A cross-national study on gender differences in suicide intent

Abstract Background 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 di...

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Main Authors: Aislinné Freeman, Roland Mergl, Elisabeth Kohls, András Székely, Ricardo Gusmao, Ella Arensman, Nicole Koburger, Ulrich Hegerl, Christine Rummel-Kluge
Format: Article
Language:English
Published: BMC 2017-06-01
Series:BMC Psychiatry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12888-017-1398-8
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author Aislinné Freeman
Roland Mergl
Elisabeth Kohls
András Székely
Ricardo Gusmao
Ella Arensman
Nicole Koburger
Ulrich Hegerl
Christine Rummel-Kluge
author_facet Aislinné Freeman
Roland Mergl
Elisabeth Kohls
András Székely
Ricardo Gusmao
Ella Arensman
Nicole Koburger
Ulrich Hegerl
Christine Rummel-Kluge
author_sort Aislinné Freeman
collection DOAJ
description Abstract Background 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 χ2-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.
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spelling doaj.art-ec65af7420d14314b2f604d6a25717062022-12-21T23:48:35ZengBMCBMC Psychiatry1471-244X2017-06-0117111110.1186/s12888-017-1398-8A cross-national study on gender differences in suicide intentAislinné Freeman0Roland Mergl1Elisabeth Kohls2András Székely3Ricardo Gusmao4Ella Arensman5Nicole Koburger6Ulrich Hegerl7Christine Rummel-Kluge8Klinik und Poliklinik für Psychiatrie und Psychotherapie der Universität LeipzigKlinik und Poliklinik für Psychiatrie und Psychotherapie der Universität LeipzigKlinik und Poliklinik für Psychiatrie und Psychotherapie der Universität LeipzigSemmelweis UniversityNew University of LisbonNational Suicide Research Foundation & Department of Epidemiology and Public Health, University College CorkKlinik und Poliklinik für Psychiatrie und Psychotherapie der Universität LeipzigKlinik und Poliklinik für Psychiatrie und Psychotherapie der Universität LeipzigKlinik und Poliklinik für Psychiatrie und Psychotherapie der Universität LeipzigAbstract Background 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 χ2-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.http://link.springer.com/article/10.1186/s12888-017-1398-8SuicideAttemptIntentGender differencesSuicidal behaviour
spellingShingle Aislinné Freeman
Roland Mergl
Elisabeth Kohls
András Székely
Ricardo Gusmao
Ella Arensman
Nicole Koburger
Ulrich Hegerl
Christine Rummel-Kluge
A cross-national study on gender differences in suicide intent
BMC Psychiatry
Suicide
Attempt
Intent
Gender differences
Suicidal behaviour
title A cross-national study on gender differences in suicide intent
title_full A cross-national study on gender differences in suicide intent
title_fullStr A cross-national study on gender differences in suicide intent
title_full_unstemmed A cross-national study on gender differences in suicide intent
title_short A cross-national study on gender differences in suicide intent
title_sort cross national study on gender differences in suicide intent
topic Suicide
Attempt
Intent
Gender differences
Suicidal behaviour
url http://link.springer.com/article/10.1186/s12888-017-1398-8
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