13 Perspective: Suicide in Europe
Corresponding Author
Armin Schmidtke PhD
Armin Schmidtke is with the University of Würzburg.
Psychiatrische Klinik, Klin Psychologie, Fuchsleit Str. 15, 97080 Würzburg, Germany.Search for more papers by this authorCorresponding Author
Armin Schmidtke PhD
Armin Schmidtke is with the University of Würzburg.
Psychiatrische Klinik, Klin Psychologie, Fuchsleit Str. 15, 97080 Würzburg, Germany.Search for more papers by this authorAbstract
In many European countries, suicidal behavior constitutes a major public and mental health problem. In most countries, the number of suicides is significantly higher than the number of deaths due to traffic accidents. According to official figures, the suicide rates among European countries differ widely; for example, Hungary has the highest rates. Suicide attempt rates, based on data from the WHO/Euro Multicentre project on Parasuicide, equally show variation; for example, the highest average rate of suicide attempts is for Helsinki, Finland. This paper outlines the epidemiological findings and then presents some hypotheses (e.g., age, ethnic difference) to explain the differences.
REFERENCES
- Andriolo, K. R. (1984). Selbstmord als Krise der Gemeinschaft — Zur gesellschaftlichen Bewertung der Selbsttötung im transkulturellen Vergleich. Psychosozial, 23, 56–67.
- Belau, D. (1991). Interpretation der Selbsttötung auf dem Hintergrund der DDR-Kultur. Suizidprophylaxe, 18, 271–285.
- Beratis, S. (1990). Factors associated with adolescent suicidal attempts in Greece. Psychopathology, 23, 161–168.
- Beratis, S. (1991). Suicide attempts and suicides in Greek adolescents. In D. Papadatou & C. Papadatos, (Eds.), Children and death (pp. 77–84). (Series in Death Education, Aging, and Health Care). New York: Hemisphere.
- Bille-Brahe, U., Kerkhof, A. DeLeo, D., et al. (1996). A repetition prediction study on European parasuicide populations. Part II of the WHO/EURO Multicentre Study on Parasuicide in cooperation with the EC concerted action on attempted suicide. Crisis, 17, 22–31.
- Bojanovsky, J. (1979). Leben Protestanten Länger? Medizin, Mensch, Gesellschaft, 4, 120–123.
- Bojanovsky, J. (1981). Religion und Lebenserwartung. Lebensversicherungsmedizin, 33, 141–142.
- Bron, B. (1989). Suizidalitat im Alter. Fortschritte der Medizin, 107, 266–270.
- Canetto, S. S., & Lester, D. (1995). Gender and the primary prevention of suicide mortality. Suicide and Life-Threatening Behavior, 25, 58–69.
- Connolly, J. F., & Cullen, A. U. (1995). Underreporting of suicide in an Irish county. Crisis, 16, 34–38.
-
DeLeo, D.,
Carollo, G.,
Dello Buono, M. Conforti, D., &
Mastinu, A. (1995). Epidemiology of suicide in the elderly population of Italy: 1958–1988.
Archives of Suicide Research, I, 3–17.
10.1080/13811119508258970 Google Scholar
- Diekstra, R. F. W. (1993). Assisted suicide and euthanasia: Experiences from The Netherlands. Annals of Medicine, 25, 5–9.
- Diekstra, R. F. W. (1996). The epidemiology of suicide and parasuicide. Archives of Suicide Research, 2, 1–29.
- Diekstra, R. F. W., & Garnefski, N. (1995). On the nature, magnitude, and causality of suicidal behaviors: An international perspective. Suicide and Life-Threatening Behavior, 25, 36–57.
- Draguns, J. G. (1994). Pathological and clinical aspects. In L. Loeb Adler & U. P. Gielen, (Eds.), Cross-cultural topics in psychology (pp. 165–177). Westport, CT: Praeger Publishers/Greenwood.
- Eskin, M. (1995a). Adolescents' attitudes toward suicide, and a suicidal peer: A comparison between Swedish and Turkish high school students. Scandinavian Journal of Psychology, 36, 201–207.
-
Eskin, M. (1995b). Suicidal behavior as related to social support and assertiveness among Swedish and Turkish high school students: A cross-cultural investigation.
Journal of Clinical Psychology, 51, 158–172.
10.1002/1097-4679(199503)51:2<158::AID-JCLP2270510204>3.0.CO;2-H CAS PubMed Web of Science® Google Scholar
- Gulbinat, W. (1996). The epidemiology of suicide in old age. Archives of Suicide Research, 2, 31–42.
