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Erschienen in: Wiener klinische Wochenschrift 3-4/2016

01.02.2016 | original article

Differences among South Tyrolean suicides: a psychological autopsy study

verfasst von: Giancarlo Giupponi, Andreas Conca, Marco Innamorati, Alberto Forte, David Lester, Denise Erbuto, Roger Pycha, Paolo Girardi, Anne Maria Möller-Leimkühler, Maurizio Pompili, MD, PhD

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 3-4/2016

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Summary

Objective

The aim of the present study was to study gender differences in the suicides in South Tyrol.

Methods

Between 2000 and 2009, the Department of Psychiatry of Bolzano administered questionnaires to the Provincial Departments of Public Health requesting information about causes and methods of completed suicides. Each suicide was then examined using a psychological autopsy methodology.

Results

There were 448 suicides studied (339 men and 109 women). Compared with men, women were more likely to live alone, have attempted suicide in the past, and to have contacted their general practitioners in the last weeks before dying. They were also less likely to have an alcohol use disorder, have used violent methods of suicide, and be 35 years or younger.

Conclusion

The differences identified for South Tyrolean suicides confirmed previously reported gender differences in employment and marital status, history of a previous suicide attempt, and alcohol abuse. Appropriate gender-based preventive interventions are needed.
Literatur
1.
Zurück zum Zitat Hawton K, van Heeringen K. Suicide. Lancet. 2009:1372–81. Hawton K, van Heeringen K. Suicide. Lancet. 2009:1372–81.
2.
Zurück zum Zitat Molnar BE, Shade SB, Kral AH, Booth RE, Watters JK. Suicidal behavior and sexual/physical abuse among street youth. Child Abuse Negl. 1998;22:213–22.CrossRefPubMed Molnar BE, Shade SB, Kral AH, Booth RE, Watters JK. Suicidal behavior and sexual/physical abuse among street youth. Child Abuse Negl. 1998;22:213–22.CrossRefPubMed
3.
Zurück zum Zitat Oquendo MA, Ellis SP, Greenwald S, Malone KM, Weissman MM, Mann JJ. Ethnic and sex differences in suicide rates relative to major depression in the United States. Am J Psychiatry. 2001;158:1652–8.CrossRefPubMed Oquendo MA, Ellis SP, Greenwald S, Malone KM, Weissman MM, Mann JJ. Ethnic and sex differences in suicide rates relative to major depression in the United States. Am J Psychiatry. 2001;158:1652–8.CrossRefPubMed
4.
Zurück zum Zitat Weissman MM, Bland RC, Canino GJ, Greenwald S, Hwu HG, Joyce PR, et al. Prevalence of suicide ideation and suicide attempts in nine countries. Psychol Med. 1999;29:9–17.CrossRefPubMed Weissman MM, Bland RC, Canino GJ, Greenwald S, Hwu HG, Joyce PR, et al. Prevalence of suicide ideation and suicide attempts in nine countries. Psychol Med. 1999;29:9–17.CrossRefPubMed
5.
Zurück zum Zitat Wunderlich U, Bronisch T, Wittchen HU, Carter R. Gender differences in adolescents and young adults with suicidal behaviour. Acta Psychiatr Scand. 2001;104:332–9.CrossRefPubMed Wunderlich U, Bronisch T, Wittchen HU, Carter R. Gender differences in adolescents and young adults with suicidal behaviour. Acta Psychiatr Scand. 2001;104:332–9.CrossRefPubMed
7.
Zurück zum Zitat Bertolote JM, Fleischmann A, De Leo D, Bolhari J, Botega N, De Silva D, et al. Suicide attempts, plans, and ideation in culturally diverse sites: the WHO SUPRE-MISS community survey. Psychol Med. 2005;35:1457–65.CrossRefPubMed Bertolote JM, Fleischmann A, De Leo D, Bolhari J, Botega N, De Silva D, et al. Suicide attempts, plans, and ideation in culturally diverse sites: the WHO SUPRE-MISS community survey. Psychol Med. 2005;35:1457–65.CrossRefPubMed
