TOXICOLOGICAL PROFILE AND BLOOD ALCOHOL CONTENT OF SUICIDE VICTIMS IN THE FAR WEST OF SANTA CATARINA

Keywords: Alcohol, Drugs, Suicide, Victims

Abstract

Suicide has been a subject of increasing concern and the toxicological and blood alcohol investigate in these victims is little studied. This study investigated the toxicological and blood alcohol profile of suicide victims in 27 municipalities in the extreme west of Santa Catarina. Aggregate time series study, with a survey of epidemiological data and analysis of expert reports by the Medical Legal Institute of all fatal victims of suicide, registered in the period between 2012 to 2016. Results: Males, aged 50-59 years, were the main victims and the hanging the main suicide method. The months of February and November, Sundays and the time of 08:00 to 11:59 were the moments of greater occurrences. Elevated levels of alcohol were observed in 23.97% of the victims and the main drugs found were benzodiazepines and tricyclic antidepressants. The results obtained in this study reinforce the concern regarding cases of suicide and an association between alcohol/drug use and suicidal practices. The data provide subsidies for elaboration and implementation of preventive actions. Professionals should be alert to signs of suicide, so that specialized help becomes a possible option, and is instrumental in reducing the number of suicides.

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References

Ramos INB, Falcão EBM. Suicide: a Little-Known Topic in Medical Training. Rev Bras Educ Med. 2011;35(4):507-16.

Organização Mundial da Saúde. Prevenção do suicídio: manual dirigido a profissionais das equipes de saúde mental. Genebra: OMS; 2006.

Reichenheim ME, Souza ER, Moraes CL, Mello-Jorge MHP, Silva CMFP, Souza MMC. Violence and injuries in Brazil: the effect, progress made, and challenges ahead. Lancet. 2011;377(9781):1962-75.

Sehnem SB, Palosqui V. Características epidemiológicas do suicídio no estado de Santa Catarina. Fractal Rev Psicol. 2014;26(2):365-78.

World Health Organization. Suicide data [Internet]. 2018 [cited 2018 Dec 18]. Available from: https://www.who.int/mental_health/prevention/suicide/suicideprevent/en/

Bahls SC, Botega NJ. Epidemiologia das tentativas de suicídio e dos suicídios. In: Mello MF, Mello AF, Kohn R, editors. Epidemiologia da saúde mental no Brasil. Porto Alegre: Artmed; 2007. p. 151-171.

World Health Organization. Suicide rates, by gender, Brazil; 1980-2008 [Internet]. 2013 [cited 2013 Aug 1]. Available from: https://www.who.int/mental_health/prevention/suicide/suicideprevent/en/

Mello-Santos C, Wang YP, Bertolote JM. Epidemiology of suicide in Brazil (1980-2000): characterization of age and gender rates of suicide. Rev Bras Psiquiatr. 2005;27(2):131-4.

Nock MK, Borges G, Bromet EJ, Cha CB, Kessler RC, Lee S. Suicide and suicide behavior. Epidemiol Rev. 2008;30:133-54.

D‘Oliveira CFA. Perfil epidemiológico dos suicídios. Brasil e regiões, 1996 a 2002. Ministério da Saúde [Internet]. 2005 [citado 2008 Jan 20]. Disponível em: http://portal.saude.gov.br/portal/arquivos/pdf/Suicidios.pdf

Peixoto HCG. Redução da morbimortalidade por acidentes e violências: diagnóstico do problema em Santa Catarina. Secretaria Estadual de Saúde de Santa Catarina [Internet]. 2003 [citado 2008 Jan 20]. Disponível em: www.saude.sc.gov.br/gestores/sala_de_leitura/doc_tecnicos

Schmitt R, Lang MG, Quevedo J, Colombo T. Perfil epidemiológico do suicídio no Extremo-Oeste do estado de Santa Catarina, Brasil. Rev Psiquiatr Porto Alegre. 2008;30(2).

Vidal CEL, Gomes CB, Mariano CA, Leite LMR, Silva RA, Lasmar SC. Perfil Epidemiológico do suicídio na microrregião de Barbacena, Minas Gerais, no período de 1997 a 2012. Cad. Saúde Colet. 2014;22(2):158-64.

Dahlberg LL, Biroux B, Stouthamer-Loeber M, Van Kammen WB. World report on violence and health. Geneva: World Health Organization; 2002.

Hawton K, Van Heeringen K. Suicide. Lancet. 2009;373(9672):1372-81.

Organização Mundial da Saúde. Prevenção do suicídio: um manual para médicos clínicos gerais. Genebra: Departamento de Saúde Mental, Transtornos Mentais e Comportamentais; 2000.

Klerman GL. Clinical epidemiology of suicide. J Clin Psychatry. 1987;48(12):33-8.

Pirkola SP, Isometsä ET, Heikkinen ME, Lönnqvist JK. Suicides of alcohol misusers and non-misusers in a Nationwide population. Alcohol Alcohol. 2000;35(1):70-5.

Fleischmann A, Bertolote JM, De Leo D, Botega N, Phillips M, Sisask M, et al. Characteristics of attempted suicides seen in emergency-care settings of general hospital in eight low- na middle-income countries. Psychol Med. 2005;35(10):1467-74.