- Hendin, H. (1995). Assisted suicide, euthanasia, and suicide prevention: The implications of the Dutch experience. Suicide and Life-Threatening Behavior, 25, 193–204.
- Irfani, S. (1978). Personality correlates of suicidal tendency among Iranian and Turkish students. Journal of Psychology, 99, 151–153.
- Kerkhof, A., & Nathawat, S. S. (1989). Suicidal behavior and attitudes towards suicide among students in India and the Netherlands: A cross-cultural comparison. In R. F. W. Diekstra, R. Maris, S. Platt, A. Schmidtke, & G. Sonneck, (Eds.), Suicide and its prevention: The role of attitude and imitation (pp. 144–159) (Advances in Suicidology, Vol. 1). Leiden: Brill.
- Leenaars, A. (1995). Suicide. In H. Wass & R. A. Neimeyer, (Eds.), Dying: Facing the facts ( 3rd ed.) (pp. 347–383) (Series in Death Education, Aging, and Health Care). Philadelphia: Taylor & Francis.
- Leenaars, A., Lester, D., Wenckstern, -S. Heim, N. (1994). Suizid-Abschiedsbriefe — Ein Vergleich deutscher und amerikanischer Abschiedsbriefe von Suizidenten. Suizidprophylaxe, 21, 99–101.
- Lester, D. (1972). Why people kill themselves. Springfield, IL: C. C. Thomas.
- Lester, D. (1982). The distribution of sex and age among completed suicides: A cross-national study. International Journal of Social Psychiatry, 28, 256–260.
- Lester, D. (1988). Youth suicide: A cross-cultural perspective. Adolescence, 23, 955–958.
- MacDonald, M. (1989). The medicalization of suicide in England: Laymen, physicians, and cultural change, 1500–1870. Milbank Quarterly, 67(Suppl. 1), 69–91.
- Milcinski, L., & Mrevlje, G. (1990). Epidemiologija samoubistva u Jugoslaviji-metodoloska pitanja. Medicinski Pregled 43, 453–456.
-
Moksony, F. (1995). The age pattern of suicide in Hungary.
Archives of Suicide Research, 1, 217–222.
10.1080/13811119508258984 Google Scholar
- Morselli, H. (1881). Der Selbstmord Leipzig: Brockhaus.
- Mösler, T. A., Pontzen, W., & Rummler, W. (1990). The relationship between suicidal acts and unemployment. In G. Ferrari, M. Bellini, & P. Crepet, (Eds.), Suicidal behavior and risk factors. Bologna: Monduzzi.
- Petronis, K. R., Samuels, J. F., Moscicki, E. K., & Anthony, J. C. (1990). An epidemiologic investigation of potential risk factors for suicide attempts. Social Psychiatry and Psychiatric Epidemiology, 25, 193–199.
- Platt, S. (1986). Parasuicide and unemployment. British Journal of Psychiatry, 149, 401–405.
- Platt, S. (1989). A subculture of parasuicide? In R. F. W. Diekstra, R. Maris, S. Platt, A. Schmidtke, & G. Sonneck, (Eds.), Suicide and its prevention: The role of attitude and imitation (pp. 108–143) (Advances in Suicidology, Vol. 1). Leiden: Brill.
- Platt, S. (1993). Is there a suicidal subculture? Crisis.
- Platt, S., Bille-Brahe, U., Kerkhof, A., Schmidtke, A., et al. (1992). Parasuicide in Europe: The WHO/EURO Multicentre Study on Parasuicide. I. Introduction and preliminary analysis for 1989. Acta Psychiatrica Scandinavica, 85, 97–104.
- Platt, S., & Kreitman, N. (1985). Is unemployment a cause of parasuicide? British Medical Journal, 290, 161.
- Retterstol, N. (1993). Suicide: A European perspective. Cambridge: The University Press.
- Robertson, A., & Cochrane, R. (1976). Attempted suicide and cultural change: An empirical investigation. Human Relations, 29, 863–883.
- Rossow, I. (1993). Suicide, alcohol, and divorce: Aspects of gender and family integration. Addiction, 88, 1659–1665.
- Rygnestad, T., & Hauge, L. (1991). Epidemiological, social and psychiatric aspects in self-poisoned patients. A prospective comparative study from Trondheim, Norway between 1978 and 1987. Social Psychiatry and Psychiatric Epidemiology, 26, 53–62.
- Sainsbury, P. (1983). Validity and reliability of trends in suicide statistics. Health Statistics Quarterly, 36, 339–348.
- Sainsbury, P., & Barraclough, B. M. (1968). Differences between suicide rates. Nature, 220, 1252.
