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Risk factors for suicidality in Europe: results from the ESEMED study.
J Affect Disord. 2007 Aug; 101(1-3):27-34.JA

Abstract

BACKGROUND

Precise knowledge of the epidemiology of suicidality provides necessary information for designing prevention programs. The aims of the present study were to investigate the prevalence and correlates of suicidal ideas and attempts in the general population of Europe.

METHODS

The European Study on the Epidemiology of Mental Disorders (ESEMED) is a cross-sectional household survey carried out in a probability representative sample of non-institutionalised adults (aged 18 years or older) of six European countries (Belgium, France, Germany, Italy, the Netherlands and Spain). The Composite International Diagnostic Interview (CIDI 3.0) was administered to 21,425 individuals.

RESULTS

Lifetime prevalence of suicidal ideation was 7.8% and of suicidal attempts 1.3%. Being women, younger and divorced or widowed were associated with a higher prevalence of suicide ideation and attempts. Psychiatric diagnoses were strongly related to suicidality. Among them, major depressive episode (Rate ratio 2.9 for lifetime ideas and 4.8 for lifetime attempts), dysthymia (RR 2.0 and 1.6), GAD (RR 1.8 and 2.3 for lifetime), PTSD (RR 1.9 and 2.0) and alcohol dependence (RR 1.7 and 2.5) were the most important. Population attributable risks for lifetime suicidal attempt was 28% for major depression.

LIMITATIONS

Information about suicidal ideas and attempts was self reported, psychiatric diagnoses were made using fully structured lay interviews rather than clinician-administered interviews.

CONCLUSIONS

In spite of meaningful country variation in prevalence, risk factors for suicidality are consistent in the European countries. Population prevention programmes should focus on early diagnosis and treatment of major depression and alcohol abuse and in those individuals with recent appearance of suicidal ideas.

Authors+Show Affiliations

Sant Joan de Déu-Serveis de Salut Mental, Fundació Sant Joan de Déu, Dr Antoni Pujades 42, 08830, Sant Boi de Llobregat, Spain.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17074395

Citation

Bernal, M, et al. "Risk Factors for Suicidality in Europe: Results From the ESEMED Study." Journal of Affective Disorders, vol. 101, no. 1-3, 2007, pp. 27-34.
Bernal M, Haro JM, Bernert S, et al. Risk factors for suicidality in Europe: results from the ESEMED study. J Affect Disord. 2007;101(1-3):27-34.
Bernal, M., Haro, J. M., Bernert, S., Brugha, T., de Graaf, R., Bruffaerts, R., Lépine, J. P., de Girolamo, G., Vilagut, G., Gasquet, I., Torres, J. V., Kovess, V., Heider, D., Neeleman, J., Kessler, R., & Alonso, J. (2007). Risk factors for suicidality in Europe: results from the ESEMED study. Journal of Affective Disorders, 101(1-3), 27-34.
Bernal M, et al. Risk Factors for Suicidality in Europe: Results From the ESEMED Study. J Affect Disord. 2007;101(1-3):27-34. PubMed PMID: 17074395.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk factors for suicidality in Europe: results from the ESEMED study. AU - Bernal,M, AU - Haro,J M, AU - Bernert,S, AU - Brugha,T, AU - de Graaf,R, AU - Bruffaerts,R, AU - Lépine,J P, AU - de Girolamo,G, AU - Vilagut,G, AU - Gasquet,I, AU - Torres,J V, AU - Kovess,V, AU - Heider,D, AU - Neeleman,J, AU - Kessler,R, AU - Alonso,J, AU - ,, Y1 - 2006/10/30/ PY - 2006/06/02/received PY - 2006/09/20/revised PY - 2006/09/20/accepted PY - 2006/11/1/pubmed PY - 2007/8/19/medline PY - 2006/11/1/entrez SP - 27 EP - 34 JF - Journal of affective disorders JO - J Affect Disord VL - 101 IS - 1-3 N2 - BACKGROUND: Precise knowledge of the epidemiology of suicidality provides necessary information for designing prevention programs. The aims of the present study were to investigate the prevalence and correlates of suicidal ideas and attempts in the general population of Europe. METHODS: The European Study on the Epidemiology of Mental Disorders (ESEMED) is a cross-sectional household survey carried out in a probability representative sample of non-institutionalised adults (aged 18 years or older) of six European countries (Belgium, France, Germany, Italy, the Netherlands and Spain). The Composite International Diagnostic Interview (CIDI 3.0) was administered to 21,425 individuals. RESULTS: Lifetime prevalence of suicidal ideation was 7.8% and of suicidal attempts 1.3%. Being women, younger and divorced or widowed were associated with a higher prevalence of suicide ideation and attempts. Psychiatric diagnoses were strongly related to suicidality. Among them, major depressive episode (Rate ratio 2.9 for lifetime ideas and 4.8 for lifetime attempts), dysthymia (RR 2.0 and 1.6), GAD (RR 1.8 and 2.3 for lifetime), PTSD (RR 1.9 and 2.0) and alcohol dependence (RR 1.7 and 2.5) were the most important. Population attributable risks for lifetime suicidal attempt was 28% for major depression. LIMITATIONS: Information about suicidal ideas and attempts was self reported, psychiatric diagnoses were made using fully structured lay interviews rather than clinician-administered interviews. CONCLUSIONS: In spite of meaningful country variation in prevalence, risk factors for suicidality are consistent in the European countries. Population prevention programmes should focus on early diagnosis and treatment of major depression and alcohol abuse and in those individuals with recent appearance of suicidal ideas. SN - 0165-0327 UR - https://www.unboundmedicine.com/medline/citation/17074395/Risk_factors_for_suicidality_in_Europe:_results_from_the_ESEMED_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(06)00403-4 DB - PRIME DP - Unbound Medicine ER -