Suicidal Attempts within the Set of Young Adult Parents of Children Observed in ELSPAC Study
Authors:
L. Kukla 1; D. Hrubá 2; M. Tyrlík 3
Authors‘ workplace:
Výzkumné pracoviště preventivní a sociální pediatrie LF MU, Brno
1; Ústav preventivního lékařství LF MU, Brno
2; IVDRM FSS MU, Brno
3
Published in:
Čas. Lék. čes. 2008; 147: 527-534
Category:
Original Article
Overview
Background.
Though effective medications for the treatment of mood disorders have been developed, panic anxiety, major depression and other psychiatric diseases, only small reduction in suicide rates has been achieved during last four decades. Further epidemiological, clinical and experimental studies are initiated to support both prevention and treatment of suicidal behaviour.
Methods and Results.
In ELSPAC study, the data of 3148 men and 3637 women – parents of children aged 3 years - were analysed with the aim to detect possible determinants of psychiatric disorders. These data included both information about the parents’ events and health after the child’s delivery and about parents’ history during their own childhood. According to their self-reported suicidal attempts during last 18 months, parents were divided into groups A (with positive history) and B (no attempt). Statistical significance was evaluated by the SPSS programme (Pearson’s chi-square test, linear-by-linear associations, ANOVA). 23 persons (0,3 %) overall self-reported the suicidal attempt during last 18 months: 18 men (0,6 %) and 5 women (0,1 %). Among them, 2 men and 4 women repeated the attempt. In the same cohort, the frequency of suicidal attempts dropped by 50 % among women and rose by 125 % among men compared to the previous observation. In the personal history, the information both about emotional and physical deprivation during childhood was more frequent among persons with suicidal attempts. On the other hand, partners’ characteristics as possible sources of daily stress situations were not different between groups. Men with suicidal attempts were significantly more often heavy smokers (smoking more that 20 cigarettes daily) and alcohol abusers. Surprisingly, the level of satisfaction with family life was significantly higher in both sex groups with suicidal attempts.
Conclusions.
Although majority of respondents in all groups reported their health status as good, more detailed questions showed significantly higher frequency of different psychiatric disorders and moods in the groups of persons with suicidal attempts: irritation, exhaustion among men, anxiety, depression, dejection among women. Also subjective evaluation of parents’ good health is not in correspondence with the relative high number of hospitalization (10 % men and 40 % women with suicidal attempts) and frequent using of psychoactive drugs.
The psychic health of ELSPAC parents will be assessed in further prospective measurements.
Key words:
suicidal attempts, stress events, life style, confidence, young adults, ELSPAC.
Sources
1. Mann, J. J.: The neurobiology of suicide. Nature Medicine, 1998, 4, s. 25–30.
2. Isometsa, E.: Mental disorders in young and middle aged men who commit suicide. BMJ, 1995, 310, s. 1366–1367.
3. Roy, A., Segal, N. L., Sarchiapone, M.: Attempted suicide among living co-twins of twin suicide victims. Am. J. Psychiatry, 1995, 152, s. 1075–1076.
4. Brodsky, B. S., Malone, K. M., Ellis, S. P. et al.: Bordeline personality disorder characteristics associated with suicidal behavior. Am. J. Psychiatry, 1997, 154, s. 155–158.
5. Muldoon, M. F.: Low and lowered cholesterol and risk of death from suicide and trauma. Metabolism, 1993, 42 (Suppl. 1), s. 45–56.
6. Brown, G. L., Goodwin, F. K., Brunney, W. E. jr.: Human aggression and suicide: Their relationship to neuropsychiatric diagnoses and serotonin metabolism. Adv. Biochem. Psychopharmacol., 1982, 34, s. 287–307.
7. Murphy, G. E.: Suicide and substance abuse. Arch. Gen. Psychiatry, 1988, 45, s. 593–594.
8. Rich, C., Young, D., Fowler, R.: San Diego Suicide Study. Arch. Gen. Psychiatry, 1986, 43, s. 577–586.
9. Roy, A., Linnoila, M.: Alcoholism and suicide. Suicide Life Threat. Behav., 1986, 16, s. 244–273.
10. Istavan, J., Matarazzo, J.: Tobacco, alcohol, and caffeine use: a review of their interrelationships. Psychol. Bull., 1984, 16, s. 151–170.
11. Miller, M., Hemenway, D., Rimm, E.: Cigarettes and suicide: A prospective study of 50.000 men. Am. J. Public Health, 2000, 90, s. 768–773.
12. Kawachi, I., Colditz, G. A., Ascherio, A. et al.: A prospective study of social network in relation to total mortality and cardiovascular disease in men in the USA. J. Epidemiol. Community Health, 1996, 50, s. 245–251.
13. Smith, J. C., Mercy, J. A., Conn, J. M.: Marital status and the risk of suicide. Am. J. Public Health, 1988, 78, s. 78–80.
14. Fanous, A. H., Prescott, C. A., Kendler, K. S.: The prediction of thoughts of death or self-harm in a population-based sample of female twins. Psych. Med., 2004, 34, s. 301–312.
15. Levi, F., Bulliard, J., La Vecchia, C.: Suicide risk among incident cases on cancer in the Swiss canton of Caud. Oncology, 1991, 48, s. 44–47.
