Ten-year evolution of suicide rates and economic indicators in large Brazilian urban centers

Purpose of reviewThis was a retrospective ecological study to examine the relationship between suicide rates and economic indicators in large Brazilian urban centers. Data on macroeconomic indicators (GDP and unemployment rates) and suicide rates of the largest Brazilian cities were collected from January 2006 to December 2015.Recent findingsSix cities were included in the study: Porto Alegre in the South, Recife and Salvador in the Northeast, and Belo Horizonte, SAo Paulo and Rio de Janeiro in the Southeast region. We observed a 4% increase in the age-adjusted suicide rate in these large Brazilian urban centers from 2006 to 2015, which is less pronounced than the 9% increase in the national rates of suicide observed in the same period.SummaryThe effect of economic indicators was heterogeneous among the centers, but, overall, the variation in suicide rates was inversely related to unemployment and did not show a significant relationship with GDP. These findings indicate a more complex link between economics and suicide whenever looking at local regional indicators. Further research should focus on possible intervening factors, what may inform better preventive interventions.Global Mental Health Program, Columbia University, New York, USABrazilian National Research Council (CNPq)Univ Fed Sao Paulo UNIFESP, Dept Psychiat, Sao Paulo, BrazilColumbia Univ, Global Mental Hlth Program, New York, NY USAUniv Fed Sao Paulo UNIFESP, Dept Psychiat, Sao Paulo, BrazilWeb of Scienc