- Schmidtke, A. (1989). WHO (Euro) Multicentre Study of Parasuicide. Working paper for the WHO Consultation on Strategies for Reducing Suicidal Behaviour in the European Region, Szeged, Hungary, ICP/PSF 024/18.
- Schmidtke, A. (1995). Suizid- und Suizidversuchsraten in Deutschland. In M. Wolfersdorf & W. Kaschka, (Hrsg.), Suizidalität — Die biologische Dimension (pp. 17–32). Heidelberg: Springer, 17–32.
- Schmidtke, A., Bille-Brahe, U., DeLeo, D., Kerkhof, A., Bjerke, T., Crepet, P., Haring, C., Hawton, K., Lönnqvist, J., Michel, K., Pommereau, X., Querejeta, I., Phillippe, I., Salander-Renberg, E., Temesváry, B., Wasserman, D., Weinacker, B., & Sampaio-Faria, J. (1995). Suicide and suicide attempt rates in Europe, 1989–1993. Paper presented at the XVIII International IASP Congress, Venice (Abstract Book: 31).
- Schmidtke, A., Bille-Brahe, U., DeLeo, D., Kerkhof, A., Bjerke, T., Crepet, P., Haring, C., Hawton, K., Lönnqvist, J., Michel, K., Pommereau, X., Querejeta, J., Phillippe, I., Salander-Renberg, E., Temesváry, B., Wasserman, D., Fricke, S., Weinacker, B., & Sampaio-Faria, J. (1996, in press). Attempted suicide in Europe: Rates, trends, and sociodemographic characteristics of suicide attempted, 1989–1992. Results of the WHO/EURO Multicentre Study on Parasuicide. Acta Psychiatrica Scandinavica.
- Schmidtke, A., Bille-Brahe, U., Kerkhof, A., DeLeo, D., Platt, S., Sampaio-Faria, J., Henderson, J., & Pototzky, W. (1993). The WHO/EURO Multicentre Project on Parasuicide — State of the art. Italian Journal of Suicidology, 3, 83–95.
- Schmidtke, A., Fricke, S., & Weinacker, B. (1994). The epidemiology of attempted suicide in the Würzburg area, Germany 1989–1992. In A. J. F. M. Kerkhof, A. Schmidtke, U. Bille-Brahe, D. DeLeo, & J. Lönnqvist, (Eds.), Attempted suicide in Europe (pp. 159–174). Leiden: DSWO Press.
- Schmidtke, A., Häfner, H., Möller, H. J., Wedler, H., & Böhme, K. (1988). Häufigkeiten und Trends von Suizidversuchen in der Bundesrepublik Deutschland: Eine methodische Studie. Offentliches Gesundheitswesen, 50, 272–277.
- Schmidtke, A., & Weinacker, B. (1991). Covariation of suicides and undetermined deaths among elderly persons: A methodological study. Crisis, 12, 44–58.
- Schmidtke, A., & Weinacker, B. (1993). Do the official suicide rates among older persons represent the true magnitude of the problem? In K. Böhme, R. Freytag, C. Wächtler, & H. Wedler, (Eds.), Suicidal behavior — The state of the art (pp. 113–117). Regensburg: Roderer.
- Snowdon, J. (1978). Suicide in Australia-A comparison with suicide in England and Wales. Australian and New Zealand Journal of Psychiatry, 13, 301–307.
- Snyder, M. L. (1994). Methods of suicide used by Irish and Japanese samples: A cross-cultural study from 1964 to 1979. Psychological Reports, 74, 127–130.
- Värnik, A., & Wassermann, D. (1992). Suicide in the former Soviet republics. Acta Psychiatrica Scandinavica, 86, 76–78.
- Wedel, H. (1992). Mortality data in the states around the Baltic. Paper presented at the Symposium Epidemiology Around the Baltic Sea, Stockholm, Royal Medical Society.
- Weiss, J. M., & Perry, M. E. (1975). Transcultural attitudes toward homocide and suicide. Suicide, 5, 223–227.
- WHO. (1982). Changing patterns of suicide behaviour. Copenhagen: WHO, Regional Office for Europe.
- WHO. (1995). World Health Statistics Annual 1994. Geneva: Author.
- WHO. (1992). Health-for-all targets. The health policy for Europe Summary of the updated edition, September 1991. Copenhagen: Author (EUR ICP/HSC 013).
- Winkler, W. F. (1960). Über den Wandel in Häufigkeit, Bedingungen und Beurteilung des Suicids in der Nachkriegszeit. Der Öffentliche Gesundheitsdienst, 22, 135–145.