1
|
Studart-Bottó P, Martins-Junior DF, Sarmento S, Argolo L, Galvão-de-Almeida A, Miranda-Scippa Â. Self-injurious behavior and related mortality in children under 10 years of age: a retrospective health record study in Brazil. Braz J Psychiatry 2020; 42:40-45. [PMID: 31389497 PMCID: PMC6986482 DOI: 10.1590/1516-4446-2018-0355] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/25/2018] [Accepted: 04/23/2019] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To describe and analyze data on self-injurious behavior (SIB) and related mortality in children under 10 years old in Brazil. METHODS A descriptive study was performed using secondary public health care data extracted from the Hospital Information System (Sistema de Informações Hospitalares, SIH) and Mortality Information System (Sistema de Informações sobre Mortalidade, SIM) in Brazil. The databases are available for online access at http://datasus.saude.gov.br/. RESULTS In Brazil, according to SIH data, 11,312 hospitalizations of patients under 10 years of age were recorded from 1998 to 2018 as resulting from SIB (ICD-10 X60-X84 codes). Of these, 65 resulted in death. According to the SIM, from 1996 to 2016, 91 deaths related to SIB were recorded, 81 (89%) in children aged 5 to 9 years, nine (9.9%) in children aged 1 to 4 years, and one (1.1%) in a child below 1 year of age. CONCLUSION These results highlight the relevance of creating measures to better understand SIB and related mortality in this age group. They also reveal the vulnerability of children in Brazil and warrant further studies to address these issues.
Collapse
Affiliation(s)
- Paula Studart-Bottó
- Ambulatório de Transtorno do Humor e Ansiedade (CETHA), Complexo Hospitalar Universitário Professor Edgard Santos (HUPES), Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil
- Programa de Pós-Graduação em Medicina e Saúde, UFBA, Salvador, BA, Brazil
| | - Davi F. Martins-Junior
- Ambulatório de Transtorno do Humor e Ansiedade (CETHA), Complexo Hospitalar Universitário Professor Edgard Santos (HUPES), Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil
- Programa de Pós-Graduação em Medicina e Saúde, UFBA, Salvador, BA, Brazil
- Departamento de Saúde, Universidade Estadual de Feira de Santana (UEFS), Feira de Santana, BA, Brazil
| | - Stella Sarmento
- Ambulatório de Transtorno do Humor e Ansiedade (CETHA), Complexo Hospitalar Universitário Professor Edgard Santos (HUPES), Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil
| | - Lucas Argolo
- Ambulatório de Transtorno do Humor e Ansiedade (CETHA), Complexo Hospitalar Universitário Professor Edgard Santos (HUPES), Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil
- Programa de Pós-Graduação em Medicina e Saúde, UFBA, Salvador, BA, Brazil
- Departamento de Ciências da Vida, Universidade do Estado da Bahia (UNEB), Salvador, BA, Brazil
| | - Amanda Galvão-de-Almeida
- Ambulatório de Transtorno do Humor e Ansiedade (CETHA), Complexo Hospitalar Universitário Professor Edgard Santos (HUPES), Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil
- Departamento de Neurociência e Saúde Mental, Faculdade de Medicina, UFBA, Salvador, BA, Brazil
| | - Ângela Miranda-Scippa
- Ambulatório de Transtorno do Humor e Ansiedade (CETHA), Complexo Hospitalar Universitário Professor Edgard Santos (HUPES), Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil
- Programa de Pós-Graduação em Medicina e Saúde, UFBA, Salvador, BA, Brazil
- Departamento de Neurociência e Saúde Mental, Faculdade de Medicina, UFBA, Salvador, BA, Brazil
| |
Collapse
|
2
|
Bezerra S, Galvão-de-Almeida A, Studart P, Martins DF, Caribé AC, Schwingel PA, Miranda-Scippa Â. Suicide attempts in bipolar I patients: impact of comorbid personality disorders. ACTA ACUST UNITED AC 2017; 39:133-139. [PMID: 28076649 PMCID: PMC7111445 DOI: 10.1590/1516-4446-2016-1982] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2016] [Accepted: 06/27/2016] [Indexed: 11/22/2022]
Abstract
Objective To evaluate the association between personality disorders (PDs) and suicide attempts (SAs) in euthymic patients with type I bipolar disorder (BD). Methods One-hundred twenty patients with type I BD, with and without history of SA, were evaluated during euthymia. The assessment included a clinical and sociodemographic questionnaire, the Hamilton Depression Rating Scale, the Young Mania Rating Scale, the Barratt Impulsiveness Scale, and Structured Clinical Interviews for DSM-IV Axis I and II Disorders. Logistic regression was employed to determine associations between history of SA and patient characteristics. Results History of SA was significantly associated with comorbid axis I disorder, rapid cycling, high impulsivity (attentional, motor, non-planning, and total), having any PD, and cluster B and C PDs. Only cluster B PDs, high attentional impulsivity, and lack of paid occupation remained significant after multivariate analysis. Conclusions Cluster B PDs were significantly associated with SA in patients with type I BD. High attentional impulsivity and lack of gainful employment were also associated with SA, which suggests that some cluster B clinical and social characteristics may exacerbate suicidal behavior in this population. This finding offers alternatives for new therapeutic interventions.
