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Is the Association between Suicide and Unemployment Common or Different among the Post-Soviet Countries? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19127226. [PMID: 35742475 PMCID: PMC9222910 DOI: 10.3390/ijerph19127226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/16/2022] [Revised: 06/06/2022] [Accepted: 06/11/2022] [Indexed: 02/05/2023]
Abstract
The Union of Soviet Socialist Republics (USSR) collapsed in 1991 and separated into the 15 post-Soviet countries: Armenia, Azerbaijan, Belarus, Estonia, Georgia, Kazakhstan, Kyrgyzstan, Latvia, Lithuania, Moldova, Russia, Tajikistan, Turkmenistan, Ukraine, and Uzbekistan. The post-Soviet countries have faced many economic problems, including unemployment. The association between suicide and unemployment in post-Soviet countries has not been well studied. Here, we researched the annual suicide rate and the unemployment rate during the 28-year period from 1992 to 2019 in the 15 post-Soviet countries. We calculated the correlation coefficients between the suicide rate and the unemployment rate in each of the countries during this period, and we determined the association between the suicide rate and unemployment rate. Our major findings were that (1) the suicide rates among both males and females were significantly associated with the unemployment rate in nearly half of the 15 countries, and (2) for nearly 70% of the males in the entire set of 15 countries, there was an association between the suicide rate and the unemployment rate. Suicide-prevention researchers and organizations should be aware of our findings, and specific suicide-prevention measures based on these results are desirable.
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Fountoulakis KN, Fountoulakis NK. Climate rather than economic variables might have caused increase in US homicide but not suicide rates during the Great Depression. Psychiatry Res 2022; 309:114378. [PMID: 35051880 DOI: 10.1016/j.psychres.2021.114378] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2021] [Revised: 12/28/2021] [Accepted: 12/29/2021] [Indexed: 10/19/2022]
Abstract
BACKGROUND It is widely believed that during the Great Depression (1929-1933) there was a rise in suicidal rates which was causally related to the increase in unemployment. There are no studies on the effect the Great Depression had on homicidal rates METHODS: The data concerning suicide, homicide, economic and climatic variables for the years 1900-1940 for the whole of the US were gathered from the US Center for Disease Control, the Maddison Project, the National Bureau of Economic Research and the National Climatic Data Center. Time Series Analysis was performed. RESULTS The results are inconclusive on the role of economic factors but preclude any role of climate on suicidal rates during the years 1900-1940 in the US. Suicidal rates might have a 24-years periodicity, however much longer time series are needed to confirm this. On the contrary they strongly suggest an effect of higher temperatures on homicidal rates after 1922. CONCLUSIONS The results of the current study suggest a direct and clear effect of climate (higher temperatures) on the increasing homicidal rates in the US after 1922 but failed to establish a causal relationship between suicide rates and economic or climate variables. These should be considered together with increasing concerns on the possible effect of climate change on mental health.
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Inoue K, Seksenbayev N, Chaizhunusova N, Moldagaliyev T, Ospanova N, Tokesheva S, Zhunussov YT, Takeichi N, Noso Y, Hoshi M, Kawano N. An Exploration of the Labor, Financial, and Economic Factors Related to Suicide in the Republic of Kazakhstan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18136992. [PMID: 34208831 PMCID: PMC8297109 DOI: 10.3390/ijerph18136992] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Revised: 06/17/2021] [Accepted: 06/28/2021] [Indexed: 12/27/2022]
Abstract
The Republic of Kazakhstan has one of the world’s highest suicide rates. A detailed study of the risk factors for suicide in that country is therefore important. We investigated country-wide statistics related to labor, financial, and economic factors and whether any of these factors contribute to the risk of suicide in Kazakhstan. Using the 20 year period from 2000 to 2019, we examined the annual suicide rates overall (all citizens) and for males and females in Kazakhstan, annual unemployment rates, annual rates of increase in the country’s consumer price index, annual total exports, and annual total imports. We then calculated the correlations between the suicide rates and these four items. We also performed a multiple regression analysis of the relationship between the suicide rate and those four items. The results of these analyses indicated that the unemployment rate was the correlation coefficient most highly correlated with the suicide rate; unemployment was significantly related to suicide and should be targeted as a risk factor in suicide prevention interventions in Kazakhstan. With this in mind, organizations, government agencies, and professionals in relevant fields need to devise and implement suicide prevention measures.
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Affiliation(s)
- Ken Inoue
- Research and Education Faculty, Medical Sciences Cluster, Health Service Center, Kochi University, Kochi 780-8520, Japan
- The Center for Peace, Hiroshima University, Hiroshima 730-0053, Japan; (M.H.); (N.K.)
