Fear of AIDS and suicide in Finland: a review

This review presents data on HIV epidemiology and suicide mortality, and summarizes studies on fear of AIDS in completed suicides in Finland. Finland has a low prevalence of HIV and a high suicide mortality. A 12-month nationwide suicide population, 1987-88 (n = 1397, all HIV negative) at the time of a sensational media campaign against HIV included 28 (2%) cases with fear of AIDS as a contributing factor. Triggers of fear could be classified in 20 cases: persistent symptoms in 10, casual sex contacts in eight, and a TV programme in two. The AIDS fear cases were younger, had more major depression and more health care contacts than the others. Suicidal fear and underlying depression were not being properly identified and treated. Despite recent improvement in media reporting, health education and identification of depression, clinical experience, help line calls and population surveys indicate that AIDS fear still persists in the population, but seems to be less often a contributing factor in committed suicides.