Collapse
Affiliation(s)
- Severino Bezerra
- Programa de Pós-Graduação em Medicina e Saúde, Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil.,Programa de Avaliação Continuada do Centro de Estudos de Transtornos de Humor e Ansiedade (CETHA), Hospital Universitário Professor Edgard Santos, UFBA, Salvador, BA, Brazil
| | - Amanda Galvão-de-Almeida
- Programa de Avaliação Continuada do Centro de Estudos de Transtornos de Humor e Ansiedade (CETHA), Hospital Universitário Professor Edgard Santos, UFBA, Salvador, BA, Brazil.,Departamento de Neurociências e Saúde Mental, Faculdade de Medicina, UFBA, Salvador, BA, Brazil
| | - Paula Studart
- Programa de Pós-Graduação em Medicina e Saúde, Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil.,Programa de Avaliação Continuada do Centro de Estudos de Transtornos de Humor e Ansiedade (CETHA), Hospital Universitário Professor Edgard Santos, UFBA, Salvador, BA, Brazil
| | - Davi F Martins
- Programa de Pós-Graduação em Medicina e Saúde, Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil.,Programa de Avaliação Continuada do Centro de Estudos de Transtornos de Humor e Ansiedade (CETHA), Hospital Universitário Professor Edgard Santos, UFBA, Salvador, BA, Brazil
| | - André C Caribé
- Programa de Avaliação Continuada do Centro de Estudos de Transtornos de Humor e Ansiedade (CETHA), Hospital Universitário Professor Edgard Santos, UFBA, Salvador, BA, Brazil.,Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brazil
| | - Paulo A Schwingel
- Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brazil.,Departamento de Nutrição, Universidade de Pernambuco (UPE), Petrolina, PE, Brazil
| | - Ângela Miranda-Scippa
- Programa de Pós-Graduação em Medicina e Saúde, Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil.,Programa de Avaliação Continuada do Centro de Estudos de Transtornos de Humor e Ansiedade (CETHA), Hospital Universitário Professor Edgard Santos, UFBA, Salvador, BA, Brazil.,Departamento de Neurociências e Saúde Mental, Faculdade de Medicina, UFBA, Salvador, BA, Brazil
| |
Collapse
|
3
|
Lira SB, Andrade-Nascimento M, Morais-de-Jesus M, Quarantini LC, Fernandes FN, Cavalcanti DE, Galvão-de-Almeida A, Guedes G, Miranda-Scippa Â. Quality of life in euthymic bipolar I patients: a prospective study. ARCH CLIN PSYCHIAT 2016. [DOI: 10.1590/0101-60830000000091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
|
4
|
Quarantini LC, Miranda-Scippa A, Nery-Fernandes F, Andrade-Nascimento M, Galvão-de-Almeida A, Guimarães JL, Teles CAS, Netto LR, Lira SB, de Oliveira IR, Post RM, Kapczinski F, Koenen KC. The impact of comorbid posttraumatic stress disorder on bipolar disorder patients. J Affect Disord 2010; 123:71-6. [PMID: 19732957 DOI: 10.1016/j.jad.2009.08.005] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2009] [Revised: 08/06/2009] [Accepted: 08/06/2009] [Indexed: 11/18/2022]
Abstract
BACKGROUND Available data regarding posttraumatic stress disorder (PTSD) in bipolar disorder (BD) are scarce and usually from a limited sample size. The present report was carried out using the Brazilian Research Consortium for Bipolar Disorders and aimed to examine whether patients with BD and comorbid PTSD are at an increased risk for worse clinical outcomes. METHODS A consecutive sample of bipolar I outpatients from two teaching hospitals in Brazil was recruited. Patients were assessed using the Structured Clinical Interview for DSM-IV, Young Mania Rating Scale, 17-item Hamilton Rating Scale for Depression, and quality of life instrument WHOQOL-BREF. Participants were divided into three groups: a. bipolar patients with PTSD, b. bipolar patients exposed to trauma without PTSD, and c. bipolar patients with no trauma exposure. RESULTS Of the 405 patients who consented to participate, 87.7% completed the survey. All three groups were similar in terms of demographic parameters. The group with comorbid PTSD reported worse quality of life, more rapid cycling, higher rates of suicide attempts, and a lower likelihood of staying recovered. LIMITATIONS The cross-sectional design excludes the opportunity to examine causal relationships among trauma, PTSD, and BD. CONCLUSIONS The findings indicate that PTSD causes bipolar patients to have a worse outcome, as assessed by their lower likelihood to recover, elevated proportion of rapid cycling periods, increased risk of suicide attempts, and worse quality of life.
Collapse
Affiliation(s)
- Lucas C Quarantini
- Teaching Hospital- Psychiatry Service, Universidade Federal da Bahia, Salvador, BA, Brazil.
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
5
|
Quarantini LC, Miranda-Scippa Â, Batista-Neves S, Galvão-de-Almeida A, Lacerda AL, Moriyama TS, Sampaio AS, Melcop AC, Schinoni MI, de Oliveira IR, Paraná R, Bressan RA. The effect of early virological response in health-related quality of life in HCV-infected patients. J Med Virol 2008; 80:419-23. [DOI: 10.1002/jmv.21094] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|