- Correspondence:
| | - Nursultan Seksenbayev
- Department of Psychiatry, Semey Medical University, Semey 071400, Kazakhstan; (N.S.); (T.M.); (N.O.)
| | - Nailya Chaizhunusova
- Department of Public Health, Semey Medical University, Semey 071400, Kazakhstan; (N.C.); (S.T.)
| | - Timur Moldagaliyev
- Department of Psychiatry, Semey Medical University, Semey 071400, Kazakhstan; (N.S.); (T.M.); (N.O.)
| | - Nargul Ospanova
- Department of Psychiatry, Semey Medical University, Semey 071400, Kazakhstan; (N.S.); (T.M.); (N.O.)
| | - Sholpan Tokesheva
- Department of Public Health, Semey Medical University, Semey 071400, Kazakhstan; (N.C.); (S.T.)
| | - Yersin T. Zhunussov
- Chairman of the Board-Rector, Semey Medical University, Semey 071400, Kazakhstan;
| | | | - Yoshihiro Noso
- Department of Health Services Management, Hiroshima International University, Hiroshima 739-2695, Japan;
| | - Masaharu Hoshi
- The Center for Peace, Hiroshima University, Hiroshima 730-0053, Japan; (M.H.); (N.K.)
| | - Noriyuki Kawano
- The Center for Peace, Hiroshima University, Hiroshima 730-0053, Japan; (M.H.); (N.K.)
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Inoue K, Apbassova M, Hoshi M, Takeichi N, Noso Y, Ohira Y, Shabdarbayeva D, Chaizhunusova N, Zhunussov YT, Fujihara J, Kimura-Kataoka K, Fujita Y, Takeshita H. The indicators associated with increasing suicide trends: Need for harmony in discussing suicide in legal medicine and other fields. Leg Med (Tokyo) 2021; 50:101820. [PMID: 33752083 DOI: 10.1016/j.legalmed.2020.101820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 11/12/2020] [Accepted: 11/19/2020] [Indexed: 11/19/2022]
Abstract
Each year in Japan from 1990 to 1997, approx. 21,000-24,000 individuals committed suicide. In 1998, the number of suicides increased to >30,000, and a trend of high suicide numbers then persisted for >10 years. Although Japan's annual number of suicides has recently been decreasing, it remains among the highest worldwide. Herein, we assessed the annual suicide data (numbers and rates) related to three economic and life indicators: (1) the difference between actual income and consumer spending of one average month per year in one household, (2) the annual difference between exports and imports, and (3) the annual total debt determined by statistical analyses for both sexes/males/females during the 40-year period from 1979 to 2018 in Japan. Our findings indicated that [1] total debt may be associated with both the number of suicides and the suicide rate for both sexes, for males, and for females, and [2] the difference between actual income and consumer spending may be associated with both the number of suicides and the suicide rate only in females. These findings revealed factors that are clearly suicide-related, and it is necessary to design suicide prevention strategies based on the factors. Relevant public and private entities should become aware of the involvement of both debt and the difference between income and spending in suicide trends as they plan suicide prevention measures. Further analyses of suicide data should be performed in a wide range of fields including legal medicine, toward a greater understanding of suicide risk factors.
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Affiliation(s)
- Ken Inoue
- Research and Education Faculty, Medical Sciences Cluster, Health Service Center, Kochi University, Kochi, Japan.
| | - Madina Apbassova
- Department of Anesthesiology and Reanimation, Semey Medical University, Semey, Kazakhstan
| | | | | | | | - Yoshiyuki Ohira
- Department of General Medicine, International University of Health and Welfare, School of Medicine, Chiba, Japan; Department of General Medicine, Chiba University Hospital, Chiba, Japan
| | | | | | | | - Junko Fujihara
- Department of Legal Medicine, Faculty of Medicine, Shimane University, Shimane, Japan
| | - Kaori Kimura-Kataoka
- Department of Legal Medicine, Faculty of Medicine, Shimane University, Shimane, Japan
| | | | - Haruo Takeshita
- Department of Legal Medicine, Faculty of Medicine, Shimane University, Shimane, Japan
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Fountoulakis KN. Suicides in Greece before and during the period of austerity by sex and age group: Relationship to unemployment and economic variables. J Affect Disord 2020; 260:174-182. [PMID: 31494368 DOI: 10.1016/j.jad.2019.09.001] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2019] [Revised: 07/04/2019] [Accepted: 09/01/2019] [Indexed: 12/25/2022]
Abstract
BACKGROUND There is disagreement on the specific mechanism through which the economic recession increased suicides in Greece. Unemployment is considered by many authors to be the determining factor but the data are inconclusive and often negative, especially concerning the temporal relationship between onset of increase in unemployment and increase in suicides AIMS: The aim of this paper was to clarify the specific role of unemployment as well as of other socioeconomic variables on specific age-by-gender groups concerning the increase in suicides. METHODS Data of the Hellenic Statistical Authority ELSTAT (www. STATISTICS gr) were analyzed with Linear Regression Analysis and Bonferroni correction for multiple testing RESULTS: Unemployment correlates with suicide rates only in males aged 20-24, 50-54 and 60-64 years (p < 0.001). Unemployment could held responsible for an additional 148 male deaths during the period 2009-2015, which accounts for 5.3% of the total (29 additional deaths per year). The changes in all the socioeconomic conditions could held responsible for 317 cases of suicide or 9.4% of total CONCLUSIONS: The results of the current study suggest that there was a 33% increase in deaths by suicide in Greece during the early years of recession (2009-2015); one third could be directly attributed to unemployment, one third to other consequences of recession while another third is of unknown origin. The effect of unemployment is specifically restricted to males at the beginning of their working career (20-24 years old) and to middle aged (45-49 and 55-59 years old).