8.
Zurück zum Zitat Platt S, Bille-Brahe U, Kerkhof A, Schmidtke A, Bjerke T, Crepet P, et al. Parasuicide in Europe: the WHO/EURO multicentre study on parasuicide. I. Introduction and preliminary analysis for 1989. Acta Psychiatr Scand. 1992;85:97–104.CrossRefPubMed Platt S, Bille-Brahe U, Kerkhof A, Schmidtke A, Bjerke T, Crepet P, et al. Parasuicide in Europe: the WHO/EURO multicentre study on parasuicide. I. Introduction and preliminary analysis for 1989. Acta Psychiatr Scand. 1992;85:97–104.CrossRefPubMed
9.
Zurück zum Zitat Nock MK, Kessler RC. Prevalence of and risk factors for suicide attempts versus suicide gestures: analysis of the National Comorbidity Survey. J Abnorm Psychol. 2006;115:616–23.CrossRefPubMed Nock MK, Kessler RC. Prevalence of and risk factors for suicide attempts versus suicide gestures: analysis of the National Comorbidity Survey. J Abnorm Psychol. 2006;115:616–23.CrossRefPubMed
10.
Zurück zum Zitat Qin P, Agerbo E, Westergård-Nielsen N, Eriksson T, Mortensen PB. Gender differences in risk factors for suicide in Denmark. Br J Psychiatry. 2000;177:546–50.CrossRefPubMed Qin P, Agerbo E, Westergård-Nielsen N, Eriksson T, Mortensen PB. Gender differences in risk factors for suicide in Denmark. Br J Psychiatry. 2000;177:546–50.CrossRefPubMed
11.
Zurück zum Zitat Hawton K. Sex and suicide. Gender differences in suicidal behaviour. Br J Psychiatry. 2000;177:484–5.CrossRefPubMed Hawton K. Sex and suicide. Gender differences in suicidal behaviour. Br J Psychiatry. 2000;177:484–5.CrossRefPubMed
14.
Zurück zum Zitat Nock MK, Borges G, Bromet EJ, Alonso J, Angermeyer M, Beautrais A, et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatry. 2008;192:98–105.PubMedCentralCrossRefPubMed Nock MK, Borges G, Bromet EJ, Alonso J, Angermeyer M, Beautrais A, et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatry. 2008;192:98–105.PubMedCentralCrossRefPubMed
15.
Zurück zum Zitat Pycha R, Pompili M, Innamorati M, Schwitzer J, Lester D, Sani G, et al. Sex and ethnic differences among South Tirolean suicides: a psychological autopsy study. Eur Psychiatry. 2009;24:47–56.CrossRefPubMed Pycha R, Pompili M, Innamorati M, Schwitzer J, Lester D, Sani G, et al. Sex and ethnic differences among South Tirolean suicides: a psychological autopsy study. Eur Psychiatry. 2009;24:47–56.CrossRefPubMed
16.
Zurück zum Zitat Deisenhammer EA, Haring C, Kemmler G, Pycha R, Hinterhuber H. Suicide in south Tyrol 1980–1992: influence of affiliation to different language groups. Eur Arch Psychiatry Clin Neurosci. 1996;246:273–8.CrossRefPubMed Deisenhammer EA, Haring C, Kemmler G, Pycha R, Hinterhuber H. Suicide in south Tyrol 1980–1992: influence of affiliation to different language groups. Eur Arch Psychiatry Clin Neurosci. 1996;246:273–8.CrossRefPubMed
17.
Zurück zum Zitat Cavanagh JTO, Carson AJ, Sharpe M, Lawrie SM. Psychological autopsy studies of suicide: a systematic review. Psychol Med. 2003;33:395–405.CrossRefPubMed Cavanagh JTO, Carson AJ, Sharpe M, Lawrie SM. Psychological autopsy studies of suicide: a systematic review. Psychol Med. 2003;33:395–405.CrossRefPubMed
18.
19.
Zurück zum Zitat Brent DA, Perper JA, Moritz G, Allman CJ, Roth C, Schweers J, et al. The validity of diagnoses obtained through the psychological autopsy procedure in adolescent suicide victims: use of family history. Acta Psychiatr Scand. 1993;87:118–22.CrossRefPubMed Brent DA, Perper JA, Moritz G, Allman CJ, Roth C, Schweers J, et al. The validity of diagnoses obtained through the psychological autopsy procedure in adolescent suicide victims: use of family history. Acta Psychiatr Scand. 1993;87:118–22.CrossRefPubMed
