Suicide in indigenous and non-indigenous population: a contribution to health management

ABSTRACT Objective: To analyze the sociodemographic and epidemiological profile of suicide in the indigenous and non-indigenous population and the spatiality of the event. Method: Epidemiological, descriptive research, carried out with data from the Mortality Information System. Suicide mortality rates were calculated for the 144 municipalities in Pará and linked to the geographic location values of the municipalities; subsequently, thematic maps were built using the QGIS 3.10.3 software. The association between variables was measured by the G test. Results: 1,387 suicide records were studied, and the mortality rate among indigenous people was low in comparison to non-indigenous people, reaching 0.1/100 thousand inhabitants and 17.5/100 thousand inhabitants, respectively. Conclusion: Suicide is heterogeneously distributed in the territory, with greater vulnerability of the indigenous people, which demands different policies considering their cultural diversity.

摘要
研究目的：分析土著与非土著人群自杀的社会人口学及流行病学特征，以及该事件的空间分布特征。
研究方法：本研究为流行病学描述性研究，数据来源于死亡信息系统（Mortality Information System）。针对帕拉州144个市镇计算自杀死亡率，并将其与对应市镇的地理位置数据进行关联；随后使用QGIS 3.10.3软件构建专题地图。变量间的关联程度通过G检验（G test）进行测算。
研究结果：本研究共分析1387条自杀死亡记录，结果显示，土著人群的自杀死亡率远低于非土著人群，分别为0.1/10万人口与17.5/10万人口。
研究结论：自杀在该地域内呈现异质性分布，土著人群具有更高的自杀脆弱性，这要求结合其文化多样性制定差异化的公共政策。