Fatores associados a ideação suicida durante a pandemia da COVID-19 em população da Amazônia Legal Brasileira

Trettel, Ana Cláudia Pereira Terças; Muraro, Ana Paula; Oliveira, Elaine Cristina de; Nascimento, Vagner Ferreira do; Andrade, Amanda Cristina de Souza; Santos, Emerson Soares dos; Espinosa, Mariano Martinez; Pillon, Sandra Cristina

Ana Cláudia Pereira Terças Trettel

Departamento de Enfermagem, Campus Tangará da Serra, Universidade do Estado de Mato Grosso. MT 358, Jardim Industrial. 78300-000 Tangará da Serra MT Brasil. ana.claudia@unemat.br

https://orcid.org/0000-0001-8761-3325

Ana Paula Muraro

Instituto de Saúde Coletiva, Universidade Federal de Mato Grosso (UFMT). Cuiabá MT Brasil.

https://orcid.org/0000-0001-6237-1673

Elaine Cristina de Oliveira

Secretaria de Estado de Saúde de Mato Grosso. Cuiabá MT Brasil.

https://orcid.org/0000-0002-5224-7078

Vagner Ferreira do Nascimento

Departamento de Enfermagem, Campus Tangará da Serra, Universidade do Estado de Mato Grosso. MT 358, Jardim Industrial. 78300-000 Tangará da Serra MT Brasil. ana.claudia@unemat.br

https://orcid.org/0000-0002-3355-163X

Amanda Cristina de Souza Andrade

Instituto de Saúde Coletiva, Universidade Federal de Mato Grosso (UFMT). Cuiabá MT Brasil.

https://orcid.org/0000-0002-3366-4423

Emerson Soares dos Santos

Departamento de Geografia, UFMT. Cuiabá MT Brasil.

https://orcid.org/0000-0003-2709-5591

Mariano Martinez Espinosa

Departamento de Estatística, UFMT. Cuiabá MT Brasil.

https://orcid.org/0000-0002-0461-5673

Sandra Cristina Pillon

Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo. Ribeirão Preto SP Brasil.

https://orcid.org/0000-0001-8902-7549

Collaborations

ACPT Trettel contributed to the conception, design, data collection, data interpretation, writing, critical review and approval of the version. AP Muraro contributed to the conception, design, data collection, data interpretation, writing, critical review and approval of the version. EC Oliveira contributed to the data collection, writing, critical review and approval of the version. VF Nascimento contributed to the data interpretation, writing, critical review and approval of the version. ACS Andrade contributed to the conception, design, data collection, data interpretation, writing, critical review and approval of the version. ES Santos contributed to the data interpretation, critical review and approval of the version. MM Espinosa contributed to the data interpretation, writing, critical review and approval of the version. SC Pillon contributed to the conception, design, data collection, data interpretation, writing, critical review and approval of the version.

Chief editors:

Romeu Gomes, Antônio Augusto Moura da Silva

Variables		Suicidal ideation		PR_b**	95%IC**	p-value
Variables		Yes	No
Age group
	18-29	505	134	1.00	-	-
	30-49	1,242	300	1.01	(0.97; 107)	0.673
	50-59	684	143	1.01	(099; 1.10)	0.737
	≥60 years	964	231	0.99	(0.97; 1.07)	0.585
Sex
	Female	2,220	507	0.99	(0.95; 1.02)	0.417
	Male	1,175	301	1.00	-	-
Ethnicity/skin color
	Indigenous	2	1	1.06	(0.89; 1.26)	0.521
	Black	413	66	1.04	(0.99; 1.09)	0.077
	Yellow	25	6	1.03	(0.92; 1.15)	0.583
	Brown	1,902	419	1.00	(0.97; 1.04)	0.816
	White	1,012	241	1.00	-	-
Family income
	<1 MW	133	175	0.47	(0.38; 0.61)	<0.001*
	1≤MW<3 MW	2,033	455	0.96	(0.93; 0.99)	0.018*
	>3 MW	1,137	161	1.00	-	-
Schooling
	No schooling	154	41	1.01	(0.93; 1.09)	0.83
	Incomplete/complete elementary school	1,176	280	1.02	(0.97; 1.07)	0.284
	Incomplete/complete high school	1,164	249	1.03	(0.98; 1.08)	0.217
	Undergraduate and more	875	182	1.00	-	-
Use of substances after the onset of the pandemic
Increased alcohol consumption
	Yes	3,074	150	1.74	(1.53; 1.98)	<0.001*
	No	321	658	1.00	-	-
Frequency of weekly alcohol consumption
	Nearly every day	2,674	689	0.95	(0.91; 0.99)	0.020*
	More than half the days	14	1	0.99	(0.83; 1.18)	0.930
	Several days	299	57	1.00	(0.95; 1.05)	0.953
	Rare, less than a day or two	408	61	1.00	-	-
Increased smoking
	Yes	3,214	353	2.49	(2.06; 3.00)	<0.001*
	No	181	455	1.00	-	-
Behaviors in the experience of the pandemic
Worked at the beginning of the pandemic
	No	1,901	529	1.07	(1.04; 1.11)	<0.001*
	Yes	1,494	279	1.00	-	-
How much has your life been affected by the pandemic
	Very affected	627	114	0.97	(0.94; 1.01)	0.111
	Affected but still feels good most of the time	736	100	0.96	0.91; 1.01)	0.082
	Neutral	890	447	0.83	(0.79; 0.88)	<0.001*
	Unaffected	1,142	147	1.00	-	-
COVID-19 self-reported symptoms
	Yes	878	154	1.04	(1.01; 1.08)	0.011*
	No	2,517	654	1.00	-	-
Presence of antibodies against SARS-CoV-2
	Positive	474	105	0.97	(0.91; 1.02)	0.265
	Negative	2,921	703	1.00	-	-

