Sociodemographic determinants of the suicidal act in the Peruvian population: a multivariate analysis

Authors

DOI:

https://doi.org/10.20453/rmh.v35i4.5020

Keywords:

Suicide, Mental Health, Death, Socioeconomic Factors, Peru

Abstract

Objective: To determine the sociodemographic risk factors associated with suicidal risk in the Peruvian population. Methods: An analytical and cross-sectional study was performed based on data from 24,000 violent deaths registered at the national death system (SINADEF) in 2021. Variables tested were suicidal death, other violent causes of death, sex, age group, geographic location, degree of education, and civil state. Chi-square and Cramer’s V tests were used to evaluate associations and crude and adjusted odd ratios through binary logistic regression; a p-value <0.05 and 95% confidence intervals were calculated. Results: Most of the people who died of suicide were ≤39 years old, lived on the coast, had no university degree, and had a couple at the time of death. Multivariate analysis in men identified living on the coast (OR=1.307; IC95%=1.185-1.441) and university degree (OR=1.279; IC95%=1.101-1.485) as risk factors for suicide. While in females having a couple (OR=1.311; IC95%=1.020-1.685), age ≤39 years (OR=3.516; IC905%=2.850-4.337); living on the coast (OR=1.344; IC95%=1.127-1.604) and not having a university degree (OR=1.298; IC95%=1.045-1.612) were associated with suicide. Conclusions: Geographic location and level of education in males, whereas having a couple, geographic location, age, and level of education were associated with suicide.

 

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Author Biography

Alberto Guevara Tirado, Universidad Científica del Sur, Facultad de Medicina Humana. Lima, Perú.

        

References

Conejero I, Olié E, Courtet P, Calati R. Suicide in older adults: current perspectives. Clin Interv Aging. 2018; 13:691–9. doi: 10.2147/CIA.S130670

Stone DM, Jones CM, Mack KA. Changes in suicide rates - United States, 2018-2019. MMWR Morb Mortal Wkly Rep. 2021;70(8):261–8. doi: 10.15585/mmwr.mm7008a1

Hesse M, Thylstrup B, Seid AK, Skogen JC. Suicide among people treated for drug use disorders: a Danish national record-linkage study. BMC Public Health. 2020;20(1):146. doi: 10.1186/s12889-020-8261-4

Rugo-Cook KF, Kerig PK, Crowell SE, Bryan CJ. Fluid vulnerability theory as a framework for understanding the association between posttraumatic stress disorder and suicide: A narrative review. J Trauma Stress. 2021;34(6):1080–98. doi: 10.1002/jts.22782

Zanchi MM, Marins K, Zamoner A. Could pesticide exposure be implicated in the high incidence rates of depression, anxiety and suicide in farmers? A systematic review. Environ Pollut. 2023;331(Pt 2):121888. doi: 10.1016/j.envpol.2023.121888

Conejero I, Olié E, Calati R, Ducasse D, Courtet P. Psychological pain, depression, and suicide: Recent evidences and future directions. Curr Psychiatry Rep. 2018;20(5):33. doi: 10.1007/s11920-018-0893-z

Rizk MM, Choo T-H, Galfalvy H, Biggs E, Brodsky BS, Oquendo MA, et al. Variability in suicidal ideation is associated with affective instability in suicide attempters with borderline personality disorder. Psychiatry. 2019; 82(2):173–8. doi: 10.1080/00332747.2019.1600219

Gvion Y, Levi-Belz Y. Serious suicide attempts: Systematic review of psychological risk factors. Front Psychiatry [Internet]. 2018; 9. doi: 10.3389/fpsyt.2018.00056

Bachmann S. Epidemiology of suicide and the psychiatric perspective. Int J Environ Res Public Health [Internet]. 2018;15(7):1425. doi: 10.3390/ijerph15071425

Baldessarini RJ. Epidemiology of suicide: recent developments. Epidemiology and Psychiatric Sciences. 2020; 29:e71. Doi:10.1017/S2045796019000672

Shoib S, Gaitán Buitrago JET, Shuja KH, Aqeel M, de Filippis R, Abbas J, et al. Suicidal behavior sociocultural factors in developing countries during COVID-19. Encephale. 2022;48(1):78–82. doi: 10.1016/j.encep.2021.06.011

McDaid D, Kennelly B, Ahern S, McElroy B. An economic perspective on suicide across the five continents. En: Wasserman D, Wasserman C, editores. Oxford Textbook of Suicidology and Suicide Prevention [Internet]. Londres, Inglaterra: Oxford University Press; 2021 [citado el 23 de octubre de 2024]. p. 409–20. Disponible en: https://eprints.lse.ac.uk/108989/

Knipe D, Williams AJ, Hannam-Swain S, Upton S, Brown K, Bandara P, et al. Psychiatric morbidity and suicidal behaviour in low- and middle-income countries: A systematic review and meta-analysis. PLoS Med. 2019;16(10):e1002905. doi: 10.1371/journal.pmed.1002905

