Suicides among adults in Paraguay: An 18-year national exploratory study (2004–2022)

BACKGROUND: The number of suicides has been increasing worldwide, year after year, becoming the fourth leading cause of death among young people between 15 and 29 years of age. AIM: In this study, we explored the frequency and characteristics of suicides among the adult general population in Paragua...

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Autores principales: Júlio Torales, Iván Barrios, Osvaldo Melgarejo, Juan Edgar Tullo-Gómez, Noelia Ruíz Diáz, Marcelo O’Higgins, Carol Maggi, Victor Ramón Adorno, Alicia Medina, Jorge Villalba-Arias, Israel González, Tomás Caycho‐Rodríguez, João Maurício Castaldelli-Maia, Antonio Ventriglio
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Publicado: 2023
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author Júlio Torales
Iván Barrios
Osvaldo Melgarejo
Juan Edgar Tullo-Gómez
Noelia Ruíz Diáz
Marcelo O’Higgins
Carol Maggi
Victor Ramón Adorno
Alicia Medina
Jorge Villalba-Arias
Israel González
Tomás Caycho‐Rodríguez
João Maurício Castaldelli-Maia
Antonio Ventriglio
author_browse Alicia Medina
Antonio Ventriglio
Carol Maggi
Israel González
Iván Barrios
Jorge Villalba-Arias
João Maurício Castaldelli-Maia
Juan Edgar Tullo-Gómez
Júlio Torales
Marcelo O’Higgins
Noelia Ruíz Diáz
Osvaldo Melgarejo
Tomás Caycho‐Rodríguez
Victor Ramón Adorno
author_facet Júlio Torales
Iván Barrios
Osvaldo Melgarejo
Juan Edgar Tullo-Gómez
Noelia Ruíz Diáz
Marcelo O’Higgins
Carol Maggi
Victor Ramón Adorno
Alicia Medina
Jorge Villalba-Arias
Israel González
Tomás Caycho‐Rodríguez
João Maurício Castaldelli-Maia
Antonio Ventriglio
author_sort Júlio Torales
collection Producción científica
description BACKGROUND: The number of suicides has been increasing worldwide, year after year, becoming the fourth leading cause of death among young people between 15 and 29 years of age. AIM: In this study, we explored the frequency and characteristics of suicides among the adult general population in Paraguay between 2004 and 2022, considering that suicide attempts and suicidal risk/ideation are frequent and relevant issues in the consultation activity, even if epidemiological evidence on the national rates of suicide is scarce. METHODS: In this observational, descriptive, and exploratory study, official records of all deaths by suicide were reviewed and information analyzed. In addition, an attempt was made to predict the number of suicides in the next 5 years according to a mathematical modeling. RESULTS: In the 18-year period, 5,527 suicides of adults were recorded. Patients' mean age was 36.8 ± 17 years old. A 76.77% of them were males, 77.44% were from an urban area and 25.98% from the Greater Asunción and Central Department of Paraguay. The most frequently used method of suicide was intentional self-inflicted injury by hanging, strangulation, or suffocation (all 67.6%). The expected number of national suicides in the following years from 2023 to 2027 will range between 462 and 530. Limitations include the lack of information regarding diagnoses and personal history in the suicide reports as well as the possibility of underreporting of national suicide cases. CONCLUSION: Our results represent the first large national epidemiological report of suicides in Paraguay and may be of interest for mental health professionals and health authorities in order to reduce the suicide mortality rate within the country.
