ABSTRACT OBJETIVE To estimate risk and protection factors associated with suicide in Campinas, Brazil, in 2019. METHODS This is a populational case-control study analyzing 83 cases of suicide that occurred in 2019 in Campinas, a Brazilian city with about 1.2 million inhabitants. Controls were composed of 716 inhabitants. An adjusted multiple logistic regression was used. Cases and controls were the dichotomous response variables. Sociodemographic and behavioral variables were the predictor variables. RESULTS The categories which presented higher risk of suicide were: males [OR = 5.26 (p < 0.001)]; people aged 10–29 years [OR = 5.88 (p = 0.002)]; individuals without paid work [OR = 3.06 (p = 0.013)]; individuals presenting problematic use of alcohol [OR = 33.12 (p < 0.001)] and cocaine [14.59 (p < 0.007)]; and people with disabilities [OR = 3.72 (p < 0.001)]. Moreover, the perception of fear was associated with reduced suicide risk [OR = 0.19 (p = 0.015)]. Higher district HDI levels also showed a 4% decrease in risk for each 0.01 increase in district HDI levels [OR = 0.02 (p = 0.008)]. CONCLUSIONS This study evidenced the association between sociodemographic and behavioral variables and suicide. It also emphasized the complexity in the dynamics between personal, social, and economic factors to this external cause of death. Campinas Brazil casecontrol case control 8 201 12 1 2 1. inhabitants 71 used OR 526 5 26 5.2 p 0.001 0001 0 001 1029 10 29 10–2 588 88 5.8 0.002 0002 002 0.002)] 306 3 06 3.0 0.013 0013 013 0.013)] 3312 33 33.1 0.001) 14.59 1459 14 59 [14.5 0.007 0007 007 0.007)] 372 72 3.7 0.001. . Moreover 019 19 0.1 0.015. 0015 0.015 015 0.015)] 4 01 0.0 02 0.008. 0008 0.008 008 0.008)] personal social death 20 7 52 5. 0.00 000 00 102 10– 58 0.002) 30 3. 0.013) 331 33. 14.5 145 [14. 0.007) 37 0. 0.015) 0.008) 14. [14 [1 [

ABSTRACT OBJETIVE To estimate risk and protection factors associated with suicide in Campinas, Brazil, in 2019. METHODS This is a populational case-control study analyzing 83 cases of suicide that occurred in 2019 in Campinas, a Brazilian city with about 1.2 million inhabitants. Controls were composed of 716 inhabitants. An adjusted multiple logistic regression was used. Cases and controls were the dichotomous response variables. Sociodemographic and behavioral variables were the predictor variables. RESULTS The categories which presented higher risk of suicide were: males [OR = 5.26 (p < 0.001)]; people aged 10–29 years [OR = 5.88 (p = 0.002)]; individuals without paid work [OR = 3.06 (p = 0.013)]; individuals presenting problematic use of alcohol [OR = 33.12 (p < 0.001)] and cocaine [14.59 (p < 0.007)]; and people with disabilities [OR = 3.72 (p < 0.001)]. Moreover, the perception of fear was associated with reduced suicide risk [OR = 0.19 (p = 0.015)]. Higher district HDI levels also showed a 4% decrease in risk for each 0.01 increase in district HDI levels [OR = 0.02 (p = 0.008)]. CONCLUSIONS This study evidenced the association between sociodemographic and behavioral variables and suicide. It also emphasized the complexity in the dynamics between personal, social, and economic factors to this external cause of death.

Resumo A Norma Regulamentadora NR 32 objetiva reduzir acidentes e doenças entre os trabalhadores da saúde. Filiando-nos à perspectiva da análise do discurso proposta por Michel Pêcheux, nesta pesquisa tivemos como objetivo compreender o processo de significação em torno de segurança e saúde no trabalho na NR 32 e apreender como este processo significa nas políticas públicas no Brasil. Mostramos que, embora a norma seja um meio de assegurar a segurança e a saúde ao trabalhador, sua discursividade formula a segurança como um mito fundamentado em alegações externas ao processo de regulação das condições de trabalho e alheio às exigências coletivas e culturais de produção. Nesse processo, produz-se a responsabilização do trabalhador convertido em vigilante de si próprio e responsabilizado por isso de maneira individualizada. Pudemos, finalmente, observar um efeito de sentido que indica uma conexão que, na prática, resulta em apoio econômico às empresas que produzem e/ou comercializam os dispositivos de segurança para os materiais perfurocortantes.

Abstract Regulation NR 32 has the goal of reducing accidents and disease among health workers. Adopting the perspective of the discourse analysis proposed by Michel Pêcheux, in this research we had the goal of understanding the process of signification regarding safety and health at work within the NR 32, and learn how this process signifies in the public policies in Brazil. We show that, even though the regulation is a means of guaranteeing the safety and health of the worker, its discursiveness formulates safety as a myth based on claims that are not part of the process of regulation of labor conditions and are unconnected to the collective and cultural requirements for production. In this process, the responsibilization of the worker is produced, and the workers become watchmen of themselves, and are held accountable for that in an individualized manner. Finally, we could observe an effect of meaning that points to a connection that, in practice, results in financial support to the companies that make and/or sell the safety devices for sharps.

Resumen El objetivo de la Norma Reguladora NR 32 es reducir accidentes y enfermedades entre los trabajadores de la salud. Tomando como base la perspectiva del análisis del discurso propuesto por Michel Pêcheux, el objetivo en esta investigación fue comprender el proceso de significación en torno a la seguridad y la salud en el trabajo en la NR 32 y entender lo que significa este proceso en las políticas públicas de Brasil. Se muestra que más allá de la norma ser un medio de asegurar la seguridad y la salud al trabajador, su discurso formula a la seguridad como un mito fundamentado en alegaciones externas al proceso de regulación de las condiciones de trabajo y ajeno a las exigencias colectivas y culturales de producción. En este proceso, se responsabiliza al trabajador convirtiéndolo en cuidador de sí mismo y a cargo por dicha responsabilidad de manera individual. Por último, pudimos observar un efecto de sentido que indica una conexión, la cual en la práctica se traduce como apoyo económico a las empresas que producen y/o comercializan los dispositivos de seguridad para los materiales punzantes.