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Affiliation(s)
- Konstantinos N Fountoulakis
- Professor of Psychiatry, 3rd Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki, 6, Odysseos str, 55535 Thessaloniki, Greece.
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Kaparounaki CK, Koraka CA, Kotsi ES, Ntziovara AMP, Kyriakidis GC, Fountoulakis KN. Greek university student's attitudes and beliefs concerning mental illness and its treatment. Int J Soc Psychiatry 2019; 65:515-526. [PMID: 31311387 DOI: 10.1177/0020764019864122] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
INTRODUCTION Stigma concerning mental disorder is a widespread phenomenon concerning the beliefs and attitudes of the public toward mental patients with a significant negative impact on state policy and the outcome of the patients. MATERIAL AND METHODS The study included 1,363 students of the Aristotle University of Thessaloniki. The survey was based on an Internet-based electronic platform. The statistical analysis included analysis of variance (ANOVA) and Yates corrected chi-square test. RESULTS Approximately, 87% of students responded that they know what mental disorder is, 70% were informed from the Internet, 30% consider mental patients responsible for their condition, more than 95% blame the way they were raised and almost 60% consider mental disorder to be heritable. Only a minority feel negatively with a mental patient around and close to 80% would socialize with them. More than 80% accept the need for psychiatric medication treatment but the opinion is split concerning compulsory treatment, and one-third consider medication to be harmful. DISCUSSION The results of this study suggest that most students believe they know much about mental illness; however, overall their responses are contradictory. They reply with confidence although they are informed mainly by the media and the Internet in an unreliable way. A number of factors including gender, specific school or personal experience of mental disorder in the family seem to influence the result. A combined educational plus contact might be necessary to reduce stigma, since education alone seems to exert a weak effect.
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Affiliation(s)
- Chrysi K Kaparounaki
- 1 Faculty of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Chrysoula A Koraka
- 1 Faculty of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Eleni S Kotsi
- 1 Faculty of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Anna-Maria P Ntziovara
- 1 Faculty of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Gerasimos C Kyriakidis
- 1 Faculty of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Konstantinos N Fountoulakis
- 2 3rd Department of Psychiatry, Faculty of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Ancestry and different rates of suicide and homicide in European countries: A study with population-level data. J Affect Disord 2018; 232:152-162. [PMID: 29494899 DOI: 10.1016/j.jad.2018.02.030] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2017] [Revised: 01/02/2018] [Accepted: 02/16/2018] [Indexed: 01/28/2023]
Abstract
INTRODUCTION There are large differences in suicide rates across Europe. The current study investigated the relationship of suicide and homicide rates in different countries of Europe with ancestry as it is defined with the haplotype frequencies of Y-DNA and mtDNA. MATERIAL AND METHODS The mortality data were retrieved from the WHO online database. The genetic data were retrieved from http://www.eupedia.com. The statistical analysis included Forward Stepwise Multiple Linear Regression analysis and Pearson Correlation Coefficient (R). RESULTS In males, N and R1a Y-DNA haplotypes were positively related to both homicidal and suicidal behaviors while I1 was negatively related. The Q was positively related to the homicidal rate. Overall, 60-75% of the observed variance was explained. L, J and X mtDNA haplogroups were negatively related with suicide in females alone, with 82-85% of the observed variance described. DISCUSSION The current study should not be considered as a study of genetic markers but rather a study of human ancestry. Its results could mean that research on suicidality has a strong biological but locally restricted component and could be limited by the study population; generalizability of the results at an international level might not be possible. Further research with patient-level data are needed to verify whether these haplotypes could serve as biological markers to identify persons at risk to commit suicide or homicide and whether biologically-determined ancestry could serve as an intermediate grouping method or even as an endophenotype in suicide research.
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Paraschakis A, Michopoulos I, Efstathiou V, Christodoulou C, Boyokas I, Douzenis A. A comparative analysis of suicides in Greece's main port city area of Piraeus before (2006–2010) and during (2011–2015) the country's severe economic crisis. J Forensic Leg Med 2018. [DOI: 10.1016/j.jflm.2018.02.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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