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spelling oai:cris.upeu.edu.pe:20.500.15037/11892026-10-30T16:15:20ZSuicides among adults in Paraguay: An 18-year national exploratory study (2004–2022)Júlio ToralesIván BarriosOsvaldo MelgarejoJuan Edgar Tullo-GómezNoelia Ruíz DiázMarcelo O’HigginsCarol MaggiVictor Ramón AdornoAlicia MedinaJorge Villalba-AriasIsrael GonzálezTomás Caycho‐RodríguezJoão Maurício Castaldelli-MaiaAntonio VentriglioSuicide preventionPoison controlInjury preventionOccupational safety and healthHuman factors and ergonomicsExploratory researchPsychologyDemographyGeographyMedical emergencyMedicineGerontologyEnvironmental healthSociologyAnthropologyPathologySuicide preventionPoison controlInjury preventionOccupational safety and healthHuman factors and ergonomicsExploratory researchPsychologyDemographyGeographyMedical emergencyMedicineGerontologyEnvironmental healthSociologyAdolescentAdolescentAdolescentAdolescentAdultAdultAdultAdultMental Disorders epidemiologyMental Disorders epidemiologyMental Disorders epidemiologyMental Disorders epidemiologyFemaleFemaleFemaleFemaleHumansHumansHumansHumansMaleMaleMaleMaleMiddle AgedMiddle AgedMiddle AgedMiddle AgedParaguay epidemiologyParaguay epidemiologyParaguay epidemiologyParaguay epidemiologySuicide, AttemptedSuicide, AttemptedSuicide, AttemptedSuicide, AttemptedSelf-Injurious BehaviorSelf-Injurious BehaviorSelf-Injurious BehaviorSelf-Injurious BehaviorYoung AdultYoung AdultYoung AdultYoung AdultSuicidal IdeationSuicidal IdeationSuicidal IdeationSuicidal IdeationSocial Sciences Psychology Clinical Psychology Suicide and Self-Harm StudiesSocial Sciences Social Sciences Sociology and Political Science Homicide, Infanticide, and Child AbuseSocial Sciences Social Sciences Health Gun Ownership and Violence ResearchBACKGROUND: The number of suicides has been increasing worldwide, year after year, becoming the fourth leading cause of death among young people between 15 and 29 years of age. AIM: In this study, we explored the frequency and characteristics of suicides among the adult general population in Paraguay between 2004 and 2022, considering that suicide attempts and suicidal risk/ideation are frequent and relevant issues in the consultation activity, even if epidemiological evidence on the national rates of suicide is scarce. METHODS: In this observational, descriptive, and exploratory study, official records of all deaths by suicide were reviewed and information analyzed. In addition, an attempt was made to predict the number of suicides in the next 5 years according to a mathematical modeling. RESULTS: In the 18-year period, 5,527 suicides of adults were recorded. Patients' mean age was 36.8 ± 17 years old. A 76.77% of them were males, 77.44% were from an urban area and 25.98% from the Greater Asunción and Central Department of Paraguay. The most frequently used method of suicide was intentional self-inflicted injury by hanging, strangulation, or suffocation (all 67.6%). The expected number of national suicides in the following years from 2023 to 2027 will range between 462 and 530. Limitations include the lack of information regarding diagnoses and personal history in the suicide reports as well as the possibility of underreporting of national suicide cases. CONCLUSION: Our results represent the first large national epidemiological report of suicides in Paraguay and may be of interest for mental health professionals and health authorities in order to reduce the suicide mortality rate within the country.Articlehttps://pubmed.ncbi.nlm.nih.gov/3711307010.1177/00207640231169650https://hdl.handle.net/20.500.15037/1189W4367317992enInternational Journal of Social Psychiatry0020-76401741-28542023-04-272026-06-13T09:49:29Z2026-06-13T09:49:29Z
spellingShingle Suicide prevention
Poison control
Injury prevention
Occupational safety and health
Human factors and ergonomics
Exploratory research
Psychology
Demography
Geography
Medical emergency
Medicine
Gerontology
Environmental health
Sociology
Anthropology
Pathology
Suicide prevention
Poison control
Injury prevention
Occupational safety and health
Human factors and ergonomics
Exploratory research
Psychology
Demography
Geography
Medical emergency
Medicine
Gerontology
Environmental health
Sociology
Adolescent
Adolescent
Adolescent
Adolescent
Adult
Adult
Adult
Adult
Mental Disorders epidemiology
Mental Disorders epidemiology
Mental Disorders epidemiology
Mental Disorders epidemiology
Female
Female
Female
Female
Humans
Humans
Humans
Humans
Male
Male
Male
Male
Middle Aged
Middle Aged
Middle Aged
Middle Aged
