TY  - JOUR
PY  - 2023//
TI  - Characteristics of deaths by suicide in postmortem studies in Brazil: a systematic review and meta-analysis
JO  - Suicide and life-threatening behavior
A1  - Roza, Thiago Henrique
A1  - Marchionatti, Lauro Estivalete
A1  - Gosmann, Natan Pereira
A1  - do Canto, Gustavo Cambraia
A1  - Machado, Patrícia Vasconcelos
A1  - Massuda, Raffael
A1  - Passos, Ives Cavalcante
A1  - Kessler, Felix Henrique Paim
A1  - Magalhães, Pedro Vieira da Silva
A1  - Telles, Lisieux Elaine de Borba
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - INTRODUCTION: Suicide is one of the leading causes of death, with a trend for its increase in Brazil in past decades. This study aimed to review the characteristics of suicides in Brazilian postmortem studies. <br><br>METHODS: Studies investigating suicide deaths in Brazil, and based on autopsy or psychological autopsy were included. Proportions were pooled across studies with the use of random and fixed effects models. <br><br>RESULTS: 6777 references were retrieved from six databases (searches up to January, 2023), and 45 studies included. In autopsy studies (k = 37, n = 16,231), substance use at toxicological analysis was found in 36.42% of cases (95% CI: 30.05-43.32), previous suicide attempts in 23.92% (95% CI: 6.73-57.78). In psychological autopsy studies (k = 8, n = 139), previous suicide attempts were reported in 28.09% (95% CI: 19.74-38.28), psychiatric conditions/symptoms in 90.67% (95% CI: 67.79-97.82), family history of suicidality in 21.33% (95% CI: 13.5-32.03). Most suicide deaths were reported in males and took place at the victim's home, hanging was the most frequent suicide method. Included studies presented significant limitations in quality assessment. <br><br>CONCLUSION: Future studies should present more robust methodology, including bigger samples, the use of controls, and validated methodology.<p />  <p>Language: en</p>
LA  - en
SN  - 0363-0234
UR  - http://dx.doi.org/10.1111/sltb.13009
ID  - ref1
ER  -