Suominen K, Isometsä E, Suokas J, Haukka J, Achte K, Lönnqvist J. Completed suicide after a suicide attempt: a 37-year follow-up study. Am J Psychiatry. 2004;161(3):562-3.

Skogman K, Alsén M, Öjehagen A. Sex differences in risk factors for suicide after attempted suicide: a follow-up study of 1052 suicide attempters. Soc Psychiatry Pschiatr Epidemiol. 2004;39(2):113-20.

D‘Oliveira CFA. Perfil epidemiológico dos suicídios. Brasil e regiões, 1996 a 2002. Ministério da Saúde [Internet]. 2005 [citado 2008 Jan 20]. Disponível em: http://portal.saude.gov.br/portal/arquivos/pdf/Suicidios.pdf

Meneghel SN, Victora CG, Faria NMX, Carvalho LA, Falk JW. Características epidemiológicas do suicídio no Rio Grande do Sul. Rev Saúde Pública. 2004;38(6):804-10.

Santos SM, Barcellos C, Carvalho MS, Flores R. Detecção de aglomerados espaciais de óbitos por causas violentas em Porto Alegre, Rio Grande do Sul, Brasil, 1996. Cad. Saúde Pública. 2001;17(5):1141-51.

Marin-León L, Barros MBA. Mortes por suicídio: diferenças de gênero e nível socioeconômico. Rev Saúde Pública. 2003;37(3):357-63.

Ministério da Saúde. Sistema de Informações sobre Mortalidade [SIM] – DATASUS [Internet]. 2018 [citado 2018 Dez 18]. Disponível em: http://tabnet2.datasus.gov.br/cgi/tabcgi.exe?idb2013/c09.def

Sadock BJ, Sadock VA. Compêndio de Psiquiatria: ciências do comportamento e psiquiatria clínica. Porto Alegre: Artmed; 2007. p. 9.

Leyton V, Ponce JC, Andreuccett G, Coelho CAS, Greve JMD, Sinagawa DM, et al. Mortes no trânsito relacionadas ao uso de álcool no Estado de São Paulo em 2006. Rev. Abramet. [Internet]. 2009 [citado 2018 Fev 18];27(2):26-31. Disponível em: http://asp-br.secure-zone.net/v2/index.jsp?id=3362/3585/2946&lng=pt_br

World Health Organization. World Health Statistics data visualizations dashbord [Internet]. 2018 [cited 2018 Dec 18]. Available from: http://apps.who.int/gho/data/node.sdg.3-4-viz-2?lang=en

Leal OF. Suicídio, honra e masculinidade na cultura gaúcha. Cad Antropologia UFRGS. 1992;7-14.

Woloszyn N. Em busca da terra: colonização e exploração de madeiras no Oeste Catarinense. Universidade do Contestado [Internet]. 2008 [citado 2008 Jan 20]. Disponível em: http://www.pesquisa.uncnet.br/pdf/historia/busca_terra_colonizacao_exploracao_madeiras_oeste_catarinense.pdf

Ministério da Saúde divulga dados sobre casos de suicídio no Brasil. Galileu Magazine. 2018 Set 23. Disponível em: https://revistagalileu.globo.com/Ciencia/Saude/noticia/2018/09/ministerio-da-saude-divulga-dados-sobre-casos-de-suicidio-no-brasil.html

Simon G, Savarino J. Suicide attempts among patients starting depression treatment with medications or psychotherapy. Am J Psychiatry. 2007;164:1029-34.

Plewnia C, Padberg F. Transkranielle und invasive Hirnstimulationsverfahren bei Depression. Der Nervenarzt. 2012;83(8):1006-12.

Nastasy H, Ribeiro M, Marques ACPR. Abuso e dependência dos benzodiazepínicos. Projeto diretrizes. Rio de Janeiro: Associação Brasileira de Psiquiatria; 2008.

Naloto DCC, Lopes FC, Barberato Filho S, Lopes LC, Del Fiol FS, Bergamaschi CC. Prescrição de benzodiazepínicos para adultos e idosos de um ambulatório de saúde mental. Ciênc. Saúde Coletiva. 2016;21(4).

Conner KR, Houston RJ, Swogger MT, Conwell Y, You S, He H, et al. Stressful life events and suicidal behavior in adults with alcohol use disorders: role of event severity, timing, and type. Drug Alcohol Depend. 2012;120(1-3):15561.

Winhusen TM, Somoza EC, Lewis DF, Kropp FB, Horigian VE, Adinoffd B. Frontal Systems Deficits in Stimulant-Dependent Patients: evidence of Pre-illness Dysfunction and Relationship to Treatment Response. Drug Alcohol Depend. 2013;127(1-3):94-100.

Published
20-12-2019
How to Cite
Ottobelli Chielle, E., Genz, F., & Petter, A. (2019). TOXICOLOGICAL PROFILE AND BLOOD ALCOHOL CONTENT OF SUICIDE VICTIMS IN THE FAR WEST OF SANTA CATARINA. Archives in Biosciences & Health, 1(2), 171-188. https://doi.org/10.18593/abh.20277
Section
Articles - Original research

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