Aspectos epidemiológicos e qualidade dos registros de óbitos por suicídio em cidade polo de Minas Gerais 2014-2018

Abstract

This is an epidemiological study, carried out at the Institute of Legal Medicine (IML) located in the city of Montes Claros. The period study was from 2014 to 2018, aiming to characterize the profile of victims of self-extermination; methods used and associated factors, besides the quality of the records. Deaths from self-inflicted injuries, coded as (X60-X84) by the International Classification of Diseases (ICD-10) were considered as suicides. Variables such as gender, skin color, age group, marital status, occupation, place of death and method used for self-extermination were analyzed. It was found 223 suicide deaths in the period, from the micro region of Montes Claros and 44 municipalities of micro regions of the area covered by the IML. The main associated factors include being men, brown, single, between 20 and 39 years and working in the services sector. The most commonly used method for self- extermination was hanging. Correspondence Analysis pointed to a greater association between the use of firearms or white arms by adolescents and hanging as a predominant method in victims between 20 and 39 years and 60 years old or more. Mortality rates were stable with an increase in 2018. The comparison of the IML and the Mortality Information System (SIM) records, national and state, showed underreporting of 10 suicide deaths in Montes Claros. The observation of the fields 40 and 51 of the DO, besides confirming the death for this cause through the Register of Events of Social Defense (REDS) made the data more reliable. The quality of the information and the understanding of the multiple elements associated to the complexity of this phenomenon can contribute to a better adaptation of public policies and intervention strategies.