16. Louhivuori, K., Hakama, M.: Risk of suicide among cancer patients. Am. J. Epidemiol., 1979, 109, s. 59–65.
17. Paffenbarger, R. S. jr., Lee, B. M., Leung, R.: Physical activity and personal characteristics associated with depression and suicide in American college men. Acta Psychiatr Scand. Suppl., 1994, 377, s. 16–22.
18. Kung, H. C., Pearson, J. L., Liu, X. H.: Risk factors for male and female suicide decedents ages 15-64 in the United States. Results from the 1993 National Mortality Followback Survey. Soc. Psychiatry and Psychiatric Epidemiology, 2003, 38, s. 419–426.
19. Taylor, R., Page, A., Morrelli, S. et al.: Socio-economic differentials in mental disorders and suicide attempts in Australia. Br. J. Psychiatry, 2004, 185, s. 486–493.
20. Mittendorfer-Rutz, E., Rasmussen, F., Wasserman, D.: Restricted fetal growth and adverse maternal psychosocial and socioeconomic conditions as risk factors for suicidal behaviour of offsprings: a cohort study. Lancet, 2004, 364 (9440), s. 1135–1140.
21. Glowinski, A. L., Jacob, T., Bucholz, K. K. et al.: Paternal alcohol dependence and offspring suicidal behaviors in a children-of-twins study. Drug Alcohol Dependence, 2004, 76 (Suppl.), s. S69–S77.
22. Liu, X. C.: Sleep and adolescent suicidal behavior. Sleep, 2004, 27, s. 1351–1358.
23. Ialongo, N. S., Koenig-McNaught, A. L., Wagner, B. M. et al.: African American children’s reports of depressed mood, hopelessness, and suicidal ideation and later suicide attempts. Suicide and Life-Threating Behavior, 2004, 34, s. 395–407.
24. Gunnell, D., Harbord, R., Singleton, N. et al.: Factors influencing the development and amelioration of suicidal thoughts in the general population – cohort study. Br. J. Psychiatry, 2004, 185, s. 385–393.
25. Courtet, P., Jollant, F., Casteinau, D. et al.: Implication of genes of the serotonergic system in vulnerability to suicidal behavior. J. Psychiatry Neuroscience, 2004, 29, s. 350–359.
26. Arango, V., Underwood, M. D., Mann, J. J.: Fewer pigmented locus coeruleus neurons in suicide victims: Preliminary results. Biol. Psychiatry, 1995, 39, s. 112–120.
27. Kaplan, J. R.: Demonstration of an association among dietary cholesterol, central serotonergic activity, and social behavior in monkeys. Psychosom. Med., 1994, 56, s. 479–484.
28. Hrubá, D., Kukla, L., Tyrlík, M.: Narušení psychického zdraví u kuřáků. Výsledky studie ELSPAC. Čes-slov. hygiena, 2004, 1, s. 8–13.
29. Kukla, L., Hrubá, D., Tyrlík, M.: Charakteristické rozdíly mezi kouřícími a nekouřícími těhotnými ženami – výsledky studie ELSPAC. Hygiena, 1999, 44, s. 67–77.
30. Rosenberg, M., Davidson, L., Smith, J. et al.: Operational criteria for the determination of suicide. J. Forensic Sci., 1988, 33, s. 1445–1456.
31. Farrell, M., Howes, S., Taylor, C. et al.: Substance misuse and psychiatric co-morbidity: an overview of the OPCS National Psychiatric Morbidity. Add. Behav., 1998, 23, s. 909–918.
32. Anda, R. F., Hibbert, D. F., Escobedo, L. G. et al.: Depression and the dynamics of smoking. JAMA, 1990, 264, s. 1541–1545.
33. Covey, L. S., Glassman, A. H., Stetner, F.: Cigarette smoking and major depression. J. Addict. Dis., 1998, 17, s. 35–46.
34. Niaura, R., Britt, D. M., Shadel, W. G. et al.: Symptoms of depression and survival experience among three samples of smokers trying to quit. Psychology od Addictive Behaviours, 2001, 15, s. 13–17.
35. Johnson, J. G., Cohen, P., Pine, D. S. et. al.: Association between cigarette smoking and anxiety disorders during adolescence and early adulthood. JAMA, 2000, 284, s. 2348–2351.
36. Ernst, M., Moolchan, E. T., Robinson, M. L.: Behavioral and neural consequences of prenatal exposure to nicotine. J. Am. Acad. Child Adolesc., 2001, 40, s. 630–641.
37. Davis, A., Schrueder, C.: The prediction of suicide. Med. J. Aust., 1990, 153, s. 552–554.
38. Gangat, A. E., Simpson, M. A., Naidoo, L. R.: Medication as a potential cause of depression. S. Afr. Med. J., 1986, 70, s. 224–226.
39. Kapur, S., Mieczkowski, T., Mahh, J. J.: Antidepressant medications and the relative risk of suicide attempt and suicide. J. Am. Med. Assoc., 1992, 268, s. 3441–3445.
40. Rutz, W., von Knorring, L., Wlinder, J.: Frequency of suicide in Gotland after systematic postgraduate education of general practitioners. Acta Psychiatr Scand., 1989, 80, s. 151–154.
41. Boyd, J. H.: The increasing rate of suicide by firearms. N. Engl. J. Med., 1983, 308, s. 872–874.
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