A cross-national study on gender differences in suicide intent

dc.contributor.authorFreeman, Aislinne
dc.contributor.authorMergl, Roland
dc.contributor.authorKohls, Elisabeth
dc.contributor.authorSzekely, Andras
dc.contributor.authorGusmão, Ricardo
dc.contributor.authorArensman, Ella
dc.contributor.authorKoburger, Nicole
dc.contributor.authorHegerl, Ulrich
dc.contributor.authorRummel-Kluge, Christine
dc.contributor.funderSeventh Framework Programme
dc.contributor.funderFP7 People: Marie-Curie Actions
dc.date.accessioned2017-09-26T11:39:20Z
dc.date.available2017-09-26T11:39:20Z
dc.date.issued2017
dc.description.abstractBackground: Suicide accounts for over 58,000 deaths in Europe per annum, where suicide attempts are estimated to be 20 times higher. Males have been found to have a disproportionately lower rate of suicide attempts and an excessively higher rate of suicides compared to females. The gender difference in suicide intent is postulated to contribute towards this gender imbalance. The aim of this study is to explore gender differences in suicide intent in a cross-national study of suicide attempts. The secondary aims are to investigate the gender differences in suicide attempt across age and country. Methods: Data on suicide attempts (acquired from the EU-funded OSPI-Europe project) was obtained from eight regions in Germany, Hungary, Ireland and Portugal. Suicide intent data was categorized into 'Non-habitual Deliberate Self-Harm' (DSH), 'Parasuicidal Pause' (SP), 'Parasuicidal Gesture' (SG), and 'Serious Suicide Attempt' (SSA), applying the Feuerlein scale. Gender differences in intent were explored for significance by using X-2-tests, odds ratios, and regression analyses. Results: Suicide intent data from 5212 participants was included in the analysis. A significant association between suicide intent and gender was found, where 'Serious Suicide Attempts' (SSA) were rated significantly more frequently in males than females (p < .001). There was a statistically significant gender difference in intent and age groups (p < .001) and between countries (p < .001). Furthermore, within the most utilised method, intentional drug overdose, 'Serious Suicide Attempt' (SSA) was rated significantly more often for males than females (p < .005). Conclusions: Considering the differences in suicidal intent between males and females highlighted by the current study, gender targeted prevention and intervention strategies would be recommended.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid234
dc.identifier.citationFreeman, A., Mergl, R., Kohls, E., Székely, A., Gusmao, R., Arensman, E., Koburger, N., Hegerl, U. and Rummel-Kluge, C. (2017) 'A cross-national study on gender differences in suicide intent', BMC Psychiatry, 17(1), 234 (11pp). doi: 10.1186/s12888-017-1398-8en
dc.identifier.doi10.1186/s12888-017-1398-8
dc.identifier.issn1471-244X
dc.identifier.journaltitleBMC Psychiatryen
dc.identifier.urihttps://hdl.handle.net/10468/4792
dc.identifier.volume17
dc.language.isoenen
dc.publisherBiomed Central Ltden
dc.relation.projectinfo:eu-repo/grantAgreement/EC/FP7::SP3::PEOPLE/316795/EU/Mental Health Training through Research Network in Europe/MARATONE
dc.relation.projectinfo:eu-repo/grantAgreement/EC/FP7::SP1::HEALTH/223138/EU/Optimizing suicide prevention programs and their implementation in Europe/OSPI-EUROPE
dc.relation.urihttps://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-017-1398-8
dc.rights© 2017, the Authors. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectSuicideen
dc.subjectAttempten
dc.subjectIntenten
dc.subjectGender differencesen
dc.subjectSuicidal behaviouren
dc.subjectEuropean allianceen
dc.subjectParasuicideen
dc.subjectDepressionen
dc.subjectBehavioren
dc.subjectDeathen
dc.subjectAssociationsen
dc.subjectHopelessnessen
dc.subjectAttemptersen
dc.subjectCountriesen
dc.subjectParadoxen
dc.titleA cross-national study on gender differences in suicide intenten
dc.typeArticle (peer-reviewed)en
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