EPIDEMIOLOGIA Se estima que la tasa mundial es de 1 milln por ao Estimated annual mortality is 145 deaths per 100 000

people, which equates to one death every 40s.

Las tasas varian de acuerdo con la regin, el sexo, la edad y la cultura In some countries many deaths (eg, 15% in China4) are probably unreported, and procedures for recording deaths as suicide are far from uniform. Por diferentes factores estas tasas estn subestimadas Las tasas varian sustancialmente entre pases y regiones Within Europe, rates are generally higher in northern countries than in southern countries. Mas del 30% de los suicidios mundiales ocurren en china where 36% of all deaths are by suicide

En pases desarrollados tasa H:M 2-4:1 although in China more women than men die by suicide. Ocurre mas en personas ancianas en la mayora de pases However, over the past 50 years, rates have risen in young people, in particular in men,9 and decreased in elderly people.10 More recently, suicide rates in young males have decreased in some developed countries in which they had previously risen.11

El suicidio tambin varia de acuerdo a la estacin, aumentando en primavera Suicide rates are also high among people, in particular women, born in spring and early summer Ocurren mas en europeos y estadounidenses que en hispanos y afroamericanos Las tasas de suicidio segn los grupos tnicos son inversas a la densidad poblacional that presence of cultural supports and networks might be protective Las poblaciones indgenas de la mayora de los pases se suicidan con mas frecuencia que el resto de la poblacin. Factors that might contribute include marginalisation, disintegration of traditional social support networks and cultural values, socioeconomic deprivation, and alcohol misuse. Se presenta mas en personas desempleadas Algunas ocupaciones generan mas riesgo Medical practitioners have a high risk in most countries ,but female doctors are generally most at risk.21,22 Nurses also have a high risk dentists, pharmacists, veterinary surgeons, and farmers hay altas tasas en reclusos Major risk factors are being confi ned to single prison cell, previous attempted suicide, recent suicidal ideation, and psychiatric disorder or history of alcohol problems

se observan mas intentos de suicidio en homosexuales y bisexuales

distal Carga gentica Las caractersticas de personalidad (por ejemplo, la impulsividad, la agresin) El crecimiento fetal restringido y las circunstancias perinatales Eventos de la vida temprana traumticas Alteraciones neurobiolgicas (por ejemplo, la disfuncin de la serotonina y eje hipotalmico hipofisario hiperactividad) proximal Trastornos psiquitricos trastorno fsico

 Crisis Psicosocial La disponibilidad de medios La exposicin a modelos