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Estudio epidemiológico del suicidio en la República de Croacia: comparación de los períodos de guerra y posguerra y las áreas afectadas directa e indirectamente por la contienda

Published online by Cambridge University Press:  12 May 2020

Mirjana Grubišić-lllić ,
Dragica Kozarić-Kovaćić ,
Frane Grubišić  and
Zrnka Kovačić
Mirjana Grubišić-lllić
Affiliation:
Departamento de Psicología Aplicada y Medicina Forense, Academia de Policía, Colegio de Policía, Zagreb, Croacia
Dragica Kozarić-Kovaćić
Affiliation:
Centro Nacional para Traumas Psicológicos, Departamento de Psiquiatría, Hospital Universitario Dubrava, Zagreb, Croacia
Frane Grubišić
Affiliation:
Hospital Universitario “Sestre Milosrdnice”, Zagreb, Croacia
Zrnka Kovačić
Affiliation:
Facultad de Medicina, Universidad de Split, Split, Croacia
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Resumen –

Examinamos las diferencias en las características del suicidio entre las áreas afectadas directa e indirectamente por las actividades bélicas y en los períodos de guerra y posguerra según las variables siguientes: tasa de suicidio, sexo, edad y método de suicidio. El análisis se realizó sobre 5.349 suicidios consumados en el período 1993-1998 (los años de la guerra y la posguerra). Las tasas de suicidio en la República de Croacia oscilaban en los períodos prebélico, de guerra y de posguerra (1985-2000), pero sin diferencias significativas. En las áreas afectadas directamente por la contienda, la tasa de suicidio fue significativamente más baja que en otras áreas durante el período de estudio de 1993-1998 (X2 = 10,3245; P = 0,0017). El número de suicidios en ambos sexos disminuyó en las áreas afectadas directamente por la guerra, y lo hizo más en los hombres que en las mujeres; la diferencia entre los sexos fue estadísticamente significativa (X2 = 3,6697; P = 0,055). Las personas de mediana edad y mayores eran la población con riesgo de suicidio alto en ambas áreas (t = 1,76; P = 0,078). Hubo diferencias significativas en los métodos de suicidio entre las áreas que eran de guerra y las que no (X2 = 108,8473; P = 0,001). Las armas de fuego o los ingenios explosivos fueron los métodos utilizados para el suicidio significativamente más en las áreas afectadas directamente por la guerra que en otras áreas, mientras que el ahorcamiento se utilizó con más frecuencia en las áreas afectadas indirectamente por la contienda.

Keywords

epidemiología del suicidiocausa de la muerteguerraepidemiología en Croacia
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 10 , Issue 1 , February 2003 , pp. 11 - 17
Copyright
Copyright © European Psychiatric Association 2003

