Gender differences in suicide in Serbia within the period 2016–2020
Suicide prevention in elderly persons
Abstract
Background/Aim. About one million suicide deaths occur worldwide annually, which indicates the importance of this problem. The aim of the study was to give an overview of the status of gender differences in suicides committed in Serbia from 2016 to 2020 and to highlight the most important trends over the past ten years. This investigation continues the previous one from the period 2011–2016. Methods. The same method was used as in previous investigations with data obtained from the Statistical Office of the Republic of Serbia, estimating gender differences for the total number of suicides, suicide rates, sociodemographic characteristics of suicidal victims, and methods of suicide. Results. Within the period 2016–2020, 4,752 suicides in Serbia were committed; among them, 75.1% were males (m) and 24.9% females (f) – m : f = 3 : 1. The annual suicide rate showed a constant decrease from 2016 to 2020, and in 2020, it was the lowest (13 per 100,000 inhabitants). Married men (43.4%) and widowed women (38.6%), retired, with secondary education most often committed suicide. About a quarter (24.5%) of suicide committers were older than 75, and 42.6% were older than 65 years. Hanging, strangulation, and suffocation were the most common suicide methods –64% (m) and 54.9% (f). Conclusion. In the last decade, the suicide rate continued to decrease in Serbia year by year. Within the period 2016–2020, the m/f ratio of suicide rate in the age differences varied from 2.4 in the oldest group (older than 75 years) to 9.1 in the group of adolescents. The Suicide Prevention Program in Serbia should be primarily targeted at two age groups at the highest risk of committing suicide, the old adult population and male adolescents. A comprehensive state prevention program should include education for general practitioners for early detection of high-risk individuals to provide them with psychiatric care, including support for suicide survivors.
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1. World Health Organization. (2019). Suicide: Kay Facts. [published on 2019September 2]. [accessed on 2021. January 22]. Available from: https://www.who.int/news-room/fact-sheets/detail/suicide>
2. Värnik P. Suicide in the World. Int J Environ Res Public Health 2012; 9(3): 760‒71.
3. Swain PK, Tripathy MR, Priyadarshini S, Acharya SK. Forecasting suicide rates in India: An empirical exposition. PLoS One 2021; 16(7): e0255342.
4. https://econtent.hogrefe.com/doi/pdf/10.1027/0227-5910/a000665"> style="mso-bidi-font-style: normal;">Pompili M, https://econtent.hogrefe.com/doi/pdf/10.1027/0227-5910/a000665"> style="mso-bidi-font-style: normal;">O'Connor RC, https://econtent.hogrefe.com/doi/pdf/10.1027/0227-5910/a000665"> style="mso-bidi-font-style: normal;">van Heeringen K. Suicide Prevention in the European Region. Crisis 2020; 41(Suppl 1): S8‒S20.
5. Bachman S. Epidemiology of Suicide and the Psychiatric Perspective. Int J Environ Res Public Health 2018; 15(7): 1425.
6. Conejero I, Lopez-Castroman J, Giner L, Baca-Garcia E. Sociodemographic antecedent validators of suicidal behavior: a review of recent literature. Curr Psychiatry Rep 2016; 18(10): 94
7. Baldessarini RJ. Epidemiology of suicide: recent developments. Epidemiol Psychiatr Sci 2019; 29: e71.
8. World Health Organization. Suicide in the world: Global Health Estimates. 2017. Available from: http://www.who.int
/>/mental_health/prevention/suicide/suicideprevent/en/. [accessed 2017 September 15].
9. Conwell Y, Thompson C. Suicidal behavior in elders. Psychiatr Clin North Am 2008; 31(2): 333–56.
10. Shah AK, Bhat R, MacKenzie S, Koen C. Elderly suicide rates: cross-national comparisons of trends over a 10-year period. Int Psychogeriatr 2008; 20(4): 673‒86.
11. Crestani C, Masotti V, Corradi N, Schirripa M, Cecchi R. Suicide in the elderly: a 37-years retrospective study. Acta Biomed 2019; 90(1): 68‒76.
