Economic burden of premature death due to suicide in Colombia between 2005 and 2021
Abstract
Introduction. Suicide is a public health problem with significant social and economic consequences. In Colombia, suicide affects mostly young people.
Objective. To estimate the years of life potentially lost and the economic burden associated with suicide in Colombia between 2005 and 2021.
Materials and methods. We conducted a retrospective study to estimate the years of life potentially lost and the economic burden related to suicide from the perspective of society. We modified the human capital method and considered two scenarios. Information on suicide mortality and economic variables was collected from official sources, and indirect costs due to premature mortality were calculated. The costs are expressed in 2021 US dollars, considering the average of the 2021 representative market rate (COP $3,743).
Results. Between 2005 and 2021, 40,157 deaths by suicide were recorded in Colombia, mainly in young men between 15 and 29 years old. These deaths represented 2,104,731 years of life potentially lost. The total economic costs associated with suicide ranged from USD $4.21 billions to USD $7.1 billions in the two scenarios considered, with an average annual cost between USD $247.6 and USD $422.2 millions in each case. The most densely populated departments had the highest accumulated costs by population rates. Vaupés, Amazonas, and Quindío had the highest costs per thousand inhabitants.
Conclusions. It is necessary to address suicide in Colombia from a comprehensive and multidimensional perspective, investing in mental health programs and preventive approaches to reduce the economic burden and social impact. The results offer valuable information to design suicide prevention policies and strategies and highlight the importance of targeting specific population groups and regions.
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References
1. World Health Organization. Suicide Worldwide in 2019 Global Health Estimates. Geneva: World Health Organization; 2021. p. 1 -35.
2. Departamento Administrativo Nacional de Estadística - DANE. Estadísticas vitales. 2023. Fecha de consulta: 9 de septiembre de 2023. Disponible en: https://www.dane.gov.co/index.php/estadisticas-por-tema/demografia-y-poblacion/nacimientos-y-defunciones
3. Abbafati C, Abbas KM, Abbasi-Kangevari M, Abd-Allah F, Abdelalim A, Abdollahi M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396:1204-22. https://doi.org//10.1016/S0140-6736(20)30925-9
4. Instituto Nacional de Salud. Panorama de eventos en salud pública. Bogotá, D.C.: INS; 2022. p. 1-260.
5. Buitrago Ramírez F, Ciurana Misol R, Fernández Alonso M del C, Tizón García JL. Salud mental en epidemias: una perspectiva desde la atención primaria de salud española. Aten Primaria. 2020;52:93-113. https://doi.org//10.1016/j.aprim.2020.09.004
6. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet. 2020;395:912-20. https://doi.org//10.1016/S0140-6736(20)30460-8
7. Observatorio Nacional de Salud. COVID-19: progreso de la pandemia y sus desigualdades en Colombia. Bogotá, D.C.: Instituto Nacional de Salud; 2021. p. 1-278.
8. Martínez Silva PA, Dallos Arenales MI, Prada AM, Rodríguez van der Hammen MC, Mendoza Galvis N. An explanatory model of suicidal behaviour in indigenous peoples of the department of Vaupés, Colombia. Rev Colomb Psiquiatr. 2020;49:170-7. https://doi.org//10.1016/j.rcp.2018.07.005
9. Ministerio de Salud y Protección Social Subdirección de Enfermedades no Transmisibles. Boletín de salud mental: Conducta suicida. Bogotá, D.C; 2018. p. 1-25. Fecha de consulta: 22 de enero de 2024. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENT/boletin-conducta-suicida.pdf
10. Shepard DS, Gurewich D, Lwin AK, Reed GA, Silverman MM. Suicide and suicidal attempts in the United States: Costs and policy implications. Suicide Life Threat Behav. 2016;46:352-62. https://doi.org//10.1111/sltb.12225
