Banca de DEFESA: EMELYNNE GABRIELLY DE OLIVEIRA SANTOS

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : EMELYNNE GABRIELLY DE OLIVEIRA SANTOS
DATE: 14/12/2021
TIME: 08:00
LOCAL: REMOTO
TITLE:

FACTORS ASSOCIATED WITH SUICID BEHAVIOR AMONG FARMERS IN CAICÓ MUNICIPALITY

KEY WORDS:

Suicidal ideation, mental health, farmers, rural population health.

PAGES: 175
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Epidemiologia
SUMMARY:

Introduction: Suicidal behavior is configured as a self-deliberate conduct with the purpose of causing harm or death, and can be understood as an interim between suicidal ideation, suicide attempts and that may culminate in the act of committing suicide. Farmers are at risk of suicidal ideation due to vulnerability and exposure to different factors associated with living conditions and work in the field. Objective: To analyze factors associated with ideation and suicide attempts in farmers. Method: This is a study of different methods. 1) a systematic review of observational studies on factors associated with suicidal behavior in farmers was developed, with searches in PubMed, LILACS, Web of Science, Scopus, PsycInfo and CINAHL databases; 2) cross-sectional study, carried out from August 2019 to March 2020, with 450 farmers in Rio Grande do Norte, where the prevalence of suicidal ideation was assessed through the Beck Suicidal Ideation Inventory, and sociodemographic variables were analyzed, of health, income, work; 3) case-control study, in order to assess suicidal behavior considering suicidal ideation and suicide attempt, in which the sample corresponded to four controls per case and, to compensate for possible losses, 15% was increased, with the final size defined in 62 cases and 288 controls. Results: 14 studies were included in the systematic review, and factors associated with suicidal behavior in farmers were identified in mental health (depression), seasonal impacts (drought) and occupational exposures (herbicides and insecticides). In the cross-sectional stage, the prevalence of suicidal ideation was 12.4% (95%CI 9.69-15.84). In the final multivariate model, the variables associated with the highest prevalence of IS were: female gender (PR=3.28), having a diagnosis of mental disorder in the family (PR=2.37), presence of common mental disorder (PR=2. 50), alcohol abuse (RP=2.22) and being salaried or temporary (R=1.91). In the case-control study, a positive and significant association was observed between suicidal behavior and having a diagnosis of mental disorder in the family (OR=2.30), having a common mental disorder (OR=3.16), having previously undergone health treatment mental (OR=3.08), perform salaried or temporary work (OR=2.69) and have been poisoned by pesticides (OR=3.34). Conclusion: suicidal ideation and suicide attempt in farmers are mainly associated with health aspects, especially mental health, work and the female gender, and signals the need to strengthen public policies for suicide prevention with targeting strategies effective for the rural worker.

BANKING MEMBERS:
Presidente - 2305247 - ISABELLE RIBEIRO BARBOSA MIRABAL
Externa à Instituição - VERÔNICA DE MEDEIROS ALVES - UFAL
Externo à Instituição - DULCIAN MEDEIROS DE AZEVEDO - UERN
Externa à Instituição - GIRLIANI SILVA DE SOUSA - UNIFESP
Externa à Instituição - KELLY GRAZIANI GIACCHERO VEDANA - USP
Externo à Instituição - TIAGO ROCHA PINTO - UFU