2013, Number 5
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Salud Mental 2013; 36 (5)
Incremento de la temperatura ambiental y su posible asociación al suicidio en Baja California Sur (BCS) 1985-2008
Gaxiola-Robles R, Celis RAJ, Labrada-Martagón V, Díaz-Castro SC, Zenteno-Savín T
Language: Spanish
References: 38
Page: 421-427
PDF size: 299.20 Kb.
ABSTRACT
Introduction:During the last decade we have observed important climate changes,
especially in environmental temperatures. There is considerable information
linking the increase in hot weather and human health. For
example, hot weather is associated with an increased risk of suicide
in different countries around the world
Objective:To evaluate the relationship between suicide rates and the environmental
temperature in Baja California Sur, Mexico, from 1985 to 2008.
Method:Suicide mortality data for Baja California Sur (BCS) were obtained for the
years 1985-2008 from the Instituto Nacional de Estadística, Geografía
e Informática (INEGI). The selected codes were: E950-E959 (ICD-9) and
X60-X84, Y87.0 (ICD-10) for BCS. The BCS weather data used was the
maximum temperature from 1985 to 2008, obtained from the Extractor
Rápido de Información Climatológica (ERIC III). Lineal and quadratic
models were used to assess the annual rate changes of suicide and
generalized lineal models (GLM) to assess the effect of the climatological
variables to the suicide rate. The
p ≤ 0.05 was considered significant.
Results:In BCS, 582 suicide deaths were reported from 1985 to 2008. The
9% (53) of the total reported were women with a yearly average
rate 1.6/100 000; 91% (529) were men with a yearly average rate
16.3/100 000. Lineal and quadratic models explained the tendency
of the annual increment observed in the number of suicides in both
seasons. The quadratic model better explained such increment during
the warmer months (
R2 =0.64 p 638249; 0.01). The temperature was positively
correlated with the rate of suicides in both seasons (
p ‹ 0.01). Two
predictive GLMs were created by season.
Discussion:These results suggest a potential link between an increase in environmental
temperature and the rates of suicide during 24 years in BCS. This relationship
is clear during the hot season; however, a positive trend was found
during the cold season, perhaps due to the result of warmer winters.
REFERENCES
Sulman FG. The impact of weather on human health. Rev Environ Health 1984;4:83-119.
World Health Organization. Figures and facts about suicide. Technical report; Ginebra; 1999.
Levi F, Vecchina C, Luchini F, Negri E et al. Trends in mortality from suicide, 1965-1999. Acta Psychiatr Scand 2003;108:341-349.
McMichael AJ, Woodruff RE, Hals S. Climate change and human health: present and future risks. Lancet 2006;368: 859-869.
Preti A, Lentini G, Maugeri M. Global warming possibly linked to an enhanced risk of suicide: Data from Italy, 1974-2003. J Affect Disord 2007;102:19-25.
Page LA, Hajat S, Kovts RS. Relationship between daily suicide counts and temperature in England and Wales. Br J Psychiatry 2007;191:106-112.
Salib E, Cortina-Borja M & Anderson D. Hot weather and suicide: a real risk o statistical illusion? Br J Psychiatry 2007;191:560-561.
Hijar M, Rascon RA, Blanco J, López VM. Los suicidios en México. Características sexuales y geográficas (1973-1993). Salud Mental 1996;19:14-21.
Gaxiola-Robles R, Bitzer-Quintero OK, García-González A, Celis A. El estado civil y el suicidio en Baja California Sur. Rev Med Inst Mex Seguro Soc 2009;47:383-386.
Instituto Nacional de Estadística, Geografía e Informática. Marco geoestadístico municipal; México; 2005.
Gutiérrez-Ruacho OG, Brito-Castillo L, Díaz–Castro SC, Watts CJ. Trends in rainfall and extreme temperature in northwestern Mexico. Clim Res 2010;42:133-142.
Laurier D, Valenty M, Tirmarche M. Radon exposure and the risk of leukemia: a review of epidemiological studies. Health Phys 2001;81: 272–288.