12. Dedić G. Gender differences in suicide in Serbia within the period 2006-2010. Vojnosanit Pregl 2014; 71(3): 265–70.
13. Dedić G. Dedić S. Gender differences in suicide in Serbia within the period 2011-2015. Vojnosanit Pregl 2018; 75(12): 1165‒71.
14. Bonnewyn A, Shah A, Demyttenaere K. Suicidality and suicide in older people. Rev Clin Gerontol 2009; 19(4): 271–94.
15. Miron O, Kun-Hsing Yu, Wilf-Miron R, Kohane I. Suicide Rates Among Adolescents and Young Adults in the United States, 2000-2017. JAMA 2019; 321(23): 2362–4.
16. Ahmad FB, Anderson RN. The leading causes of death in the US for 2020. JAMA 2021; 325(18): 1829‒30.
17. Rogers JP, Chesney E, Oliver D, Pollak TA, McGuire P, Fusar-Poli P, et al. Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: a systematic review and meta-analysis with comparison to the COVID-19 pandemic. Lancet Psychiatry 2020; 7(7): 611‒27.
18. Niederkrotenthaler T, Gunnell D, Arensman E, Pirkis J, Appleby L, Hawton K, et al. Suicide research, prevention, and COVID-19. Crisis 2020; 41(5): 321‒30.
19. Pirkis J, John A, Shin S, Del Pozo-Banos M, Arya V, Analuisa-Aguilar P, et al. Suicide trends in the early months of the COVID-19 pandemic: an interrupted time-series analysis of preliminary data from 21 countries. Lancet Psychiatry 2021; 8(7): 579‒88.
20. McIntyre R, Yena Lee Y. Projected increases in suicide in Canada as a consequence of COVID-19. Psychiatry Res 2020; 290: 113104.
21. Devitt P. Can we expect an increased suicide rate due to Covid-19? Ir J Psychol Med 2020; 37(4): 264‒8.
22. Leske S, Kõlves K, Crompton D, Arensman E, de Leo D. Real-time suicide mortality data from police reports in Queensland, Australia, during the COVID-19 pandemic: an interrupted time-series analysis. Lancet Psychiatry 2021; 8(1): 58‒63.
23. Kopp-Bigault CM. Prevention of suicide of the elderly in France. To a multimodal strategy against depression and isolation: CQFDi. Encephale 2019; 45(Suppl 1): S35‒S37.
24. Kato R, Okada M. Can Financial Support Reduce Suicide Mortality Rates? Int J Environ Res Public Health 2019; 16(23): 4797.
25. Sinyor M, Tan LP, Schaffer A, Gallagher D, Shulman K. Suicide in the oldest old: an observational study and cluster analysis. Int J Geriatr Psychiatry 2016; 31(1): 33–40.
26. Richard-Devantoy S, Jollant F. Suicide in the elderly: age-related specificities? Sante Ment Que 2012; 37(2): 151‒73. (French)
27. Conejero I, Olié E, Courtet P, Calati R. Suicide in older adults: current perspectives. Clinical Interventions in Aging Dovepress open access to scientific and medical research. Clin Interv Aging 2018; 13: 691‒9.
28. Dombrovski AY, Szanto K, Reynolds CF 3rd. Epidemiology and risk factors for suicide in the elderly: 10-year update. Aging Health 2005; 1(1): 135‒45.
29. Shah A, Bhat R, Zarate-Escudero S, DeLeo D, Erlangsen A. Suicide rates in five-year age-bands after the age of 60 years: the international landscape. Aging Ment Health 2016; 20(2): 131–8.
30. Wasserman IM. The impact of epidemic, war, prohibition and media on suicide: United States, 1910–1920. Suicide Life Threat Behav 1992; 22(2): 240‒54.
31. Pompili M. Can we expect a rise in suicide rates after the Covid-19 pandemic outbreak? Eur Neuropsychopharmacol 2021; 52: 1‒2.