Drug Overdose Deaths in Brazil between 2000 and 2020: an Analysis of Sociodemographics and Intentionality

Marina Costa Moreira Bianco, Vitor S Tardelli, Emily Rose Brooks, Kelsy C N Areco, Adalberto O Tardelli, Paulo Bandiera-Paiva, Julian Santaella, Luis E Segura, João M Castaldelli-Maia, Silvia S Martins, Thiago M Fidalgo

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objectives: To examine drug overdose records in Brazil from 2000 to 2020, analyzing trends over time in overdoses and overall sociodemographic characteristics of the deceased. Methods: Using data from the Brazilian Mortality Information System (Sistema de Informac¸ões sobre Mortalidade), we identified records from 2000-2020 in which the underlying cause-of-death was one of the following codes: X40-X45 (accidental poisoning), X60-X65 (intentional poisoning), or Y10-Y15 (undetermined intentionality poisoning). The Brazilian dataset included 21,410 deaths. We used joinpoint regression analysis to assess changes in trends over time. Results: People who died of drug overdoses in Brazil between 2000 and 2020 had a mean age of 38.91 years; 38.45% were women, and 44.01% were identified as White. Of the overdose deaths, 44.70% were classified as intentional and 32.12% were classified as unintentional. Among the identified drugs, stimulants were the most common class. However, most records did not report which drug was responsible for death. Conclusion: Sociodemographic trends in overdose deaths in Brazil must guide country-specific policies. Nevertheless, data collection protocols must be improved, particularly regarding the drug used in overdoses.

Original languageEnglish
Pages (from-to)405-413
Number of pages9
JournalRevista Brasileira de Psiquiatria
Volume45
Issue number5
Early online date17 Sep 2023
DOIs
StatePublished - 2023
Externally publishedYes

Keywords

  • Drug overdose
  • central nervous system stimulants
  • substance-related disorders
  • Central Nervous System Stimulants
  • Drug Overdose
  • Humans
  • Brazil/epidemiology
  • Adult
  • Female
  • Male

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