; 2019. Disponível em: https://antigo.saude.gov.br/images/pdf/2019/dezembro/05/viva-inquerito-2017.pdf
Alves V de M, Silva AMS da, Magalhães APN de, Andrade TG de, Faro ACM e Nardi AE. Suicide attempts in an emergency hospital. Arq Neuropsiquiatr 2014;72:123-8. DOI: https://doi.org/10.1590/0004-282X20130212
Contreras ML, Dávila Cervantes CA. Adolescentes en riesgo: factores asociados con el intento de suicidio en México. Rev. chil. pediatr. 2018;17. DOI: https://doi.org/10.11144/Javeriana.rgsp17-34.arfa
Pandey AR, Bista B, Dhungana RR, Aryal KK, Chalise B, Dhimal M. Factors associated with suicidal ideation and suicidal attempts among adolescent students in Nepal: Findings from global school-based students health survey. PLoS ONE 2019;14. DOI: https://doi.org/10.1371/journal.pone.0210383
Hu J, Dong Y, Chen X, Liu Y, Ma D, Liu X et al. Prevalence of suicide attempts among Chinese adolescents: A meta-analysis of cross-sectional studies. Compr Psychiatry 2015; 61:78-89. DOI: https://doi.org/10.1016/j.comppsych.2015.05.001
Darré T, Consuela KAC, Saka B, Djiwa T, Ekouévi KD, Napo-Koura G. Suicidal ideation and suicide attempts in subjects aged 15-19 in Lomé (Togo). BMC Res Notes 2019;12:187. DOI: https://doi.org/10.1186/s13104-019-4233-0
Schrijvers DL, Bollen J, Sabbe BGC. The gender paradox in suicidal behavior and its impact on the suicidal process. J Affect Disord 2012;138:19-26. DOI: https://doi.org/10.1016/j.jad.2011.03.050
Boeninger DK, Masyn KE, Feldman BJ, Conger RD. Sex differences in developmental trends of suicide ideation, plans, and attempts among European American adolescents. Suicide Life Threat Behav 2010;40:451-64. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2995258/pdf/nihms160390.pdf
Beautrais AL. Gender issues in youth suicidal behaviour. Emerg Med Australas 2002;14:35-42. DOI: https://doi.org/10.1046/j.1442-2026.2002.00283.x
Bachmann S. Epidemiology of Suicide and the Psychiatric Perspective. Int. J. Environ. Res. Public Health. 2018;15:1425. DOI: https://doi.org/10.3390/ijerph15071425
Lima D. Depressão e doença bipolar na infância e adolescência. J Pediatr 2004;80. DOI: https://doi.org/10.1590/S0021-75572004000300003
Goldman-Mellor S, Allen K, Kaplan MS. Rural/Urban Disparities in Adolescent Nonfatal Suicidal ideation and suicide attempt: A population-based study. Suicide Life Threat Behav 2018;48:709-19. DOI: https://doi-org.ezproxy.lib.ucalgary.ca/10.1111/sltb.12390
Houghton S, Hattie J, Carroll A, Wood L, Baffour B. It hurts to be lonely! Loneliness and positive mental wellbeing in Australian rural and urban adolescents. J Psychol Couns Sch 2016;26:52-67. DOI: https://doi.org/10.1017/jgc.2016.1
Qin P. Suicide risk in relation to level of urbanicity: A population-based linkage study. Int. J. Epidemiol 2005;3:846-52. DOI: https://doi.org/10.1093/ije/dyi085
Zappe JG, Dell’Aglio DD. Comportamentos de risco em adolescentes que vivem em diferentes contextos: família e institucionalização. Rev colomb psicol 2016;25. Disponível em: https://dialnet.unirioja.es/servlet/articulo?codigo=5585493
Lieberknecht Wathier Abaid J, Dalbosco Dell’Aglio D, Koller SH. Preditores de sintomas depressivos em crianças e adolescentes institucionalizados. Univ Psychol. 2010;9:199-212. Disponível em: https://www.redalyc.org/pdf/647/64712156016.pdf
Álvares A de M, Lobato GR. Um estudo exploratório da incidência de sintomas depressivos em crianças e adolescentes em acolhimento institucional. Temas Psicol 2013;21:151-64. DOI: http://dx.doi.org/10.9788/TP2013.1-11
Sheftall AH, Asti L, Horowitz LM, Felts A, Fontanella CA, Campo JV et al. Suicide in elementary school-aged children and early adolescents. Pediatrics 2016;138. DOI: https://doi.org/10.1542/peds.2016-0436
Bennardi M, McMahon E, Corcoran P, Griffin E, Arensman E. Risk of repeated self-harm and associated factors in children, adolescents and young adults. BMC Psychiatry. 2016;16:421. DOI: https://doi.org/10.1186/s12888-016-1120-2
Cully G, Corcoran P, Leahy D, Griffin E, Dillon C, Cassidy E et al. Method of self-harm and risk of self-harm repetition: Findings from a national self-harm registry. J. Affect. Disord. 2019;246:843-50. DOI: https://doi.org/10.1016/j.jad.2018.10.372
Borges G, Bagge CL, Cherpitel CJ, Conner KR, Orozco R, Rossow I. A meta-analysis of acute use of alcohol and the risk of suicide attempt. Psychol Med 2017;7:949-57. DOI: https://doi.org/10.1017/S0033291716002841
Ministério da Saúde do Brasil. Secretaria de Atenção à Saúde. Linha de cuidado para a atenção integral à saúde de crianças, adolescentes e suas famílias em situação de violências: orientação para gestores e profissionais de saúde. Brasília: Ministério da Saúde; 2010. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/linha_cuidado_criancas_familias_violencias.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Aquichan
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
1. Proposed Policy for Journals That Offer Open Access
Authors who publish with this journal agree to the following terms:
- The journal and its papers are published with the Creative Commons License Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0). You are free to share copy and redistribute the material in any medium or format if you: give appropriate credit, provide a link to the license, and indicate if changes were made; don’t use our material for commercial purposes; don’t remix, transform, or build upon the material.