Jiang H, Niu L, Hahne J, Hu M, Fang J, Shen M, et al. Changing of suicide rates in China, 2002–2015. J Affect Disord. 2018; 240:165–70. doi: 10.1016/j.jad.2018.07.043

Yuncar-Fajardo D, Gutiérrez Crespo HF, Matzumura Kasano JP. Creencias actitudinales sobre el comportamiento suicida en profesionales de salud del área de emergencias de un Hospital público en Lima, Perú. Med Clín Soc. 2023;7(1):34–40. doi: 10.52379/mcs.v7i1.271

Contreras-Cordova CR, Atencio-Paulino JI, Sedano C, Ccoicca-Hinojosa FJ, Paucar Huaman W. Suicidios en el Perú: Descripción epidemiológica a través del Sistema Informático Nacional de Defunciones (SINADEF) en el periodo 2017-2021. Rev Neuropsiquiatr. 2022;85(1):19–28. doi: 10.20453/rnp.v85i1.4152

Dioses EA. La vivienda de interés social en ciudades intermedias del Perú Representaciones sociales y prácticas de innovación social. Rev Cienc Soc. 2023;36(52). doi: 10.26489/rvs.v36i52.6

Barragán JM, de Andrés M. Expansión urbana en las áreas litorales de América Latina y Caribe. Rev Geogr Norte Gd. 2016;(64):129–49. doi: 10.4067/s0718-34022016000200009

Yu W, Singh SS, Calhoun S, Zhang H, Zhao X, Yang F. Generalized anxiety disorder in urban China: Prevalence, awareness, and disease burden. J Affect Disord. 2018; 234:89–96. doi: 10.1016/j.jad.2018.02.012

Hernandez-Flórez N, Lhoeste-Charris A, Moncada-Navas F, Rodríguez Ávila YDC, Barboza Hernandez JL. Suicide risk factors in university students: A review from the literature. Ciencia Latina. 2022;6(6):2726–51. doi: 10.37811/cl_rcm.v6i6.3726

Okechukwu FO, Ogba KTU, Nwufo JI, Ogba MO, Onyekachi BN, Nwanosike CI, et al. Academic stress and suicidal ideation: moderating roles of coping style and resilience. BMC Psychiatry. 2022;22(1):546. doi: 10.1186/s12888-022-04063-2

Xiao Y, Hinrichs R, Johnson N, McKinley A, Carlson J, Agley J, et al. Suicide prevention among college students before and during the COVID-19 pandemic: Protocol for a systematic review and meta-analysis. JMIR Res Protoc. 2021;10(5):e26948. doi: 10.2196/26948

Ruiz-Hernández JA, Guillén Á, Pina D, Puente-López E. Mental health and healthy habits in university students: A comparative associative study. Eur J Investig Health Psychol Educ. 2022; 12(2):114–26. doi: 10.3390/ejihpe12020010

Stefanac N, Hetrick S, Hulbert C, Spittal MJ, Witt K, Robinson J. Are young female suicides increasing? A comparison of sex-specific rates and characteristics of youth suicides in Australia over 2004–2014. BMC Public Health. 2019;19(1). doi: 10.1186/s12889-019-7742-9

Cano-Montalbán I, Quevedo-Blasco R. Sociodemographic variables most associated with suicidal behaviour and suicide methods in Europe and America. A systematic review. Eur J Psychol Appl Leg Context. 2018;10(1):15–25. doi: 10.5093/ejpalc2018a2

Kavak F, Kavak F, Aktürk Ü, Özdemir A, Gültekin A. The relationship between domestic violence against women and suicide risk. Arch Psychiatr Nurs. 2018;32(4):574–9. doi: 10.1016/j.apnu.2018.03.016

Llosa Martínez S, Canetti Wasser A. Depresión e ideación suicida en mujeres víctimas de violencia de pareja. Psicol Conoc Soc. 2019;9(1). doi: 10.26864/pcs.v9.n1.1

Akbarizadeh F, Hajivandi A, Hajivandi M, Zeidabadinejad MS. Marriage related suicide fatality rates. Iran J Psychiatry. 2019;14(1):54–9. doi: 10.18502/ijps.v14i1.423

Tullio V, Lanzarone A, Scalici E, Vella M, Argo A, Zerbo S. Violence against women in heterosexual couples: A review of psychological and medico-legal considerations. Med Sci Law. 2021;61(1_suppl):113–24. doi: 10.1177/0025802420936081

Arcos Rodríguez VA, Suárez Molina AF, Zambrano León MA, Tarapuez Cuatin SL. Diferencias de sexo asociadas al suicidio y años potenciales de vida perdidos: un estudio retrospectivo. Rev Fac Nac Salud Pública. 2023;41(2):e350940. doi: 10.17533/udea.rfnsp.e350940

Published

2024-12-30

How to Cite

1.
Guevara Tirado A. Sociodemographic determinants of the suicidal act in the Peruvian population: a multivariate analysis. Rev Méd Hered [Internet]. 2024 Dec. 30 [cited 2025 Feb. 3];35(4):204-11. Available from: http://44.198.254.164/index.php/RMH/article/view/5020

Issue

Section

ORIGINAL RESEARCH