Variables DSM-5		Suicidal ideation
Variables DSM-5		Yes	No	PR_b**	95%CI**	p-value
Previous mental illness
	Yes	152	26	0.093	(0.99; 1.13)	0.093
	No	3,242	782	-	-	-
Somatic symptoms
	Yes	3,115	85	<0.001*	(1.74; 2.73)	<0.001*
	No	280	723	-	-	-
Sleep disorder
	Yes	3,263	128	<0.001*	(2.74; 4.65)	<0.001*
	No	132	680	-	-	-
Dissociation
	Yes	3,198	111	<0.001*	(2.61; 4.67)	<0.001*
	No	197	697	-	-	-
Depression
	Yes	3,057	173	<0.001*	(1.65; 2.17)	<0.001*
	No	338	635	-	-	-
Anger
	Yes	3,139	222	<0.001*	(1.83; 2.57)	<0.001*
	No	256	586	-	-	-
Mania
	Yes	2,966	130	<0.001*	(1.54; 1.94)	<0.001*
	No	429	678	-	-	-
Anxiety
	Yes	2,717	76	<0.001*	(1.33; 1.53)	<0.001*
	No	678	732	-	-	-
Psychosis
	Yes	256	734	<0.001*	(0.30; 0.42)	<0.001*
	No	3,139	74	-	-	-
Repetitive thoughts and behaviors
	Yes	182	727	<0.001*	(0.24; 0.41)	<0.001*
	No	3,213	81	-	-	-
Substance Use
	Yes	1,240	719	<0.001*	(0.75; 0.83)	<0.001*
	No	2,155	89	-	-	-
Drug prescription use
	Yes	2,500	724	<0.001*	(0.89; 0.95)	<0.001*
	No	895	84	-	-	-
Memory
	Yes	3,261	121	<0.001*	(4.03; 6.97)	<0.001*
	No	134	687	-	-	-

Variables		PRa**	95%CI**	p-value
Use of substances after the onset of the pandemic
Increased alcohol consumption
	Yes	1.16	(1.07; 1.25)	<0.001*
	No	1.00	-	-
Increased use of tobacco
	Yes	1.30	(1.15; 1.47)	<0.001*
	No	1.00	-	-
Behaviors in the experience of the pandemic
COVID-19 self-reported symptoms
	Yes	1.03	(1.01; 1.07)	0.024*
	No	1.00	-	-
How much has your life been affected by the pandemic
	Very affected	1.04	(1.01; 1.07)	0.019*
	Affected but still feels good most of the time	0.97	0.94; 1.01)	0.178
	Neutral	0.98	(0.96; 1.02)	0.187
	Unaffected	1.00	-	-
Aspects of mental health - DSM-5
Previous mental illness
	Yes	1.09	(1.03; 1.16)	0.005*
	No	1.00	-	-
Somatic symptoms
	Yes	1.15	(1.08; 1.22)	<0.001*
	No	1.00	-	-
Sleep disorder
	Yes	1.30	(1.11; 1.54)	0.002*
	No	1.00	-	-
Dissociation
	Yes	1.24	(1.03; 1.49)	0.022*
	No	1.00	-	-
Depression
	Yes	1.24	(1.06; 1.46)	0.008*
	No	1.00	-	-
Anger
	Yes	1.11	(1.03; 1.20)	0.006*
	No	1.00	-	-
Anxiety
	Yes	1.26	(1.06; 1.50)	0.007*
	No	1.00	-	-
Psychosis
	Yes	0.89	(0.81; 0.99)	0.030*
	No	1.00	-	-
Repetitive thoughts and behaviors
	Yes	0.80	(0.68; 0.93)	0.004*
	No	1.00	-	-
Substance use
	Yes	1.19	(1.08; 1.30)	<0.001*
	No	1.00	-	-
Drug prescription use
	Yes	1.18	(1.08; 1.29)	<0.001*
	No	1.00	-	-
Memory
	Yes	1.87	(1.35; 2.58)	<0.001*
	No	1.00	-	-
Interaction between depression and anxiety
	Yes	0.79	(0.65; 0.92)	0.005*
	No	1.00	-	-

[1] Collaborations

ACPT Trettel contributed to the conception, design, data collection, data interpretation, writing, critical review and approval of the version. AP Muraro contributed to the conception, design, data collection, data interpretation, writing, critical review and approval of the version. EC Oliveira contributed to the data collection, writing, critical review and approval of the version. VF Nascimento contributed to the data interpretation, writing, critical review and approval of the version. ACS Andrade contributed to the conception, design, data collection, data interpretation, writing, critical review and approval of the version. ES Santos contributed to the data interpretation, critical review and approval of the version. MM Espinosa contributed to the data interpretation, writing, critical review and approval of the version. SC Pillon contributed to the conception, design, data collection, data interpretation, writing, critical review and approval of the version.

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Fatores associados a ideação suicida durante a pandemia da COVID-19 em população da Amazônia Legal Brasileira

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