20.
Zurück zum Zitat Conner KR, Duberstein PR, Conwell Y. The validity of proxy-based data in suicide research: a study of patients 50 years of age and older who attempted suicide. I. Psychiatric diagnoses. Acta Psychiatr Scand. 2001;104:204–9.CrossRefPubMed Conner KR, Duberstein PR, Conwell Y. The validity of proxy-based data in suicide research: a study of patients 50 years of age and older who attempted suicide. I. Psychiatric diagnoses. Acta Psychiatr Scand. 2001;104:204–9.CrossRefPubMed
21.
Zurück zum Zitat Kelly TM, Mann JJ. Validity of DSM-III-R diagnosis by psychological autopsy: a comparison with clinician ante-mortem diagnosis. Acta Psychiatr Scand. 1996;94:337–43.CrossRefPubMed Kelly TM, Mann JJ. Validity of DSM-III-R diagnosis by psychological autopsy: a comparison with clinician ante-mortem diagnosis. Acta Psychiatr Scand. 1996;94:337–43.CrossRefPubMed
22.
Zurück zum Zitat Luoma JB, Martin CE, Pearson JL. Contact with mental health and primary care providers before suicide: a review of the evidence. Am J Psychiatry. 2002;159:909–16.CrossRefPubMed Luoma JB, Martin CE, Pearson JL. Contact with mental health and primary care providers before suicide: a review of the evidence. Am J Psychiatry. 2002;159:909–16.CrossRefPubMed
23.
Zurück zum Zitat Harris EC, Barraclough B. Excess mortality of mental disorder. Br J Psychiatry. 1998;173:11–53.CrossRefPubMed Harris EC, Barraclough B. Excess mortality of mental disorder. Br J Psychiatry. 1998;173:11–53.CrossRefPubMed
24.
Zurück zum Zitat Innamorati M, Pompili M, Masotti V, Personé F, Lester D, Tatarelli R, et al. Completed versus attempted suicide in psychiatric patients: a psychological autopsy study. J Psychiatr Pract. 2008;14:216–24.CrossRefPubMed Innamorati M, Pompili M, Masotti V, Personé F, Lester D, Tatarelli R, et al. Completed versus attempted suicide in psychiatric patients: a psychological autopsy study. J Psychiatr Pract. 2008;14:216–24.CrossRefPubMed
25.
26.
Zurück zum Zitat Pompili M, Innamorati M, Masotti V, Personnè F, Lester D, Di Vittorio C, et al. Suicide in the elderly: a psychological autopsy study in a North Italy area (1994–2004). Am J Geriatr Psychiatry. 2008;16:727–35.CrossRefPubMed Pompili M, Innamorati M, Masotti V, Personnè F, Lester D, Di Vittorio C, et al. Suicide in the elderly: a psychological autopsy study in a North Italy area (1994–2004). Am J Geriatr Psychiatry. 2008;16:727–35.CrossRefPubMed
27.
Zurück zum Zitat Séguin M, Lesage A, Turecki G, Bouchard M, Chawky N, Tremblay N, et al. Life trajectories and burden of adversity: mapping the developmental profiles of suicide mortality. Psychol Med. 2007;37:1575–83.CrossRefPubMed Séguin M, Lesage A, Turecki G, Bouchard M, Chawky N, Tremblay N, et al. Life trajectories and burden of adversity: mapping the developmental profiles of suicide mortality. Psychol Med. 2007;37:1575–83.CrossRefPubMed
28.
Zurück zum Zitat Spitzer RL, Williams JB, Gibbon M, First MB. The Structured Clinical Interview for DSM-III-R (SCID). I: history, rationale, and description. Arch Gen Psychiatry. 1992;49:624–9.CrossRefPubMed Spitzer RL, Williams JB, Gibbon M, First MB. The Structured Clinical Interview for DSM-III-R (SCID). I: history, rationale, and description. Arch Gen Psychiatry. 1992;49:624–9.CrossRefPubMed
29.
Zurück zum Zitat Cho J, Kang DR, Moon KT, Suh M, Ha KH, Kim C, et al. Age and gender differences in medical care utilization prior to suicide. J Affect Disord. 2013;146:181–8.CrossRefPubMed Cho J, Kang DR, Moon KT, Suh M, Ha KH, Kim C, et al. Age and gender differences in medical care utilization prior to suicide. J Affect Disord. 2013;146:181–8.CrossRefPubMed
