A psychological and social perspective on completed suicides in Western Anatolia, Turkey: a case-control psychological autopsy study

Oğuzhanoğlu, Nalan Kalkan; Uğurlu, Tuğçe Toker; Acar, Kemalettin; Ateşçi, Figen Çulha

doi:10.5350/dajpn2018310401

Cited by 7 publications

(4 citation statements)

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“…35 While it is stated in the studies that the reason for suicide is mostly unknown, it is not entered into details and is not included in the statistical analysis, while in the studies of Oğuzhanoğlu et al and Karataş et al it is stated that the relatives of the victims do not want to explain the real reason/reasons of suicide due to the effect of stigma and taboos. 36 , 37 In the study conducted by Demir in Bursa, it was reported that no data on the cause of suicide could be reached. 38 From this, it is understood that the attitudes and behaviors of the researchers, as well as the attitudes of the victims” relatives, may vary according to the geographical region and provinces where the study was conducted.…”

Section: Discussionmentioning

confidence: 99%

“…[17][18][19][20][21][22][23][24][25][26][27][28][29] while it is stated that there is no unknown cause, it is estimated that the reason for suicide is unknown in the study of Mete et al in the province of Bingöl of 99 cases (18% of all cases), 30 in the study of Şimşek et al in the province of Manisa of 615 cases (9%), 31 in the study of Goceoglu and Balci in Muğla province of 42 (24%), 32 Bork et al of 89 cases (24.4%) in Elazig province, 33 35 While it is stated in the studies that the reason for suicide is mostly unknown, it is not entered into details and is not included in the statistical analysis, while in the studies of Oğuzhanoğlu et al and Karataş et al it is stated that the relatives of the victims do not want to explain the real reason/reasons of suicide due to the effect of stigma and taboos. 36,37 In the study conducted by Demir in Bursa, it was reported that no data on the cause of suicide could be reached. 38 From this, it is understood that the attitudes and behaviors of the researchers, as well as the attitudes of the victims" relatives, may vary according to the geographical region and provinces where the study was conducted.…”

Section: Inquirymentioning

confidence: 99%

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Why are Suicides With Unknown Cause the Most Important Reason for Suicide? A Retrospective Study

Taktak

2023

INQUIRY

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This study will help in determining national suicide prevention strategies. Moreover, understanding the reasons for the lack of awareness about completed suicide will strengthen the measures to be taken in this regard. It was determined that the most important rate among the causes 48 419 completed suicide in Turkey in the years 2004 to 2019 was the 22 645 (46.76%) suicides of unknown cause and there was not enough information about the underlying causes. Suicide statistics data of the Turkish Statistical Institute (TUIK) between 2004 and 2019 were analyzed retrospectively in terms of geographical regions, gender, age groups and seasonality. Statistical analyses of the study were performed using the Statistical Package for Social Sciences for Windows (IBM SPSS version 25.0, Armonk, NY, USA) software. It was determined that the highest crude rate of suicide during 16 years was in the Eastern Anatolia region, the lowest rate was in the Marmara region, and the ratio of the number of female suicides with unknown cause to the number of male suicides was higher in Eastern Anatolia than in other regions, the rate of unknown crude suicide in both genders was highest in the under 15 age group, this rate decreased as the age progressed, the lowest rate was in women with unknown age, the effect of the season was observed in women with unknown cause, but not in men. Between 2004 and 2019, suicides with unknown cause were the most important reason for suicide. We think that there may be geographical, gender, age, seasonal, sociocultural and economic factors that may affect this, national suicide prevention and planning strategies will be insufficient unless this issue is adequately examined, and institutional structures should be established, including psychiatrists, where deep forensic investigations can be carried out.

