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Suicide trends diverge by method: Swiss suicide rates 1969–2005

Published online by Cambridge University Press:  16 April 2020

U. Hepp ,
M. Ring ,
A. Frei ,
W. Rössler ,
U. Schnyder  and
V. Ajdacic-Gross
U. Hepp*
Affiliation:
Psychiatrische Dienste Aargau AG, Haselstrasse 1, 5401Baden, Switzerland
M. Ring
Affiliation:
Department of Clinical and Social Psychiatry, Psychiatric University Hospital, Zürich, Switzerland
A. Frei
Affiliation:
Luzerner Psychiatrie, Lucerne, Switzerland
W. Rössler
Affiliation:
Department of Clinical and Social Psychiatry, Psychiatric University Hospital, Zürich, Switzerland
U. Schnyder
Affiliation:
Department of Psychiatry, University Hospital, Zurich, Switzerland
V. Ajdacic-Gross
Affiliation:
Department of Clinical and Social Psychiatry, Psychiatric University Hospital, Zürich, Switzerland
*
*Corresponding author. Tel.: +41 56 461 92 00; fax: +41 56 461 92 10. E-mail address: [email protected] (U. Hepp).
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Abstract

We examined the change in Swiss suicide rates since 1969, breaking down the rates according to the method used. The descriptive analyses of the main suicide methods are presented. The suicide rates reached a peak in the late 1970s/early 1980s and declined in more recent years. Firearm suicides and suicides by falls were the exception and sustained their upwards trend until the 1990s. Suicide by vehicle exhaust asphyxiation showed a rapid decline following the introduction of catalytic converters in motor vehicles. No substantial method substitution was observed. Suicide by poisoning declined in the 1990s but rose again following an increase in assisted suicide in somatically incurable patients. Suicide is too often regarded as a homogeneous phenomenon. With regard to the method they choose, suicide victims are a heterogeneous population and it is evident that different suicide methods are chosen by different people. A better understanding of the varying patterns of change over time in the different suicide methods used may lead to differentiated preventive strategies.

Keywords

SuicidePreventionFirearmsAsphyxiaVehicle emissionsPoisoning
Type
Original article
Information
European Psychiatry , Volume 25 , Issue 3 , April 2010 , pp. 129 - 135
Copyright
Copyright © Elsevier Masson SAS 2009

