{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T03:10:38Z","timestamp":1787973038040,"version":"build-2784847793"},"reference-count":40,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T00:00:00Z","timestamp":1682553600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Soc Psychiatry"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The number of suicides has been increasing worldwide, year after year, becoming the fourth leading cause of death among young people between 15 and 29\u2009years of age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>In this study, we explored the frequency and characteristics of suicides among the adult general population in Paraguay between 2004 and 2022, considering that suicide attempts and suicidal risk\/ideation are frequent and relevant issues in the consultation activity, even if epidemiological evidence on the national rates of suicide is scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this observational, descriptive, and exploratory study, official records of all deaths by suicide were reviewed and information analyzed. In addition, an attempt was made to predict the number of suicides in the next 5\u2009years according to a mathematical modeling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In the 18-year period, 5,527 suicides of adults were recorded. Patients\u2019 mean age was 36.8\u2009\u00b1\u200917\u2009years old. A 76.77% of them were males, 77.44% were from an urban area and 25.98% from the Greater Asunci\u00f3n and Central Department of Paraguay. The most frequently used method of suicide was intentional self-inflicted injury by hanging, strangulation, or suffocation (all 67.6%). The expected number of national suicides in the following years from 2023 to 2027 will range between 462 and 530. Limitations include the lack of information regarding diagnoses and personal history in the suicide reports as well as the possibility of underreporting of national suicide cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our results represent the first large national epidemiological report of suicides in Paraguay and may be of interest for mental health professionals and health authorities in order to reduce the suicide mortality rate within the country.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00207640231169650","type":"journal-article","created":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T01:49:54Z","timestamp":1682646594000},"page":"1641-1648","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Suicides among adults in Paraguay: An 18-year national exploratory study (2004\u20132022)"],"prefix":"10.1177","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3277-7036","authenticated-orcid":false,"given":"Julio","family":"Torales","sequence":"first","affiliation":[{"name":"Department of Medical Psychology, School of Medical Sciences, National University of Asunci\u00f3n, San Lorenzo, Paraguay"},{"name":"Department of Psychiatry, School of Medical Sciences, National University of Asunci\u00f3n, San Lorenzo, Paraguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6843-7685","authenticated-orcid":false,"given":"Iv\u00e1n","family":"Barrios","sequence":"additional","affiliation":[{"name":"Department of Statistics, School of Medical Sciences, Santa Rosa Campus, National University of Asunci\u00f3n, Santa Rosa del Aguaray, Paraguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osvaldo","family":"Melgarejo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medical Sciences, National University of Asunci\u00f3n, San Lorenzo, Paraguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Edgar","family":"Tullo-G\u00f3mez","sequence":"additional","affiliation":[{"name":"General Directorate of Strategic Health Information, Ministry of Public Health and Social Welfare, Asunci\u00f3n, Paraguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelia Ruiz","family":"D\u00edaz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medical Sciences, National University of Asunci\u00f3n, San Lorenzo, Paraguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8257-0183","authenticated-orcid":false,"given":"Marcelo","family":"O\u2019Higgins","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medical Sciences, National University of Asunci\u00f3n, San Lorenzo, Paraguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Maggi","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology, School of Medical Sciences, National University of Asunci\u00f3n, San Lorenzo, Paraguay"},{"name":"Department of Psychiatry, School of Medical Sciences, National University of Asunci\u00f3n, San Lorenzo, Paraguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00edctor","family":"Adorno","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medical Sciences, National University of Asunci\u00f3n, San Lorenzo, Paraguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Medina","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology, School of Medical Sciences, National University of Asunci\u00f3n, San Lorenzo, 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