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Section: Discussionmentioning

confidence: 99%

Section: Inquirymentioning

confidence: 99%

Why are Suicides With Unknown Cause the Most Important Reason for Suicide? A Retrospective Study

Taktak

2023

INQUIRY

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“…In addition, the optimised psychological autopsy method utilizes two comparison groups (matched GP controls and high-risk self-harm cases). It hereby goes beyond the scope of controlled psychological autopsy studies in suicide research with comparison of two groups only [16, 17, 25, 66, 67] and allows examination of the specific factors associated with a fatal act in comparison to non-fatal but severe self-harm acts. One exception with the use of three groups is the case-control study by Nock et al [15], conducted with an army population.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial, psychiatric and work-related risk factors associated with suicide in Ireland: optimised methodological approach of a case-control psychological autopsy study

Arensman

Larkin

McCarthy³

et al. 2019

BMC Psychiatry

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Background: Suicide has profound effects on families and communities, but is a statistically rare event. Psychological autopsies using a case-control design allow researchers to examine risk factors for suicide, using a variety of sources to detail the psychological and social characteristics of decedents and to compare them to controls. The Suicide Support and Information System Case Control study (SSIS-ACE) aimed to compare psychosocial, psychiatric and work-related risk factors across three groups of subjects: suicide decedents, patients presenting to hospital with a high-risk self-harm episode, and general practice controls. Methods: The study design includes two inter-related studies; one main case-control study: comparing suicide cases to general practice (GP) controls, and one comparative study: comparing suicide cases to patients presenting with high-risk self-harm. Consecutive cases of suicide and probable suicide are identified through coroners' registration of deaths in the defined region (Cork City and County, Ireland) and are frequency-matched for age group and gender with GP patient controls recruited from the same GP practice as the deceased. Data sources for suicide cases include coroners' records, interviews with health care professionals and proxy informants; data sources for GP controls and for high-risk self-harm controls include interviews with control, with proxy informants and with health care professionals. Interviews are semi-structured and consist of quantitative and qualitative parts. The quantitative parts include a range of validated questionnaires addressing psychiatric, psychosocial and occupational factors. The study adopts several methodological innovations, including accessing multiple data sources for suicide cases and controls simultaneously, recruiting proxy informants to examine consistency across sources.(Continued on next page)

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“…28 Although structured interviews were conducted in all the studies, the interviewer was not blinded to case-control status and hence ascertainment bias was observed in all studies with a control group. 27,[29][30][31][32][33] One study used different assessment methods for cases and controls (telephonic interview for all controls vs a mixture of face-to-face and telephonic interview for cases). 32 Overall, two studies were rated as high-quality and 29,30 four as moderate-quality 27,31,32,34 ; two others could not be assessed on six of the eight items due to the lack of a control group, and hence, the overall quality cannot be commented upon.…”

Section: Quality Assessmentmentioning

confidence: 99%

Psychological autopsy study and risk factors for suicide in Muslim countries

Arafat¹,

Khan

Menon

et al. 2021

Health Science Reports

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Background Suicide and risk factors have been poorly studied in the Muslim‐majority countries that hinder the formulation of prevention strategies and affect suicide prevention eventually. Objectives We aimed at identifying and analyzing the psychological autopsy studies assessing the risk factors for suicide conducted in Muslim‐majority countries. Methods We did a search to trace all the available psychological autopsy studies in the Muslim countries with the search term “psychological autopsy study in Muslim countries.” We also checked the available bibliographies to identify the psychological autopsy studies in the Muslim countries so that all the possible studies could be included. Results Out of the Muslim countries, only eight psychological autopsy studies were identified in five countries (Bangladesh [1], Indonesia [1], Iran [1], Pakistan [2], and Turkey [3]). Six studies adopted a case‐control study design, and all were carried out in urban settings. The prevalence of psychiatric disorders among case‐control studies varied from 52.8% in Turkey to 96% in Pakistan. Psychiatric illness, self‐harm, and stressful life events were the commonly replicated risk factors for suicide across studies. Conclusions Psychological autopsy studies have been conducted only in five Muslim countries revealing that the risk factor for suicide is certainly under‐researched in the incumbent countries. This review identified a similar list of risk factors for suicide, namely, psychiatric disorder, past non‐fatal attempts, and adverse life events compared to the Western countries even though the rate varies.

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A psychological and social perspective on completed suicides in Western Anatolia, Turkey: a case-control psychological autopsy study

Cited by 7 publications

References 0 publications

Why are Suicides With Unknown Cause the Most Important Reason for Suicide? A Retrospective Study

Why are Suicides With Unknown Cause the Most Important Reason for Suicide? A Retrospective Study

Psychosocial, psychiatric and work-related risk factors associated with suicide in Ireland: optimised methodological approach of a case-control psychological autopsy study

Psychological autopsy study and risk factors for suicide in Muslim countries

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