30.
Zurück zum Zitat Kendler KS, Thornton LM, Prescott CA. Gender differences in the rates of exposure to stressful life events and sensitivity to their depressogenic effects. Am J Psychiatry. 2001;158:587–93.CrossRefPubMed Kendler KS, Thornton LM, Prescott CA. Gender differences in the rates of exposure to stressful life events and sensitivity to their depressogenic effects. Am J Psychiatry. 2001;158:587–93.CrossRefPubMed
31.
Zurück zum Zitat McGirr A, Séguin M, Renaud J, Benkelfat C, Alda M, Turecki G. Gender and risk factors for suicide: evidence for heterogeneity in predisposing mechanisms in a psychological autopsy study. J Clin Psychiatry. 2006;67:1612–7.CrossRefPubMed McGirr A, Séguin M, Renaud J, Benkelfat C, Alda M, Turecki G. Gender and risk factors for suicide: evidence for heterogeneity in predisposing mechanisms in a psychological autopsy study. J Clin Psychiatry. 2006;67:1612–7.CrossRefPubMed
32.
Zurück zum Zitat Mościcki EK. Epidemiology of completed and attempted suicide: toward a framework for prevention. Clin Neurosci Res. 2001;1:310–23.CrossRef Mościcki EK. Epidemiology of completed and attempted suicide: toward a framework for prevention. Clin Neurosci Res. 2001;1:310–23.CrossRef
33.
Zurück zum Zitat Moscicki EK. Identification of suicide risk factors using epidemiologic studies. Psychiatr Clin North Am. 1997;20:499–517.CrossRefPubMed Moscicki EK. Identification of suicide risk factors using epidemiologic studies. Psychiatr Clin North Am. 1997;20:499–517.CrossRefPubMed
34.
Zurück zum Zitat Taktak Ş, Uzun İ, Balcıoğlu İ. Gender differences in completed suicides in Istanbul, Turkey. J Affect Disord. 2013;145:394–9.CrossRefPubMed Taktak Ş, Uzun İ, Balcıoğlu İ. Gender differences in completed suicides in Istanbul, Turkey. J Affect Disord. 2013;145:394–9.CrossRefPubMed
35.
Zurück zum Zitat Dalca IM, McGirr A, Renaud J, Turecki G. Gender-specific suicide risk factors: a case-control study of individuals with major depressive disorder. J Clin Psychiatry. 2013;74:1209–16.CrossRefPubMed Dalca IM, McGirr A, Renaud J, Turecki G. Gender-specific suicide risk factors: a case-control study of individuals with major depressive disorder. J Clin Psychiatry. 2013;74:1209–16.CrossRefPubMed
36.
Zurück zum Zitat Värnik A, Kõlves K, van der Feltz-Cornelis CM, Marusic A, Oskarsson H, Palmer A, et al. Suicide methods in Europe: a gender-specific analysis of countries participating in the “European Alliance Against Depression”. J Epidemiol Community Health. 2008;62:545–51.PubMedCentralCrossRefPubMed Värnik A, Kõlves K, van der Feltz-Cornelis CM, Marusic A, Oskarsson H, Palmer A, et al. Suicide methods in Europe: a gender-specific analysis of countries participating in the “European Alliance Against Depression”. J Epidemiol Community Health. 2008;62:545–51.PubMedCentralCrossRefPubMed
37.
Zurück zum Zitat Beskow J, Runeson B, Asgård U. Psychological autopsies: methods and ethics. Suicide Life Threat Behav. 1990;20:307–23.PubMed Beskow J, Runeson B, Asgård U. Psychological autopsies: methods and ethics. Suicide Life Threat Behav. 1990;20:307–23.PubMed
Metadaten
Titel
Differences among South Tyrolean suicides: a psychological autopsy study
verfasst von
Giancarlo Giupponi
Andreas Conca
Marco Innamorati
Alberto Forte
David Lester
Denise Erbuto
Roger Pycha
Paolo Girardi
Anne Maria Möller-Leimkühler
Maurizio Pompili, MD, PhD
Publikationsdatum
01.02.2016
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 3-4/2016
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-015-0877-5

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