Recent Life Events and Suicide : A Case Control Study in Tallinn and Frankfurt  

Oleh:

Kolves, Kairi ; Varnik, Airi ; Schneider, Barbara ; Fritze, Jurgen ; Allik, Juri

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 11 (Jun. 2006), page 2887-2896.
Topik: suicide; suicide; life events; values; estonia; germany; gender

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.4 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

The purpose of this study was to anayze the differences if the disposition and frequency of recent life events preceding suicide in two cities with differenct socio political backgrounds. Tallinn in estonia and frankfurt / main in germany. The information about 156 suicidents in talinnn and 163 suicidents in frankfurt was compiled using the psychological autopsy technique [shneidman, E.S. (1981). The psychologica autopsy. Suicide and life threatening behavior, 11, 325-340, acobs D & Klain Benheim M. (1995). The psychological autopsy: A useful tool for determining proximate causation in suicide cases bulletin of american academy of psychiatry law, 23 (2), 165 - 182]. General population controls were matched by age and sex. The occurence of recent life events was similar among suicidents in talin (81%) and frankfurt (77%). However in both sites only male suicides had higher risk of occurence of any life even than controls (Tallinn : OR' = 1,9 : 95%, CI = 1.1 - 3.7, Frankfurt : OR' = 2.0;95% CI = 1.0-4.1) and the mean number of life events was significantly higher among male suicidents in talinn in comparison with controls. This may indicate that males are more sensitive to the rapid changes in a society undergoing transition. It seems that it is not the number of life events, but rather their meaning and disposition that creates the risk of suicide. Family discord (weighted OR = 4.5 ; 95% CI = 2.5-8.1), loss of job (weighted OR = 2.6 : 95% CU = 1.0-6.4) and financial deterioration (weighted OR = 2.2 : 95% CI = 1.3 - 3.8) were more prevalent among suicides in tallin in comparison with those in frankfurt. The most significant differences between suicides and controls were family discord, separation and loss of the job in tallin and loss of job in tallin and somatic illnes in frankfurt. These differences between the two societies, post soviet estonia and germany, could be explained by the different postions of estonia and germany on the survival / self expression dimensions recorded by the world value survey, people in estonia tend to emphasizr economic and physical securtiy above all other goals, and fell threatedned by the changes taking place in society. In Germany, good health is considered a necessity for a consumer and self expressive style of life and poor health is perceived as a serious threat to the quality of life in a post materialistic value system.

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