Hospitalizations due to self-inflicted injuries - Brazil, 2002 to 2013

Monteiro, Rosane Aparecida; Bahia, Camila Alves; Paiva, Eneida Anjos; Sá, Naíza Nayla Bandeira de; Minayo, Maria Cecília de Souza

doi:10.1590/1413-81232015203.16282014

Brasil

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Article • Ciênc. saúde coletiva 20 (3) • Mar 2015 • https://doi.org/10.1590/1413-81232015203.16282014 linkcopy

Hospitalizations due to self-inflicted injuries - Brazil, 2002 to 2013

Authorship SCIMAGO INSTITUTIONS RANKINGS

The scope of this article is to describe hospitalizations resulting from intentionally self-inflicted injuries attended by the Unified Health System (SUS) for the 2002-2013 period. It is an observational, descriptive study of hospital admissions in the SUS arising from intentionally self-inflicted injuries in Brazil between 2002 and 2013. A decreasing trend was observed for the rate of hospitalization in individuals aged 10 and above. Hospitalizations were concentrated between 30 to 49 years of age for men, while for women it was between 20 to 29 years of age. The highest rates of hospitalization and hospital deaths were in the Southeast. The main cause of hospitalization was intentional intoxication with medication and unspecified biological substances. Studies of this type provide input for defining prevention strategies taking into consideration the most vulnerable groups and the complexity of factors associated with suicidal behavior.

Violence; Self-inflicted injury; Suicide; Epidemiological surveillance; Hospitalization

Period	Age group	Total			Male			Female		M/F
		n	Rate		n	Rate		n	Rate

2002-2005
	10-19	6,107	4.4	2,778		3.9	3,329		4.8	0.8
	20-29	9,780	7.4	5,842		8.7	3,938		6.0	1.5
	30-39	8,974	8.3	5,885		10.9	3,089		5.7	1.9
	40-49	6,855	7.8	4,563		10.6	2,292		5.1	2.1
	50-59	3,589	6.2	2,535		9.1	1,054		3.5	2.6
	60-69	1,652	4.7	1,113		6.9	539		2.9	2.4
	70-79	801	4.1	456		5.3	345		3.1	1.7
	80 e +	493	6.2	231		7.5	262		5.4	1.4
2006-2009
	10-19	5,109	3.7	2,348		3.4	2,760		4.1	0.8
	20-29	8,989	6.4	5,445		7.7	3,544		5.1	1.5
	30-39	7,965	6.9	5,021		8.8	2,944		5.1	1.7
	40-49	6,417	6.7	4,161		8.8	2,256		4.6	1.9
	50-59	3,532	5.2	2,362		7.3	1,170		3.3	2.2
	60-69	1,542	3.9	993		5.4	549		2.6	2.1
	70-79	783	3.5	448		4.7	335		2.7	1.8
	80 e +	433	4.5	174		4.8	259		4.4	1.1
2010-2013
	10-19	4,583	3.3	2,030		2.9	2,553		3.8	0.8
	20-29	7,882	5.6	4,772		6.8	3,110		4.5	1.5
	30-39	7,564	6.1	4,640		7.5	2,924		4.7	1.6
	40-49	6,079	5.9	3,875		7.7	2,204		4.2	1.8
	50-59	3,433	4.4	2,222		6.0	1,211		3.0	2.0
	60-69	1,506	3.2	1,012		4.7	494		2.0	2.4
	70-79	689	2.8	405		3.8	284		2.0	1.9
	80 e +	340	3.0	157		3.6	183		2.6	1.4

