Demography

Inequality

Ecological study

Injury prevention

Suicide prevention

Human factors and ergonomics

Social inequality

Association (psychology)

Socioeconomic status

Economics

Environmental health

Retrospective cohort study

Poison control

Psychology

Mathematics

Psychotherapist

Population

Internal medicine

Sociology

Mathematical analysis

Unemployment

Medicine

Economic growth

Unemployment rate

Suicide rates

Brazilian Journal of Psychiatry

To examine suicide rates among adolescents from six large cities in Brazil and to analyze the relationship between adolescent suicide rates and socioeconomic indicators between 2006 and 2015.Generalized estimating equation models were used to assess the impact of socioeconomic factors - including social inequality and unemployment rates - on adolescent suicide rates.The rate of adolescent suicide increased by 24% over the course of the study period. Social inequality (assessed using the Gini index), was positively associated with overall adolescent suicide rates (β = 10.68; 95%CI = 2.32-19.05; p ≤ 0.012). After disaggregating the findings by age (10-14 and 15-19 years), social inequality was associated with suicide rate only for adolescents aged 15-19 years (β = 9.63; 95%CI = 2.31-16.96; p ≤ 0.005). Disaggregating these findings by sex, the association with economic variables became significant only among females. Males had a higher overall suicide rate than females, and the highest rate was observed in male adolescents aged 15-19 years. Higher levels of unemployment were associated with higher suicide rates.Our findings suggest that socioeconomic indicators, particularly unemployment and social inequality, are relevant social determinants of suicide in adolescence.

The association between adolescent suicide rates and socioeconomic indicators in Brazil: a 10-year retrospective ecological study