High and low suicidality in Europe: a fine-grained comparison of France and Spain within the ESEMeD surveys

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  • dc.contributor.author Kovess, Viviane
  • dc.contributor.author Boyd, Anders
  • dc.contributor.author Haro Abad, Josep Maria
  • dc.contributor.author Bruffaerts, Ronny
  • dc.contributor.author Vilagut Saiz, Gemma, 1975-
  • dc.contributor.author Lépine, Jean-Pierre
  • dc.contributor.author Gasquet, Isabelle
  • dc.contributor.author Alonso Caballero, Jordi
  • dc.date.accessioned 2019-02-18T12:00:52Z
  • dc.date.available 2019-02-18T12:00:52Z
  • dc.date.issued 2011
  • dc.description.abstract BACKGROUND: Suicidality risk-factors between countries with similar economic and religious background have been rarely compared, especially within genders. METHODS: Lifetime prevalence of suicide ideation, plans, and attempts in the ESEMeD surveys were stratified on four separate groups: French women, Spanish women, French men, and Spanish men. Outcome odds-ratios (OR) were modelled within each group using logistic regression including demographic characteristics, lifetime mood/anxiety disorders, parental bonding, marital status, and health service-use. RESULTS: Lifetime prevalence of suicide attempts was 3.4% in France (1.1% men, 5.4% women) and 1.5% in Spain (1.2% men, 1.7% women), with a significantly greater gender difference in France (p=0.001). Regarding risk-factors, French women reported suicide attempt more commonly with authoritarian mothers (OR=1.51; 95%CI=1.04-2.18), unlike Spanish women (OR=0.77; 95%CI=0.51-1.15) (p<0.001). Spanish men showed more than eight-times higher odds of suicide attempt with overprotecting mothers than French men (p=0.03). General practitioner-(GP)-use was significantly protective of suicide attempt among Spanish women (OR=0.08; 95%CI=0.02-0.35) with no effect in French women (OR=1.03; 95%CI=0.54-2.00) (p=0.01). No significant differences in the effect of marital status, any lifetime antidepressant use, mental disorders, or religiosity on suicide attempt were observed between France and Spain within gender-stratum. LIMITATIONS: Parental bonding is retrospective and potentially influenced by mental state. Response rate was considerably lower in France than in Spain. CONCLUSIONS: Suicidality risk-factors play different roles across genders between France and Spain. Parental bonding dimensions may be interpreted differently according to country, underlining cultural importance. As recommended by WHO, mental health decisions must involve GPs in conjunction with psychiatrists or psychologists.
  • dc.description.sponsorship This project was funded by the European Commission (Contract QLG5-1999-01042 and SANCO 2008/1308); the Piemont Region (Italy), Fondo de Investigacion Sanitaria, Instituto de Salud Carlos III, Spain (FIS 00/0028), Ministerio de Ciencia Y Tecnologia, Spain (SAF 2000-158-CE), Department de Sanitat, Generalitat de Catalunya, Spain. ESEMeD is carried out in conjunction with the World Health Organization World Mental Health (WMH) Survey initiative. These WMH activities were supported by the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the US Public Health Service (R13-MH066849, R01-MH069864, and R01 DA016558), the Fogarty International Center (FIRCA R01-TW006481)
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Kovess-Masfety V, Boyd A, Haro JM, Bruffaerts R, Villagut G, Lépine JP et al. High and low suicidality in Europe: a fine-grained comparison of France and Spain within the ESEMeD surveys. J Affect Disord. 2011 Sep;133(1-2):247-56. DOI: 10.1016/j.jad.2011.04.014
  • dc.identifier.doi http://dx.doi.org/10.1016/j.jad.2011.04.014
  • dc.identifier.issn 0165-0327
  • dc.identifier.uri http://hdl.handle.net/10230/36613
  • dc.language.iso eng
  • dc.publisher Elsevier
  • dc.relation.ispartof Journal of Affective Disorders. 2011 Sep;133(1-2):247-56
  • dc.rights © Elsevier http://dx.doi.org/10.1016/j.jad.2011.04.014
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.subject.other Suïcidi
  • dc.subject.other Malalties mentals
  • dc.title High and low suicidality in Europe: a fine-grained comparison of France and Spain within the ESEMeD surveys
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/acceptedVersion

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