Place of residence and indicators	2002-2005	2006-2009	2010-2013

Total hospitalizations, nº (%)
North	4,398 (11.50)	5,045 (14.51)	2,300 (7.17)
Northeast	4,627 (12.10)	4,811 (13.84)	6,043 (18.84)
Southeast	22,714 (59.48)	19,540 (56.20)	18,852 (58.77)
South	3,572 (9.34)	3,299 (9.50)	2,884 (9.99)
Midwest	2,940 (7.69)	2,075 (6.49)	1,997 (6.23)
Brazil	38,251 (100.0)	34,770 (100.0)	32,076 (100.0)
Total hospital deaths, nº (%)
North	70 (5.12)	50 (4.09)	33 (2.55)
Northeast	150 (11.98)	199 (16.28)	231 (17.84)
Southeast	911 (66.69)	807 (66.04)	853 (65.87)
South	122 (8.93)	93 (7.61)	116 (9.96)
Midwest	113 (8.27)	73 (5.97)	62 (4.79)
Brazil	1,366 (100.0)	1,222 (100.0)	1,295 (100.0)
Hospital mortality (per 100)
North	1.59	0.99	1.43
Northeast	3.24	4.14	3.82
Southeast	4.01	4.13	4.52
South	3.42	2.82	4.02
Midwest	3.84	3.52	3.10
Brazil	3.57	3.51	4.04
Average hospital mortality rate
North	1.63	0.95	1.40
Northeast	3.24	4.14	4.14
Southeast	4.01	4.14	4.52
South	3.41	2.92	4.17
Midwest	3.82	3.45	3.10
Brazil	3.57	3.50	4.05
Average length of hospital stay (days)
North	3.95	3.93	3.98
Northeast	3.58	3.75	4.23
Southeast	4.23	4.00	4.23
South	4.30	4.88	5.60
Midwest	4.13	3.65	4.03
Brazil	4.13	4.05	4.33
Average amount paid per admission (BRL)
North	411.02	389.95	409.93
Northeast	385.44	505.94	656.52
Southeast	372.83	581.02	883.03
South	408.99	573.08	940.15
Midwest	297.17	363.02	492.47
Brazil	375.11	533.10	790.24

Types	Periods	N		Rate per 100,000 inhabitants		M/F

			Total	Male	Female
(CID10)			Total	Male	Female

X60-X64
	2002-2005	12,081	2.05	1.56	2.44	0.64
	2006-2009	13,040	2.08	1.85	2.30	0.81
	2010-2013	10,564	1.59	1.29	1.88	0.69
X65
	2002-2005	8,986	1.52	2.63	0.38	6.93
	2006-2009	7,551	1.20	2.08	0.36	5.78
	2010-2013	6,556	0.99	1.65	0.35	4.76
X68-X69
	2002-2005	6,686	1.13	1.12	1.09	1.03
	2006-2009	5,346	0.85	0.90	0.80	1.12
	2010-2013	5,673	0.85	0.90	0.81	1.10
X70
	2002-2005	151	0.03	0.04	0.01	4.75
	2006-2009	178	0.03	0.05	0.01	4.22
	2010-2013	150	0.02	0.04	0.01	6.03
X72-X74
	2002-2005	1,778	0.30	0.52	0.07	7.45
	2006-2009	687	0.11	0.19	0.03	7.03
	2010-2013	1,114	0.17	0.30	0.04	8.58
X78-X79
	2002-2005	2,613	0.44	0.70	0.16	4.33
	2006-2009	2,261	0.36	0.59	0.14	4.39
	2010-2013	2,256	0.34	0.56	0.12	4.51
X80
	2002-2005	197	0.03	0.04	0.03	1.55
	2006-2009	376	0.06	0.08	0.04	1.80
	2010-2013	1,490	0.22	0.36	0.09	4.01
X84
	2002-2005	3,724	0.63	0.87	0.38	2.27
	2006-2009	3,370	0.54	0.74	0.34	2.13
	2010-2013	1,665	0.25	0.33	0.17	1.94
Others
	2002-2005	240	0.04	0.38	0.29	1.29
	2006-2009	1,022	0.16	0.31	0.31	1.00
	2010-2013	2,608	0.40	0.42	0.37	1.14

Year	North	Northeast	Southeast	South	Midwest	Brazil

2002	8.20	4.43	3.78	2.64	2.90	4.02
2003	9.44	3.88	3.58	2.43	3.02	3.89
2004	11.02	2.41	3.52	2.60	3.20	3.70
2005	11.06	2.19	3.85	3.87	3.01	4.00
2006	11.72	2.20	4.15	3.73	2.53	4.14
2007	10.64	2.51	4.33	3.46	2.36	4.12
2008	7.55	2.29	3.62	2.70	1.67	3.34
2009	6.01	2.65	4.64	3.10	2.23	3.83
2010	6.02	3.37	5.96	4.13	2.71	4.77
2011	8.16	3.22	5.84	3.93	2.87	4.82
2012	10.18	3.76	6.32	4.41	4.50	5.55
2013	10.26	4.73	6.17	5.90	5.44	6.08
Mean	9.19	3.14	4.65	3.58	3.04	4.36

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[t01TFN01] Source: Hospital Information System - SIH/SUS.