Sistema Nacional de Información en Salud. Mortalidad. México. Secretaría de Salud; 2010. Hallado:http://sinais.salud.gob.mx/basesdedatos/ defunciones.html
Organización Mundial de la Salud. Clasificación estadística internacional de enfermedades, traumatismos y causas de defunción. Novena revisión. Washington, DC: Organización Panamericana de la Salud; 1978.
Organización Mundial de la Salud. Clasificación estadística internacional de enfermedades y problemas relacionados con la salud. Décima revisión. Washington, DC: Organización Panamericana de la Salud; 1998.
Maris RW. Suicide. Lancet 2002;360:319-326.
Mann J. A current perspective of suicide and attempted suicide. Ann Intern Med 2002;136:302-311.
Instituto Mexicano de Tecnología del Agua. Extracto Rápido de Información Climatológica ERIC III. CD ROM. México; 2008.
Camel F. Estadística médica y planificación en salud. Vol. II. Mérida, Venezuela: Consejo de Publicaciones de la Universidad de los Andes; 1982.
Instituto Nacional de Estadística, Geografía e Informática. Censo general de población y vivienda, 1980. México; 1984.
Instituto Nacional de Estadística, Geografía e Informática. Resumen general. XI Censo general de población y vivienda. Aguascalientes; 1992.
Instituto Nacional de Estadística, Geografía e Informática. XII Censo general de población y vivienda, 2000 [base de datos en CD]. Aguascalientes, México; 2001.
Instituto Nacional de Estadística, Geografía e Informática. Conteo de población y vivienda 1995. Resultados definitivos. Tabuladores básicos. Aguascalientes; 2007.
Instituto Nacional de Estadística, Geografía e Informática. II Conteo de población y vivienda 2005. Resultados definitivos. Hallado: http://www. inegi.org.mx/est/contenidos/proyectos/ccpv/cpv2005/Default.aspx
Puig X, Ginebra J, Gispert R. Análisis de la evolución temporal de la mortalidad mediante modelos lineales generalizados. Gac Sanit 2005;19:481-485.
Crawley MJ. The R Book. England: John Wiley and Sons Ltd; 2007.
McCullagh P, Nelder JA. Generalized linear models. Florida: Chapman and Hall/CRC; 1989.
Brunetti M, Maugeri M, Monti F, Nanni T. Temperature and precipitation variability in Italy in the last two centuries from homogenized instrumental time series. Int J Climatol 2006;26:345-381.
Gutiérrez-García AG, Contreras CM. El suicidio y algunos de sus correlatos neurobiológicos. Primera parte. Salud Mental 2008;31:321-330.
Salib E, Gray N. Weather conditions and fatal self harm in North Cheshire 1989-1993. Br J Psychiatry 1997;171:473-477.
Hakko H, Räsänen P, Tiihonen J. Seasonal variation in suicide occurrence in Finland. Acta Psychiatr Scand 1998;98:92-97.
Preti A, Miotto P. Seasonality in suicides: the influence of suicide method, gender and age on suicide distribution in Italy. Psychiatry Res 1998;81:219–231.
Preti A. The influence of climate on suicidal behavior in Italy. Psychiatry Res 1998;78:9–19.
Spreux-Varoquaux O, Alvarez JC, Berlin I, Batista G et al. Differential abnormalities in plasma 5-HIAA and platelet serotonin concentrations in violent suicide attempters relationships with impulsivity and depression. Life Sci 2001;69:647-657.
Oravecz R, Sisti D, Rocchi MB, Preti A. Changes in the seasonality of suicide over time in Slovenia, 197 to 2002. Amplitude is only positively related to suicide rates among females. J Affect Disord 2007;104:211-215.
Rocchi MB, Sisti D, Miotto P, Preti A. Seasonality of suicide: relationship with the reason of suicide. Neuropsychobiology 2007;56:86-92.
Misono S, Weiss NS, Fann JR, Redman M et al. Incidence of suicide in persons with cancer. J Clin Oncol 2008;26:4731-4738.
Muñoz F, Carvalho MS. Effect of exposure time to PM(10) on emergency admissions for acute bronchitis. Cad Saude Publica 2009;25:529-539.