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[Trends in suicidal behaviour in Dutch general practice, 1983-2013].

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    Male suicide rates increased significantly after 2008, while female suicidal behavior declined. Early recognition of suicidal ideation in primary care is crucial for prevention efforts.

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    Area of Science:

    • Public Health
    • Epidemiology
    • Mental Health Research

    Background:

    • Suicidal behavior trends and influencing factors require ongoing investigation.
    • Understanding temporal patterns in suicidal behavior is essential for public health interventions.
    • The impact of socioeconomic events, like the 2008 financial crisis, on mental health warrants examination.

    Purpose of the Study:

    • To analyze trends in suicidal behavior reported by Dutch general practices between 1983 and 2013.
    • To investigate the relationship between suicidal behavior, patient characteristics, and the 2008 financial crisis.
    • To identify changes in suicidal behavior patterns before and after the 2008 financial crisis.

    Main Methods:

    • A retrospective observational study utilizing data from 40 Dutch general practices.
    • Analysis of age-adjusted and gender-specific trends in suicides and attempted suicides (ICPC code P77) from 1983-2013.
    • Examination of patient characteristics and prior GP contact in relation to suicidal behavior, with separate analyses for 1983-2007 and 2008-2013.

    Main Results:

    • A significant rise in male suicides was observed from 2008 onwards, and male suicide attempts increased since 2009.
    • Female suicidal behavior, including suicide and attempts, showed a consistent decrease from 1989 to 2013.
    • Nearly half of patients exhibiting suicidal behavior had visited their GP within a month prior, with GPs recognizing suicidal behavior in 31% of these cases.

    Conclusions:

    • Post-2008, a notable increase in male suicide rates contrasted with a continued decline in female suicidal behavior.
    • Enhanced training for general practitioners in recognizing early signs of suicidal ideation, particularly in depressive patients, could significantly improve suicide prevention strategies in primary care settings.