Socio-demographic and economic characteristics of patients with psychiatric pathology and non-fatal suicidal behavior

Suicidal behavior is an important clinical problem and a major cause of death in youth and adults. Consequently, there is a great interest in identifying risk factors and characteristics or personality traits of people with suicidal behavior in order to elaborate targeted preventing measures. In this context, the purpose of this research was to establish the socio-demographic and economic characteristics of patients with suicidal behaviour and mental disorders. We conducted a retrospective, observational study between January 1st 2010 and December 31st 2014. The statistical analyse revealed that more than half of total have an alcohol addiction, are unemployed, and have financial problems. The main psychiatric disorders which correlated with patient economic problems are major depression, bipolar disorder and anxious-depressive syndrome. Most suicide attempters were mature adults (45-54 years), followed by young adults (20-24 years). As a method of suicide, women choose mainly drug overdose ingestion, while men sharp object injury. It was also observed a seasonality of the suicide attempts. Keywords: suicide, suicidal attempt, suicidal behavior, public health, psychiatry, mental disorder, anxiety-depression syndrome, major depression, bipolar disorder. Language: en

[1]  D. Gunnell,et al.  Economic recession and suicidal behaviour: Possible mechanisms and ameliorating factors , 2015, The International journal of social psychiatry.

[2]  K. Hawton,et al.  Suicide is a complex behaviour in which mental disorder usually plays a central role , 2015, The Australian and New Zealand journal of psychiatry.

[3]  Matthew K Nock,et al.  The psychology of suicidal behaviour. , 2014, The lancet. Psychiatry.

[4]  P. Bech,et al.  Risk factors for suicide among 34,671 patients with psychotic and non-psychotic severe depression. , 2014, Journal of affective disorders.

[5]  Y. Gvion,et al.  Suicide and Suicidal Behavior , 2012, Public Health Reviews.

[6]  Maya Elin O'Neil,et al.  Suicide Risk Factors and Risk Assessment Tools: A Systematic Review , 2012 .

[7]  P. Mortensen,et al.  Predictors of psychiatric inpatient suicide: a national prospective register-based study. , 2012, The Journal of clinical psychiatry.

[8]  P. Qin.  The impact of psychiatric illness on suicide: differences by diagnosis of disorders and by sex and age of subjects. , 2011, Journal of psychiatric research.

[9]  A. Wenzel,et al.  Predictors of suicide relative to other deaths in patients with suicide attempts and suicide ideation: a 30-year prospective study. , 2011, Journal of affective disorders.

[10]  M. Large,et al.  Risk Factors for Suicide Within a Year of Discharge from Psychiatric Hospital: A Systematic Meta-Analysis , 2011, The Australian and New Zealand journal of psychiatry.

[11]  M. Nordentoft,et al.  Key considerations for preventing suicide in older adults: consensus opinions of an expert panel. , 2011, Crisis.

[12]  F. Gutzwiller,et al.  Seasonality in suicide--a review and search of new concepts for explaining the heterogeneous phenomena. , 2010, Social science & medicine.

[13]  Martin McKee,et al.  The public health effect of economic crises and alternative policy responses in Europe: an empirical analysis , 2009, The Lancet.

[14]  P. Mortensen,et al.  Risk factors of suicide in inpatients and recently discharged patients with affective disorders. A case-control study , 2009, European Psychiatry.

[15]  J. Sterne,et al.  Was the economic crisis 1997-1998 responsible for rising suicide rates in East/Southeast Asia? A time-trend analysis for Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand. , 2009, Social science & medicine.

[16]  M. Ghahramanlou-Holloway,et al.  A Comparative Review of U.S. Military and Civilian Suicide Behavior: Implications for OEF/OIF Suicide Prevention Efforts , 2009 .

[17]  G. Turecki,et al.  Family history of suicidal behavior predicts impulsive-aggressive behavior levels in psychiatric outpatients. , 2009, Journal of affective disorders.

[18]  Matthew K Nock,et al.  Suicide and suicidal behavior. , 2008, Epidemiologic reviews.

[19]  Matthias Bopp,et al.  Methods of suicide: international suicide patterns derived from the WHO mortality database. , 2008, Bulletin of the World Health Organization.

[20]  Eric G. Smith,et al.  Correlates of suicidality among patients with psychotic depression. , 2008, Suicide & life-threatening behavior.

[21]  M. Nordentoft,et al.  Restrictions in means for suicide: an effective tool in preventing suicide: the Danish experience. , 2007, Suicide & life-threatening behavior.

[22]  M. Nordentoft.  Prevention of suicide and attempted suicide in Denmark. Epidemiological studies of suicide and intervention studies in selected risk groups. , 2007, Danish medical bulletin.

[23]  E. Christiansen,et al.  Risk of Repetition of Suicide Attempt, Suicide or all Deaths after an Episode of Attempted Suicide: A Register-Based Survival Analysis , 2007, The Australian and New Zealand journal of psychiatry.

[24]  S. Buka,et al.  The association between suicide and the socio-economic characteristics of geographical areas: a systematic review , 2005, Psychological Medicine.

[25]  A. Dietrich,et al.  Preventing suicide in primary care patients: the primary care physician's role. , 2004, General hospital psychiatry.

[26]  J. Lönnqvist,et al.  Level of suicidal intent predicts overall mortality and suicide after attempted suicide: a 12-year follow-up study , 2004, BMC psychiatry.

[27]  M. Sharpe,et al.  Psychological autopsy studies of suicide: a systematic review , 2003, Psychological Medicine.

[28]  A. House,et al.  Fatal and non-fatal repetition of self-harm , 2002, British Journal of Psychiatry.

[29]  P. Mortensen,et al.  Psychiatric illness and risk factors for suicide in Denmark , 2000, The Lancet.

[30]  R. Ulrich,et al.  Risk factors for suicidal behavior in borderline personality disorder. , 1994, The American journal of psychiatry.

[31]  R. Steer,et al.  Factors complicating cost containment in the treatment of suicidal patients. , 1994, Hospital & community psychiatry.

[32]  D. Brent,et al.  Psychiatric risk factors for adolescent suicide: a case-control study. , 1993, Journal of the American Academy of Child and Adolescent Psychiatry.

[33]  J. Lonnqvist,et al.  Parasiticide in Europe: the WHO/EURO multicentre study on parasuicide. I. Introduction and preliminary analysis for 1989 , 1992, Acta psychiatrica Scandinavica.

[34]  K. Hawton,et al.  Suicide, and Other Causes of Death, Following Attempted Suicide , 1988, British Journal of Psychiatry.

[35]  W. Packman.  Risk Management with Suicidal Patients: Clinical and Legal Standards of Care , 2015 .

[36]  Roberto De Vogli,et al.  Financial crisis, austerity, and health in Europe. , 2013, Lancet.

[37]  I. Skoog,et al.  Attempted suicide in the elderly: characteristics of suicide attempters 70 years and older and a general population comparison group. , 2010, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[38]  M. Lambert,et al.  Suicide risk factors among veterans: Risk management in the changing culture of the department of veterans affairs , 2008, The journal of mental health administration.

[39]  M. Lambert.  Seven-year outcomes of patients evaluated for suicidality. , 2002, Psychiatric services.

[40]  K. M. Malone,et al.  Suicide: Risk factors and prevention in refractory major depression , 1997, Depression and anxiety.