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References

Ajdacic-Gross, V, Killias, M, Hepp, U, Gadola, E, Bopp, M, Lauber, Cet al.Changing times: a longitudinal analysis of international firearm suicide data. Am J Public Health 2006;96:1752–1755.CrossRefGoogle ScholarPubMed
Amos, T, Appleby, L, Kiernan, KChanges in rates of suicide by car exhaust asphyxiation in England and Wales. Psychol Med 2001;31:935–939.CrossRefGoogle ScholarPubMed
Arsenault-Lapierre, G, Kim, C, Turecki, GPsychiatric diagnoses in 3275 suicides: a meta-analysis. BMC Psychiatry 2004;4:37.CrossRefGoogle ScholarPubMed
Beautrais, AL, Fergusson, DM, Horwood, LJFirearms legislation and reductions in firearm-related suicide deaths in New Zealand. Aust N Z J Psychiatry 2006;40:253–259.CrossRefGoogle ScholarPubMed
Busch, KA, Fawcett, J, Jacobs, DGClinical correlates of inpatient suicide. J Clin Psychiatry 2003;64:14–19.CrossRefGoogle ScholarPubMed
Cantor, CHSuicide in the Western World. Hawton, K, van Heeringen, K. The international handbook of suicide and attempted suicide. Chichester New York Weinheim Brisbane Singapore Toronto: John Wiley & Sons, LTD; 2000. 9–28.CrossRefGoogle Scholar
Carlsten, A, Waern, M, Ekedahl, A, Ranstam, JAntidepressant medication and suicide in Sweden. Pharmacoepidemiol Drug Saf 2001;10:525–530.CrossRefGoogle ScholarPubMed
Conwell, Y, Duberstein, PR, Cox, C, Herrmann, JH, Forbes, NT, Caine, EDRelationships of age and axis I diagnoses in victims of completed suicide: a psychological autopsy study. Am J Psychiatry 1996;153:1001–1008.Google ScholarPubMed
Coombs, DW, Miller, HL, Alarcon, R, Herlihy, C, Lee, JM, Morrison, DPPresuicide attempt communications between parasuicides and consulted caregivers. Suicide Life Threat Behav 1992;22:289–302.Google ScholarPubMed
Dahlberg, LL, Ikeda, RM, Kresnow, MJGuns in the home and risk of a violent death in the home: findings from a national study. Am J Epidemiol 2004;160:929–936.CrossRefGoogle ScholarPubMed
Daigle, MSSuicide prevention through means restriction: assessing the risk of substitution. A critical review and synthesis. Accid Anal Prev 2005;37:625–632.CrossRefGoogle ScholarPubMed
de Moore, GM, Robertson, ARSuicide attempts by firearms and by leaping from heights: a comparative study of survivors. Am J Psychiatry 1999;156:1425–1431.Google ScholarPubMed
Frei, A, Han, A, Ajdacic-Gross, V, Dittmann, V, Weiss, MG. Differences in age, suicide methods and pathological-anatomical findings at autopsy between formerly psychiatrically treated and non- treated suicides. XXIV World Congress IASP – The International Association for Suicide Preventive. August 28–September 1, 2007 Killarney, Ireland.Google Scholar
Frei, A, Han, A, Weiss, MG, Dittmann, V, Ajdacic-Gross, VUse of army weapons and private firearms for suicide and homicide in the region of Basel, Switzerland. Crisis 2006;27:140–146.CrossRefGoogle ScholarPubMed
Grunebaum, MF, Ellis, SP, Li, S, Oquendo, MA, Mann, JJAntidepressants and suicide risk in the United States, 1985–1999. J Clin Psychiatry 2004;65:1456–1462.CrossRefGoogle ScholarPubMed
Guaiana, G, Andretta, M, Corbari, L, Mirandola, M, Sorio, A, D’Avanzo, Bet al.Antidepressant drug consumption and public health indicators in Italy, 1955 to 2000. J Clin Psychiatry 2005;66:750–755.CrossRefGoogle ScholarPubMed
Hall, WD, Mant, A, Mitchell, PB, Rendle, VA, Hickie, IB, McManus, PAssociation between antidepressant prescribing and suicide in Australia, 1991–2000: trend analysis. BMJ (Clinical research ed) 2003;326:1008.CrossRefGoogle ScholarPubMed
Harris, EC, Barraclough, BSuicide as an outcome for mental disorders. A meta-analysis. Br J Psychiatry 1997;170:205–228.CrossRefGoogle ScholarPubMed
Hegerl, U, Althaus, D, Schmidtke, A, Niklewski, GThe alliance against depression: 2-year evaluation of a community-based intervention to reduce suicidality. Psychol Med 2006;36:1225–1233.CrossRefGoogle ScholarPubMed