Paraguay epidemiology
Paraguay epidemiology
Paraguay epidemiology
Paraguay epidemiology
Suicide, Attempted
Suicide, Attempted
Suicide, Attempted
Suicide, Attempted
Self-Injurious Behavior
Self-Injurious Behavior
Self-Injurious Behavior
Self-Injurious Behavior
Young Adult
Young Adult
Young Adult
Young Adult
Suicidal Ideation
Suicidal Ideation
Suicidal Ideation
Suicidal Ideation
Social Sciences Psychology Clinical Psychology Suicide and Self-Harm Studies
Social Sciences Social Sciences Sociology and Political Science Homicide, Infanticide, and Child Abuse
Social Sciences Social Sciences Health Gun Ownership and Violence Research
Júlio Torales
Iván Barrios
Osvaldo Melgarejo
Juan Edgar Tullo-Gómez
Noelia Ruíz Diáz
Marcelo O’Higgins
Carol Maggi
Victor Ramón Adorno
Alicia Medina
Jorge Villalba-Arias
Israel González
Tomás Caycho‐Rodríguez
João Maurício Castaldelli-Maia
Antonio Ventriglio
Suicides among adults in Paraguay: An 18-year national exploratory study (2004–2022)
title Suicides among adults in Paraguay: An 18-year national exploratory study (2004–2022)
title_full Suicides among adults in Paraguay: An 18-year national exploratory study (2004–2022)
title_fullStr Suicides among adults in Paraguay: An 18-year national exploratory study (2004–2022)
title_full_unstemmed Suicides among adults in Paraguay: An 18-year national exploratory study (2004–2022)
title_short Suicides among adults in Paraguay: An 18-year national exploratory study (2004–2022)
title_sort suicides among adults in paraguay an 18 year national exploratory study 2004 2022
topic Suicide prevention
Poison control
Injury prevention
Occupational safety and health
Human factors and ergonomics
Exploratory research
Psychology
Demography
Geography
Medical emergency
Medicine
Gerontology
Environmental health
Sociology
Anthropology
Pathology
Suicide prevention
Poison control
Injury prevention
Occupational safety and health
Human factors and ergonomics
Exploratory research
Psychology
Demography
Geography
Medical emergency
Medicine
Gerontology
Environmental health
Sociology
Adolescent
Adolescent
Adolescent
Adolescent
Adult
Adult
Adult
Adult
Mental Disorders epidemiology
Mental Disorders epidemiology
Mental Disorders epidemiology
Mental Disorders epidemiology
Female
Female
Female
Female
Humans
Humans
Humans
Humans
Male
Male
Male
Male
Middle Aged
Middle Aged
Middle Aged
Middle Aged
Paraguay epidemiology
Paraguay epidemiology
Paraguay epidemiology
Paraguay epidemiology
Suicide, Attempted
Suicide, Attempted
Suicide, Attempted
Suicide, Attempted
Self-Injurious Behavior
Self-Injurious Behavior
Self-Injurious Behavior
Self-Injurious Behavior
Young Adult
Young Adult
Young Adult
Young Adult
Suicidal Ideation
Suicidal Ideation
Suicidal Ideation
Suicidal Ideation
Social Sciences Psychology Clinical Psychology Suicide and Self-Harm Studies
Social Sciences Social Sciences Sociology and Political Science Homicide, Infanticide, and Child Abuse
Social Sciences Social Sciences Health Gun Ownership and Violence Research
topic_facet Suicide prevention
Poison control
Injury prevention
Occupational safety and health
Human factors and ergonomics
Exploratory research
Psychology
Demography
Geography
Medical emergency
Medicine
Gerontology
Environmental health
Sociology
Anthropology
Pathology
Suicide prevention
Poison control
Injury prevention
Occupational safety and health
Human factors and ergonomics
Exploratory research
Psychology
Demography
Geography
Medical emergency
Medicine
Gerontology
Environmental health
Sociology
Adolescent
Adolescent
Adolescent
Adolescent
Adult
Adult
Adult
Adult
Mental Disorders epidemiology
Mental Disorders epidemiology
Mental Disorders epidemiology
Mental Disorders epidemiology
Female
Female
Female
Female
Humans
Humans
Humans
Humans
Male
Male
Male
Male
Middle Aged
Middle Aged
Middle Aged
Middle Aged
Paraguay epidemiology
Paraguay epidemiology
Paraguay epidemiology
Paraguay epidemiology
Suicide, Attempted
Suicide, Attempted
Suicide, Attempted
Suicide, Attempted
Self-Injurious Behavior
Self-Injurious Behavior
Self-Injurious Behavior
Self-Injurious Behavior
Young Adult
Young Adult
Young Adult
Young Adult
Suicidal Ideation
Suicidal Ideation
Suicidal Ideation
Suicidal Ideation
Social Sciences Psychology Clinical Psychology Suicide and Self-Harm Studies
Social Sciences Social Sciences Sociology and Political Science Homicide, Infanticide, and Child Abuse
Social Sciences Social Sciences Health Gun Ownership and Violence Research
url https://pubmed.ncbi.nlm.nih.gov/37113070
https://hdl.handle.net/20.500.15037/1189
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