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Related Concept Videos

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Depressive Disorders: Etiology

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Related Experiment Videos

Risk factors for suicidality in Europe: results from the ESEMED study.

M Bernal1, J M Haro, S Bernert

  • 1Sant Joan de Déu-Serveis de Salut Mental, Fundació Sant Joan de Déu, Dr Antoni Pujades 42, 08830, Sant Boi de Llobregat, Spain.

Journal of Affective Disorders
|November 1, 2006
PubMed
Summary

Suicidal ideation affects 7.8% and attempts 1.3% of European adults. Major depression and alcohol abuse are key risk factors, necessitating early intervention in prevention programs.

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Area of Science:

  • Epidemiology
  • Psychiatry
  • Public Health

Background:

  • Understanding the epidemiology of suicidality is crucial for effective prevention program design.
  • This study investigated the prevalence and correlates of suicidal ideation and attempts in the general European population.

Purpose of the Study:

  • To determine the prevalence of suicidal ideas and attempts across six European countries.
  • To identify demographic and psychiatric risk factors associated with suicidality.

Main Methods:

  • A cross-sectional household survey, the European Study on the Epidemiology of Mental Disorders (ESEMED), was conducted.
  • The Composite International Diagnostic Interview (CIDI 3.0) was administered to a representative sample of 21,425 adults (≥18 years).

Main Results:

  • Lifetime prevalence rates were 7.8% for suicidal ideation and 1.3% for suicidal attempts.
  • Factors associated with higher prevalence included being female, younger age, and divorced/widowed status.
  • Major depressive episode, dysthymia, generalized anxiety disorder (GAD), PTSD, and alcohol dependence were significantly linked to suicidality, with major depression accounting for 28% of population attributable risk for attempts.

Conclusions:

  • Despite variations across countries, risk factors for suicidality are consistent throughout Europe.
  • Prevention programs should prioritize early diagnosis and treatment of major depression and alcohol abuse.
  • Focusing on individuals with recent suicidal ideation is essential for intervention efforts.