<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7450</journal-id>
<journal-title><![CDATA[Revista Colombiana de Psiquiatría]]></journal-title>
<abbrev-journal-title><![CDATA[rev.colomb.psiquiatr.]]></abbrev-journal-title>
<issn>0034-7450</issn>
<publisher>
<publisher-name><![CDATA[Asociacion Colombiana de Psiquiatria.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74502019000300133</article-id>
<article-id pub-id-type="doi">10.1016/j.rcp.2017.12.001</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Hidden Suicides of the Indigenous People of the Brazilian Amazon: Gender, Alcohol and Familial Clustering]]></article-title>
<article-title xml:lang="es"><![CDATA[Suicidios ignorados de indígenas de la Amazonia brasileña: sexo, alcohol y vínculo parental]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Orellana]]></surname>
<given-names><![CDATA[Jesem Douglas Yamall]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[Cynthia Costa de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[Maximiliano Loiola Ponte de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Leônidas and Maria Deane Institute Oswaldo Cruz Foundation ]]></institution>
<addr-line><![CDATA[Manaus ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Nilton Lins University Nursing Department ]]></institution>
<addr-line><![CDATA[Manaus ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>48</volume>
<numero>3</numero>
<fpage>133</fpage>
<lpage>139</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0034-74502019000300133&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0034-74502019000300133&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0034-74502019000300133&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective:  To evaluate the coverage, characteristics and the risk of suicide in the indigenous people of Tabatinga in the Brazilian Amazon.  Methods:  An active surveillance strategy for suicide cases was used: records of the Ministry of Health, the Municipal Health Secretariat, the Special Indigenous Health District of the Upper River Solimões (Distrito Sanitario Especial Indígena Alto Río Solimões), the Military Hospital of Tabatinga, the National Indian Foundation (Fundación Nacional del Indio) and the civil registry offices were examined from 2007 to 2011 for individuals over 9 years of age. Adjusted rates were estimated using the direct method and according to age. A descriptive analysis was performed and the hypothesis tests were considered significant if p-values were &lt;0.05.   Results:  The coverage of indigenous suicide was 82.8%, since 11 (17.2%) were classified as hidden suicides. For men between 15 and 29 years of age, and for women aged from 12 to 20 years, the probability of suicide was around 70.0%. In 17.2% of the sample there was a record of alcohol consumption before death and relationship between victims. The corrected adjusted mortality rate was 111.7/100,000 (95% CI, 84.6-148.6).  Conclusions:  The risk of suicide in the indigenous people of the Tabatinga is very high. Coping strategies should consider the complex relationship between suicide and alcohol consumption, gender differences and the existence of vulnerable groups, such as young people, especially those with close relatives who have committed suicide.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen   Objetivo:  Evaluar el alcance, las características y el riesgo de suicidio de los indígenas de Tabatinga, en la Amazonia brasileira.  Métodos:  Se utilizó una estrategia de vigilancia activa del suicidio y se examinaron los registros de mayores de 9 años, de 2007-2011, del Ministerio de Salud, la Secretaría Municipal de Salud, el Distrito Sanitario Especial Indígena Alto Río Solimões, el Hospital Militar de Tabatinga, la Fundación Nacional del Indio y la notaría del Registro Civil. Las tasas ajustadas se calcularon utilizando el método directo, según la edad. Se realizó un análisis descriptivo y se consideró que las pruebas de hipótesis eran significativas si p &lt; 0,05.  Resultados:  El alcance del suicidio indígena fue del 82,8%, ya que 11 (17,2%) se clasificaron como suicidios ocultos. Alrededor del 70,0% de la probabilidad de suicidio de los varones se situó a los 15-29 años y la de las mujeres, a los 12-20 años. En el 17,2% de la muestra, se registró consumo de alcohol antes de la muerte y relación parental entre las víctimas. La tasa de mortalidad ajustada corregida fue 111,7/100.000 (IC95%, 84,6-148,6).  Conclusiones:  El riesgo de suicidio de los indígenas de Tabatinga es muy alto. Las estrategias de afrontamiento deben considerar la compleja relación entre el suicidio y el consumo de alcohol, las diferencias de sexo y la existencia de grupos vulnerables, como los jóvenes, especialmente aquellos con parientes cercanos que ya cometieron suicidio.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Suicide]]></kwd>
<kwd lng="en"><![CDATA[South American Indians]]></kwd>
<kwd lng="en"><![CDATA[Alcohol-related disorders]]></kwd>
<kwd lng="en"><![CDATA[Family characteristics]]></kwd>
<kwd lng="en"><![CDATA[Gender and health]]></kwd>
<kwd lng="es"><![CDATA[Suicidio]]></kwd>
<kwd lng="es"><![CDATA[Indios sudamericanos]]></kwd>
<kwd lng="es"><![CDATA[Trastornos relacionados con alcohol]]></kwd>
<kwd lng="es"><![CDATA[Composición familiar]]></kwd>
<kwd lng="es"><![CDATA[Sexo y salud]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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