Suicide Attempts: Results and Experiences from the German Competency Network on Depression

Lehfeld, Hartmut; Althaus, David; Hegerl, Ulrich; Ziervogel, Anja; Niklewski, Günter

doi:10.1159/000079766

Cited by 21 publications

(4 citation statements)

References 5 publications

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“…76 Related to suicide specifically, assessing changes in rates is difficult given the relative rarity of these events and the large population size needed to see an effect. Two campaigns that did assess actual suicide rates over time found no significant reductions 78,79 ; however, the latter did report a significant change in number of suicide attempts.…”

Section: Prevention Strategiesmentioning

confidence: 93%

Suicide Prevention

Stone

Crosby

2014

American Journal of Lifestyle Medicine

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Suicide is a public health problem affecting people across the lifespan. It is currently the 10th leading cause of death, with rates having remained relatively flat for the past century. This article summarizes the problem of suicide and suicidal behavior along with suicide prevention efforts in the United States. Part 1 provides an overview of the epidemiology of suicide, including groups most at risk of suicide and suicidal behavior. Part 2 provides a review of common risk factors, organized by developmental life stage. A brief discussion of the lesser well-researched area of protective factors follows. Part 3 provides an overview of suicide prevention today, including the major types of prevention strategies, their successes, including means restriction, quality improvement in behavioral services, and comprehensive programs; and limitations to date, such as a lack of evidence for impact on actual deaths or behavior, small sample sizes, and low base rates. Finally, part 4 discusses challenges and future directions with an eye toward the great many opportunities that exist for prevention.

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Section: Prevention Strategiesmentioning

confidence: 93%

Suicide Prevention

Stone

Crosby

2014

American Journal of Lifestyle Medicine

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“…variations of self-poisoning) were merged into a category 'soft methods', whereas the remaining codes X70-X82 (e.g. self-harm by sharp object, hanging, firearm discharge, jumping) were considered to be 'hard methods' [41,42]. Psychiatric illnesses were diagnosed according to ICD-10 and documented up to the second decimal place [38].…”

Section: Statisticsmentioning

confidence: 99%

Suicide attempts in the county of Basel: results from the WHO/EURO Multicentre Study on Suicidal Behaviour

Muheim¹,

Eichhorn²,

Pascal³

et al. 2013

Swiss Med Wkly

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This study offers the first published representative data of an entire Swiss county. Established sociodemographic and clinical risk factors for suicide attempts were reproduced. The identification of risk factors contributes to developing local targeted prevention strategies, for example education of risk groups and caregivers, and pharmacolegal consequences for package sizes. Gender- and age-specific prevention and aftercare programmes are indicated.

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“…In Germany, prevention projects have been implemented for adults, such as the Nuremberg Alliance against Depression [6-8] or the Freiburg Alliance against Depression (http://www.freiburger-buendnis-gegen-depression.de; [9]). There is also a National Suicide Prevention Program (“NaSPro”) in collaboration with the German Ministry for Health, the European Network on Suicide Prevention, and the WHO [10].…”

Section: Introductionmentioning

confidence: 99%

Is parenting style a predictor of suicide attempts in a representative sample of adolescents?

et al. 2014

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BackgroundSuicidal ideation and suicide attempts are serious but not rare conditions in adolescents. However, there are several research and practical suicide-prevention initiatives that discuss the possibility of preventing serious self-harm. Profound knowledge about risk and protective factors is therefore necessary. The aim of this study is a) to clarify the role of parenting behavior and parenting styles in adolescents’ suicide attempts and b) to identify other statistically significant and clinically relevant risk and protective factors for suicide attempts in a representative sample of German adolescents.MethodsIn the years 2007/2008, a representative written survey of N = 44,610 students in the 9th grade of different school types in Germany was conducted. In this survey, the lifetime prevalence of suicide attempts was investigated as well as potential predictors including parenting behavior. A three-step statistical analysis was carried out: I) As basic model, the association between parenting and suicide attempts was explored via binary logistic regression controlled for age and sex. II) The predictive values of 13 additional potential risk/protective factors were analyzed with single binary logistic regression analyses for each predictor alone. Non-significant predictors were excluded in Step III. III) In a multivariate binary logistic regression analysis, all significant predictor variables from Step II and the parenting styles were included after testing for multicollinearity.ResultsThree parental variables showed a relevant association with suicide attempts in adolescents – (all protective): mother’s warmth and father’s warmth in childhood and mother’s control in adolescence (Step I). In the full model (Step III), Authoritative parenting (protective: OR: .79) and Rejecting-Neglecting parenting (risk: OR: 1.63) were identified as significant predictors (p < .001) for suicidal attempts. Seven further variables were interpreted to be statistically significant and clinically relevant: ADHD, female sex, smoking, Binge Drinking, absenteeism/truancy, migration background, and parental separation events.ConclusionsParenting style does matter. While children of Authoritative parents profit, children of Rejecting-Neglecting parents are put at risk – as we were able to show for suicide attempts in adolescence. Some of the identified risk factors contribute new knowledge and potential areas of intervention for special groups such as migrants or children diagnosed with ADHD.

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Suicide Attempts: Results and Experiences from the German Competency Network on Depression

Cited by 21 publications

References 5 publications

Suicide Prevention

Suicide Prevention

Suicide attempts in the county of Basel: results from the WHO/EURO Multicentre Study on Suicidal Behaviour

Is parenting style a predictor of suicide attempts in a representative sample of adolescents?

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