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Suicídio : uma análise epidemiológica : estudo retrospetivo da casuística da Delegação do Sul do Instituto Nacional de Medicina Legal e Ciências Forenses, I.P. (2007-2012)

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Resumo:Suicide is an important public health issue, with several significant risk factors, namely of socio demographic, socio environmental and psychopathological origin. According to the Portuguese law for forensic and medical-legal examinations (Law nr 45/2004 of August 19th), the medico-legal autopsies take place in cases of violent or unknown cause of deaths, making them particularly relevant for the study of suicide. The aim of this study was to establish the suicidal profile of the South Branch of the Portuguese National Institute of Legal Medicine and Forensic Sciences (DS-INMLCF, from the Portuguese formulation), between 2007 and 2012. Through the retrospective analysis of the medical-legal autopsy reports of the Forensic Pathology functional unit of the DS-INMLCF, 996 cases were identified with suspicion of suicide on the entry record of the corpse. These were reviewed, and 887 cases with suicidal medical-legal etiology in the final medico-legal autopsy report included in the study sample. The analysis of the 887 suicide cases, showed that most of the victims are male (74,1%), the most representative group being those over 74 years of age (17,9%), married (43,3%) and retired (37,9%). On average, the victims of suicide in our sample under the age of 75 years lost an average of 24 potential years of life. Almost 21% of the reports referred a history of psychiatric problems, with the most representative being the depressive syndrome (9,9% of the total suicidal cases), previous suicide attempts (8%) and suicide ideation (4,4%). The highest suicide rate by year, considering the total number of medico-legal autopsies performed in DS-INMLCF, was 16,5% in 2011. The suicide cases occurred mainly in the spring (28,6%), mostly in March (10,8%), dominantly in the afternoon (38,2%), and the most common method was death by hanging (37,8%). The knowledge acquired contributes to a better definition of the groups with higher suicidal risk, as well as for the outlining of preventive strategies of this premature death cause.
Autores principais:Lucas, Joana Isabel Martins
Assunto:Suicídio Epidemiologia
Ano:2014
País:Portugal
Tipo de documento:dissertação de mestrado
Tipo de acesso:acesso aberto
Instituição associada:Universidade de Lisboa
Idioma:português
Origem:Repositório da Universidade de Lisboa
Descrição
Resumo:Suicide is an important public health issue, with several significant risk factors, namely of socio demographic, socio environmental and psychopathological origin. According to the Portuguese law for forensic and medical-legal examinations (Law nr 45/2004 of August 19th), the medico-legal autopsies take place in cases of violent or unknown cause of deaths, making them particularly relevant for the study of suicide. The aim of this study was to establish the suicidal profile of the South Branch of the Portuguese National Institute of Legal Medicine and Forensic Sciences (DS-INMLCF, from the Portuguese formulation), between 2007 and 2012. Through the retrospective analysis of the medical-legal autopsy reports of the Forensic Pathology functional unit of the DS-INMLCF, 996 cases were identified with suspicion of suicide on the entry record of the corpse. These were reviewed, and 887 cases with suicidal medical-legal etiology in the final medico-legal autopsy report included in the study sample. The analysis of the 887 suicide cases, showed that most of the victims are male (74,1%), the most representative group being those over 74 years of age (17,9%), married (43,3%) and retired (37,9%). On average, the victims of suicide in our sample under the age of 75 years lost an average of 24 potential years of life. Almost 21% of the reports referred a history of psychiatric problems, with the most representative being the depressive syndrome (9,9% of the total suicidal cases), previous suicide attempts (8%) and suicide ideation (4,4%). The highest suicide rate by year, considering the total number of medico-legal autopsies performed in DS-INMLCF, was 16,5% in 2011. The suicide cases occurred mainly in the spring (28,6%), mostly in March (10,8%), dominantly in the afternoon (38,2%), and the most common method was death by hanging (37,8%). The knowledge acquired contributes to a better definition of the groups with higher suicidal risk, as well as for the outlining of preventive strategies of this premature death cause.