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References

Bibliografía

Diekstra, RFW. The epidemiology of suicidé and parasuicide. Acta Psychiatr Scand Suppl 1993;371:9–20.CrossRefGoogle ScholarPubMed
Bille-Brahe, U. Suicide in relation to other causes of death in Denmark, 1922-1991. Nord J Psychiatr 1994;48:257–61.CrossRefGoogle Scholar
Satcher, D. Bringing the public health approach to the problem of suicide. Suicide Life Threath Behav 1998; 28(4):325–7.Google ScholarPubMed
Zinn, C. Australia: Has the highest rate of young suicides. (News). BMJ 1994(308)7.CrossRefGoogle Scholar
Yoshioka, N. Epidemiological study of suicide in Japan - is it possible to reduce committing suicide? Nippon Hoigaku Zasshi 1998;52:286–93.Google ScholarPubMed
Moscicki, EK. Identification of suicide risk factor using epidemiological studies. Psychiatr Clin North Am 1997; 20:499–517.CrossRefGoogle Scholar
Harris, EC, Barraclough, B. Suicide as an outcome for mental disorders: a meta-analysis. Br J Psychiatr 1997;170:205–28.CrossRefGoogle ScholarPubMed
Canetto, SS, Sakinofsky, I. The gender paradox in suicide. Suicide Life Threat Behav 1998;28:1–23.Google ScholarPubMed
Murphy, GE. Why women are less likely than men to commit suicide. Compr Psychiatr 1998;39:165–75.CrossRefGoogle Scholar
Mann, JJ. The neurobiology of suicide. Nat Med 1998; 4:25–30.CrossRefGoogle ScholarPubMed
Hagnell, O, Rorsman, B. Suicide in the Lundby study: a controlled prospective investigation of stressful life events. Neuropsychobiology 1980;6:319–32.CrossRefGoogle ScholarPubMed
Krug, KG, Kresnow, M, Peddicord, JP, Dahlberg, LL, Powell, KE, Crosby, AK, Annest, JL. Suicide after natural disasters. N Engl J Med 1988;338:373–8.CrossRefGoogle Scholar
Shioiri, T, Nishimura, A, Nushida, H, Tatsuno, Y, Tang, SW. The Kobe earthquake and reduced suicide rate in Japanese males. Arch Gen Psychiatr 1999;56(3):399–4O1.CrossRefGoogle ScholarPubMed
Lester, D, Yang, B. The influence of war on suicide rates. J Soc Psychol 1992;1:135–7.CrossRefGoogle Scholar
Lester, D. The effect of war on suicide rates: a study of France from 1826 to 1913. Eur Arch Psychiatr Clin Neurosci 1993; 242:248–9.CrossRefGoogle ScholarPubMed
Lester, D. Suicide rates before, during and after the world wars. Eur Psychiatr 1994;9:262–4.CrossRefGoogle Scholar
Somasundaram, DJ, Rajadurai, S. War and suicide in northern Sri Lanka. Acta Psychiatr Scand 1995;91:1–4.CrossRefGoogle ScholarPubMed
Gelder, M, Gath, D, Mayou, R. Oxford textbook of psychiatry. Oxford: Oxford University press; 1985. p. 398–421.Google Scholar
World Health Organisation. Changing patterns in suicide behaviour. EURO Reports and Studies 74. Copenhagen: WHO; 1982.Google Scholar
Levey, S. Suicide. In: Bluglass, R, Boweden, P, editors. Principies and practice of forensic psychiatry. Edinburgh: Churchill Livingstone; 1990. p. 597–610.Google Scholar
Barraclough, B. Differences between national suicide rates. Brit J Psychiatr 1973;122:95–6.CrossRefGoogle ScholarPubMed
Vranković, D, Splavski, B. Hećimović, I, et al.Self-inflected gunshot wounds to the head during the war and postwar period. Injury 1998;29:369–73.CrossRefGoogle Scholar
Kern, J, Ivankovic, D, Kujundžić, M, Dragan, D, Vuletić, S. Migratory dynamics due to the war in Croatia. Croatian Med J 1992;33(War Suppl 2):101–5.Google Scholar
Folnegović-Šmalc, V, Kozarić-Kovâcić, D, Marušić, A, Škrinjarić, Lj. Time course of psyčhological adaptation and development of psychological disturbances in refugees and displaced persons. In: Arcel, LT, editor. War violence, trauma and the coping process. Zagreb: Lumin; 1998. p. 79–85.Google Scholar
Kozarić-Kovačić, D, Folnegović-Šmalc, V, Marušić, A. Refugees with psychological disturbances and psychiatric hospitalization: when and why? In: Arcel, LT, editor. War violence, trauma and the coping process. Zagreb: Lumin; 1998. p. 101–6.Google Scholar
Sabor Republike Hrvatske. Zakon o pravima hrvatskih branitelja iz domovinskog rata i članova njihovih obitelji. Zagreb: Narodne novine; 1977.Google Scholar
Durkheim, E. Suicide, a study in sociology. In: Spaulding, JA, Simpson, G. editors. London: Routledge & Kegan Paul Ltd; 1952 (Written in 1898).Google Scholar
Definis Gojanović, M, Čapkun, V, Smoljanović, A. Influence of war on frequency and patterns of homicides and suicides in South Croatia (1991-1993). Croatian Med J 1997;38:54–8.Google Scholar
Skorupan, V, Petrovecki, V, Škavić, J. Suicide epidemiology before and during the war in Croatia. Croatian Med J 1997;38:59–63.Google Scholar
Bille-Brahe, U, Jensen, B, Jessen, G. Suicide among the Danish elderly: now and in years to come. Crisis 1994; 15:37–43.Google ScholarPubMed
Rich, CL, Young, JG, Fowler, RC, Wagner, J. Black, NA. Guns and suicide: possible effects of some specific legislation. AmJ Psychiatr 1990;147:342–6.Google ScholarPubMed
Solan, JH, Rivara, FP, Reay, DT, Ferris, JAJ, Path, MRC, Kellermann, AL. Firearms regulations and rates of suicide: a comparison of two metropolitan areas. N Engl J Med 1990;332:369–73.CrossRefGoogle Scholar
Pounder, DJ. Why are the British hanging themselves? Am J Forensic Med Pathol 1993;14:135–40.CrossRefGoogle ScholarPubMed
Lecomte, D, Hatton, F, Jougla, E, Le Toulecc, A. Le suicide á Paris et en Ile-de-France. Encephale 1995,21:41–9.Google Scholar