Availability and use of mental health services in European countries: Influence on national suicide rates

König, Daniel; Fellinger, Matthäus; Pruckner, Nathalie; Hinterbuchinger, Barbara; Dorffner, Georg; Gleiß, Andreas; Vyssoki, Sandra; Vyssoki, Benjamin

doi:10.1016/j.jad.2018.06.042

Cited by 4 publications

(4 citation statements)

References 41 publications

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“…A fourth limitation is that only the 'Italian case' was addressed; in other words, the present study lacks a European perspective. Yet, other studies are available in literature, providing such perspective [4,11,32]. Also, since differences exist in Mediterranean countries and North-Europe countries, concerning welfare, epidemiology of psychiatric disorders (namely suicidal behavior) and welfare, it is possible that an aggregated perspective fails to recognize such differences, that we tried to highlight with our 8 analysis.…”

Section: Discussionmentioning

confidence: 99%

“…concerning labor market and retirement system), that made the country particularly vulnerable to a sovereign debt crisis [7]. Some studies showed that in the first years of the economic crisis, Italy experienced increased suicides and attempted suicides due to financial problems [8][9][10][11]. Also, in the same period, the following were noticeable: increased ischemic heart diseases and cardiovascular mortality [10,12], increased nicotine consumption [13,14], decreased prescription of expensive drugs, increased prescription of cheap drugs [15].…”

Section: Introductionmentioning

confidence: 99%

“…Although research has already shown that, as happened in the majority of EU-member states [18][19][20], the GR exerted a negative health effect in Italy, particularly increased suicides and poor mental health outcomes [8][9][10][11]21], little is known about the role of welfare policies as buffering mechanisms. In a research letter published in the BMJ, De Vogli showed that the association between unemployment and suicides becomes weaker a higher levels of investment in social services across Italian regions [8].…”

Section: Introductionmentioning

confidence: 99%

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Impact of the economic crises on suicide in Italy: the moderating role of active labor market programs

Mattei

Pistoresi

Vogli

2018

Soc Psychiatry Psychiatr Epidemiol

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Purpose To analyze the association between unemployment and suicide in Italy during the years 1990-2014, with a peculiar focus on the Great Recession (GR) and the role played by social protection as buffering mechanism against the negative effect on health outcomes. Methods Fixed effects panel regressions were used to assess the association between changes in unemployment rate and suicide rates. Additional models investigated the role of active labor market programs (ALMPs) as possible moderators of the association. Analyses were carried out for both males and females, stratified by age and region. Results The negative time-trend displayed by suicide rate in Italy until 2007 was slowed down by changes in unemployment at the beginning of the GR, when this trend reversed and the rate of suicide started increasing. Male workers aged 25-64 and women aged 55-64 years were affected by both "normal" unemployment rate fluctuations as well as severe economic crises. Women aged 35-44 were only influenced by the latter. Men benefit from ALMPs mainly in Central Italy, while women did not benefit significantly from ALMPs. Conclusions In Italy, economic downturns were associated with increased suicides mainly among men, while severe economic crises were associated with increased suicides among both men and women. ALMPs showed to be effective in moderating the association between unemployment and suicide among men aged 45-54 only in Central Italy. The overall small effectiveness of such programs may be due to lack of sufficient funding.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of the economic crises on suicide in Italy: the moderating role of active labor market programs

Mattei

Pistoresi

Vogli

2018

Soc Psychiatry Psychiatr Epidemiol

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“…One study in Greece reported a positive association between mental health services and suicide mortality rates. [ 18 ] However, another recent study including 10 European countries failed to find significant associations between available psychiatric beds and SMRs, after controlling for economic variables [ 19 ]. In our study, there was a significant decrease of suicides during this 15-year period in Western Crete, whereas there was a significant increase in Eastern Crete.…”

Section: Discussionmentioning

confidence: 99%

‘Suicide rates in Crete, Greece during the economic crisis: the effect of age, gender, unemployment and mental health service provision’

et al. 2018

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BackgroundRecently, suicides in Greece have drawn national and international interest due to the current economic crisis. According to published reports, suicides in Greece have increased up to 40% and Crete has been highlighted as an area with the sharpest increase.AimTo investigate the suicide mortality rates in Crete between 1999 and 2013 and their association with the economic crisis.MethodsData on suicides were selected from the Department of Forensic Medicine files of the University of Crete.ResultsOur analysis showed that (1) Crete, has the highest suicide mortality rate in Greece, however no significant increase was observed between 1999 and 2013, (2) there were opposing trends between men and women, with women showing a decrease whereas men showed an increase in that period, (3) there was a significant increase of suicides in middle-aged men (40–64 yrs) and elderly, although the highest unemployment rates were observed in young men and women, and (4) finally, there was a regional shift of suicides with a significant decrease in Western Crete and a significant increase in Eastern Crete.ConclusionsAlthough, Crete has the highest suicide mortality rates in Greece, we did not observe an overall increase during the last 15 years, including the period of economic crisis. Furthermore, there was an increase in middle-aged and elderly men, whereas young men and women showed oppositional trends during the years of austerity. This may be related to the culturally different expectations for the two genders, as well as that younger individuals may find refuge to either strong family ties or by immigrating abroad. Finally, the relative increase of suicides in Eastern Crete may be explained by factors, such as the lack of community mental health services in that area.

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Educational inequalities in suicide in the highly volatile economy of Argentina

Leveau

Granados

2021

Soc Psychiatry Psychiatr Epidemiol

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Availability and use of mental health services in European countries: Influence on national suicide rates

Cited by 4 publications

References 41 publications

Impact of the economic crises on suicide in Italy: the moderating role of active labor market programs

Impact of the economic crises on suicide in Italy: the moderating role of active labor market programs

‘Suicide rates in Crete, Greece during the economic crisis: the effect of age, gender, unemployment and mental health service provision’

Educational inequalities in suicide in the highly volatile economy of Argentina

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