Attempted suicide in Denmark

Bille‐Brahe, Unni; Hansen, W.; Kolmos, L.; Wang, A. G.

doi:10.1111/j.1600-0447.1985.tb01277.x

Cited by 30 publications

(4 citation statements)

References 6 publications

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“…Lack of social integration has been identified in previous studies of suicide attempters and is thought to be an important risk factor for suicidal behavior [27]. The low level of education, lack of association with the labor market and high proportion of being single found here among self-poisoning patients was similar to that found in studies on suicide attempters [28]. In a recent cross-national study on suicide attempters, the same picture was seen, with the exception of employment status, which did not appear as a risk factor for suicidal behavior [29].…”

Section: Discussionsupporting

confidence: 82%

Suicidal intention, psychosocial factors and referral to further treatment: A one-year cross-sectional study of self-poisoning

et al. 2010

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BackgroundPatients treated for self-poisoning have an increased risk of death, both by natural and unnatural causes. The follow-up of these patients is therefore of great importance. The aim of this study was to explore the differences in psychosocial factors and referrals to follow-up among self-poisoning patients according to their evaluated intention.MethodsA cross-sectional multicenter study of all 908 admissions to hospital because of self-poisoning in Oslo during one year was completed. Fifty-four percent were females, and the median age was 36 years. The patients were grouped according to evaluated intention: suicide attempts (moderate to high suicide intent), appeals (low suicide intent) and substance-use related poisonings. Multinomial regression analyses compared patients based on their evaluated intention; suicide attempts were used as the reference.ResultsOf all self-poisoning incidents, 37% were suicide attempts, 26% were appeals and 38% were related to substance use. Fifty-five percent of the patients reported previous suicide attempts, 58% reported previous or current psychiatric treatment and 32% reported daily substance use. Overall, patients treated for self-poisoning showed a lack of social integration. Only 33% were employed, 34% were married or cohabiting and 53% were living alone. Those in the suicide attempt and appeal groups had more previous suicide attempts and reported more psychiatric treatment than those with poisoning related to substance use. One third of all patients with substance use-related poisoning reported previous suicide attempts, and one third of suicide attempt patients reported daily substance use. Gender distribution was the only statistically significant difference between the appeal patients and suicide attempt patients. Almost one in every five patients was discharged without any plans for follow-up: 36% of patients with substance use-related poisoning and 5% of suicide attempt patients. Thirty-eight percent of all suicide attempt patients were admitted to a psychiatric ward. Only 10% of patients with substance use-related poisoning were referred to substance abuse treatment.ConclusionsAll patients had several risk factors for suicidal behavior. There were only minor differences between suicide attempt patients and appeal patients. If the self-poisoning was evaluated as related to substance use, the patient was often discharged without plans for follow-up.

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Section: Discussionsupporting

confidence: 82%

Suicidal intention, psychosocial factors and referral to further treatment: A one-year cross-sectional study of self-poisoning

et al. 2010

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“…Research on suicide in Denmark, while sparse, has included the role of marital dissolution in its investigatory scheme. While such work is mostly based on small studies, often of suicidal patients, and epidemiological investigations of local communities, it tends to demonstrate clear patterns on the marital status factor (Bille-Brahe, Hansen, Kolmos, and Wang 1985).…”

Section: Discussion: Micro-level Defense Of the Ecological Findingsmentioning

confidence: 99%

The Effect of Divorce on Suicide in Denmark, 1951–1980

Stack

1990

The Sociological Quarterly

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Past research on the effect of marital dissolution on suicide is limited largely to the cultural and institutional framework of the U.S. The present article studies Denmark, a nation with a different social context. A Cochrane‐Orcutt iterative regression analysis replicates the American‐based pattern for Denmark. The divorce index is more closely associated than the unemployment rate with changes in the suicide rate. A 1% increase in divorce is associated with a 0.32% increase in suicide. Divorce trends also predict the incidence of youth suicide. The study further confirms the generalization that links rapid change in kinship structures to suicide in industrial societies.

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“…A history of chaotic and excessively mobile family life, repeated rejection experiences (Shrut 1968), and closed family systems which prevent the potentially suicidal member from making outside contacts (Rosenbaum and Richman 1970) has been documented by clinical studies. Information on home sharing, interpersonal relationships, and occupational and social activity indicates that suicide attempters have poor contacts with family, friends, and the wider community, and that a great many are without any form of personal contact (Bille-Brahe and Wang 1985).Existing relationships are also impaired. Clinical interviews with suicide attempters and their relatives reveal an almost universal pattern of family involvement in the pressures that initiate the suicidal act (Rosenbaum and Richman 1972).…”

mentioning

confidence: 96%

Suicidal behaviour, social networks and psychiatric diagnosis

Hart

Williams

Davidson

1988

Soc Psychiatry Psychiatr Epidemiol

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Summary. The aim of this investigation was to examine the relationship between social network deficits and the occurrence of suicidal behaviour, and to describe the short-term interpersonal consequences of a suicidal attempt. Two questionnaires, concerned with the extent and self-perceived adequacy of social network, formed the basis of a structured interview. Fifty-two suicide attempters were interviewed within 48 hours of their attempt, and again six weeks later, and undertook a weekly self-rating task. A group of 52 non-suicidal individuals of comparable age, sex, social class, and marital and employment status underwent the same interview programme. The results indicate that the social networks of suicide attempters are impaired relative to non-suicidal individuals, and that improvement in the social network following an attempt is limited to attempters with no formal psychiatric disorder, and to measures of perceived adequacy and satisfaction. The findings add support to the importance of psychiatric assessment of the nature and the adequacy of the social network in relation to suicidal individuals.Theoretical and research evidence indicates a relationship between disrupted social networks and the occurrence of suicidal behaviour. The behaviour has been variously attributed to increasing social isolation (Jacobs and Teicher 1967), to disturbances in close relationships (e.g. Richman 1970, 1972), and to the impairment of interpersonal communication (e.g. Fawcett et al. 1969).A process of progressive social isolation from meaningful relationships has been detailed by Jacobs and Teicher (1967) in the life histories of adolescent suicide attempters. A history of chaotic and excessively mobile family life, repeated rejection experiences (Shrut 1968), and closed family systems which prevent the potentially suicidal member from making outside contacts (Rosenbaum and Richman 1970) has been documented by clinical studies. Information on home sharing, interpersonal relationships, and occupational and social activity indicates that suicide attempters have poor contacts with family, friends, and the wider community, and that a great many are without any form of personal contact (Bille-Brahe and Wang 1985).Existing relationships are also impaired. Clinical interviews with suicide attempters and their relatives reveal an almost universal pattern of family involvement in the pressures that initiate the suicidal act (Rosenbaum and Richman 1972). Assessment of communication patterns indicates that the quality of interpersonal communication between spouses deteriorates as the degree of suicidal behaviour in one partner increases (Bonnar and McGee 1977). Chronically disrupted relationships, marital isolation, and distorted communication all characterise the high risk attempter (Fawcett et al. 1969).Consideration has also been given to the importance of social network variables consequent to the act. Follow-up studies of attempters have noted the frequency of the attempter's desire to effect some interpersonal change via suici...

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Attempted suicide in Denmark

Cited by 30 publications

References 6 publications

Suicidal intention, psychosocial factors and referral to further treatment: A one-year cross-sectional study of self-poisoning

Suicidal intention, psychosocial factors and referral to further treatment: A one-year cross-sectional study of self-poisoning

The Effect of Divorce on Suicide in Denmark, 1951–1980

Suicidal behaviour, social networks and psychiatric diagnosis

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