11. Díaz-Jiménez D, Castañeda-Orjuela C, Castillo-Rodríguez L, De La Hoz-Restrepo F. Economic costs analysis of the avoidable mortality in Colombia 1998-2011. Value Health Reg Issues. 2015;8:129-35. https://doi.org//10.1016/j.vhri.2015.08.007
12. Castro-Díaz S, Gómez-Restrepo C, Gil F, Uribe Restrepo M, Miranda C, de la Espriella M, et al. Factores de riesgo para ideación suicida en pacientes con trastorno depresivo en Colombia. Rev Colomb Psiquiatr. 2013;43:27-35. https://doi.org//10.1016/j.rcp.2013.11.003
13. Buendía JA, Restrepo Chavarriaga GJ, Zuluaga AF. Social and economic variables related to Paraquat self-poisoning: An ecological study. BMC Public Health. 2020;20:404. https://doi.org//10.1186/s12889-020-08510-1
14. Chaparro-Narváez P, Díaz-Jiménez D, Castañeda-Orjuela C. Tendencia de la mortalidad por suicidio en las áreas urbanas y rurales de Colombia, 1979-2014. Biomedica. 2019;39:339-53. https://doi.org//10.7705/biomedica.v39i3.4427
15. Drummond M. Cost-of-illness studies: A major headache? PharmacoEconomics. 1992;2:1-4. https://doi.org//10.2165/00019053-199202010-00001
16. Chen S, Zhao J, Lee SB, Kim SW. Estimation of relative risk of mortality and economic burden attributable to high temperature in Wuhan, China. Front Public Health. 2022;10. https://doi.org//10.3389/fpubh.2022.839204
17. Banco de la República. Producto Interno Bruto (PIB), 2021. Fecha de consulta: 28 de marzo de 2023. Disponible en: https://www.banrep.gov.co/es/estadisticas/producto-interno-bruto-pib
18. Ministerio de Trabajo. Trabajadores colombianos tendrán salario mínimo de $908.526 más auxilio de transporte de $106.454 en el 2021. Fecha de consulta: 28 de marzo de 2023. Disponible en: https://www.mintrabajo.gov.co/web/guest/prensa/comunicados/2020/diciembre/trabajadores-colombianos-tendran-salario-minimo-de-908526-mas-auxilio-detransporte-de-106454-en-el-2021
19. Stekhoven DJ, Bühlmann P. MissForest—non-parametric missing value imputation for mixedtype data. Bioinformatics. 2012;28:112-8. https://doi.org/10.1093/bioinformatics/btr597
20. RStudio Team. RStudio: Integrated Development for R. RStudio. Boston, Massachusetts: PBC; 2020. Disponible en: http://www.rstudio.com/
21. Khorasani E, Davari M, Kebriaeezadeh A, Fatemi F, Akbari Sari A, Varahrami V. A comprehensive review of official discount rates in guidelines of health economic evaluations over time: The trends and roots. Eur J Health Econ. 2022;23:1577-90. https://doi.org//10.1007/s10198-022-01445-x
22. Chang Q, Yip PSF, Chen YY. Gender inequality and suicide gender ratios in the world. J Affect Disord. 2019;243:297-304. https://doi.org//10.1016/j.jad.2018.09.032
23. Cardona Arango D, Medina-Pérez ÓA, Cardona Duque DV. Caracterización del suicidio en Colombia, 2000-2010. Rev Colomb Psiquiatr. 2016;45:170-7. https://doi.org//10.1016/j.rcp.2015.10.002
24. Rodríguez-Hernández JM, Rocha-Buelvas A, Mendieta-Izquierdo G, Hidalgo-Troya A. Riesgo de muerte por suicidio en población colombiana 2000-2013. Ciênc Saúde Coletiva. 2018;23:3989-96. https://doi.org//10.1590/1413-812320182311.24812016
25. Castro Moreno LS, Fuertes Valencia LF, Pacheco García OE, Muñoz Lozada CM. Factores de riesgo relacionados con intento de suicidio como predictores de suicidio, Colombia 2016-2017. Rev Colomb Psiquiatr. 2021;176-84. https://doi.org//10.1016/j.rcp.2021.03.002
26. World Bank. PPP conversion factor, GDP (LCU per international $) - Colombia, United States. 2023. PPP conversion factor, GDP (LCU per international $) - Colombia, United States. Fecha de consulta: 9 de enero de 2024. Disponible en: https://data.worldbank.org/indicator/PA.NUS.PPP?end=2013&locations=CO-US&start=2013
27. Platt S, Niederkrotenthaler T. Suicide prevention programs: Evidence base and best practice. Crisis. 2020;41(Supl.:S99-124). https://doi.org//10.1027/0227-5910/a000671
28. Fughal F, Gorton HC, Michail M, Robinson J, Saini P. Suicide prevention in primary care: The opportunity for intervention. Crisis. 2021;42:241-6. https://doi.org//10.1027/0227-5910/a000817
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