Helgason, T, Tomasson, H, Zoega, TAntidepressants and public health in Iceland. Time series analysis of national data. Br J Psychiatry 2004;184:157–162.CrossRefGoogle ScholarPubMed
Isacsson, GSuicide prevention–a medical breakthrough?. Acta Psychiatr Scand 2000;102:113–117.CrossRefGoogle ScholarPubMed
Isacsson, G, Bergman, U, Rich, CLEpidemiological data suggest antidepressants reduce suicide risk among depressives. J Affect Disord 1996;41:1–8.CrossRefGoogle ScholarPubMed
Isometsa, ET, Heikkinen, ME, Marttunen, MJ, Henriksson, MM, Aro, HM, Lonnqvist, JKThe last appointment before suicide: is suicide intent communicated?. Am J Psychiatry 1995;152:919–922.Google ScholarPubMed
Isometsa, E, Henriksson, M, Marttunen, M, Heikkinen, M, Aro, H, Kuoppasalmi, Ket al.Mental disorders in young and middle aged men who commit suicide. BMJ (Clinical research ed) 1995;310:1366–1367.CrossRefGoogle Scholar
Kapusta, ND, Etzersdorfer, E, Krall, C, Sonneck, GFirearm legislation reform in the European Union: impact on firearm availability, firearm suicide and homicide rates in Austria. Br J Psychiatry 2007;191:253–257.CrossRefGoogle ScholarPubMed
Kendell, RECatalytic converters and prevention of suicides. Lancet 1998;352:1525.CrossRefGoogle ScholarPubMed
Lester, DThe effect of the detoxification of domestic gas in Switzerland on the suicide rate. Acta Psychiatr Scand 1990;82:383–384.CrossRefGoogle ScholarPubMed
Levi, F, La Vecchia, C, Lucchini, F, Negri, E, Saxena, S, Maulik, PKet al.Trends in mortality from suicide, 1965–99. Acta Psychiatr Scand 2003;108:341–349.CrossRefGoogle ScholarPubMed
Lönnqvist, JKPsychiatric aspects of suicidal behaviour: Depression. Hawton, K, van Heeringen, K, The international handbook of suicide and attempted suicide. Chichester New York Weinheim Brisbane Singapore Toronto: John Wiley & Sons, LTD; 2000. 107–120.CrossRefGoogle Scholar
Ludwig, J, Marcotte, DEAnti-depressants, suicide, and drug regulation. J Policy Anal Manage 2005;24:249–272.CrossRefGoogle ScholarPubMed
Luoma, JB, Martin, CE, Pearson, JLContact with mental health and primary care providers before suicide: a review of the evidence. Am J Psychiatry 2002;159:909–916.CrossRefGoogle Scholar
Marusic, A, Tavcar, R, Dernovsek, M, Steblaj, TComparison of psychiatric inpatient suicides with suicides completed in the surrounding community. Nord J Psychiatry 2002;56:335–338.CrossRefGoogle ScholarPubMed
McClure, GMChanges in suicide in England and Wales, 1960–1997. Br J Psychiatry 2000;176:64–67.CrossRefGoogle ScholarPubMed
Michel, K, Valach, LSuicide prevention: spreading the gospel to general practitioners. Br J Psychiatry 1992;160:757–760.CrossRefGoogle ScholarPubMed
Miller, M, Azrael, D, Hepburn, L, Hemenway, D, Lippmann, SJThe association between changes in household firearm ownership and rates of suicide in the United States, 1981–2002. Inj Prev 2006;12:178–182.CrossRefGoogle ScholarPubMed
Miller, M, Hemenway, DGuns and suicide in the United States. N Engl J Med 2008;359:989–991.CrossRefGoogle ScholarPubMed
Nordentoft, M, Qin, P, Helweg-Larsen, K, Juel, KTime-trends in method-specific suicide rates compared with the availability of specific compounds. The Danish experience. Nord J Psychiatry 2006;60:97–106.CrossRefGoogle ScholarPubMed
Olfson, M, Marcus, SC, Druss, B, Elinson, L, Tanielian, T, Pincus, HANational trends in the outpatient treatment of depression. JAMA 2002;287:203–209.CrossRefGoogle ScholarPubMed
Olfson, M, Shaffer, D, Marcus, SC, Greenberg, TRelationship between antidepressant medication treatment and suicide in adolescents. Arch Gen Psychiatry 2003;60:978–982.CrossRefGoogle ScholarPubMed
Reisch, T, Michel, KSecuring a suicide hot spot: effects of a safety net at the Bern Muenster Terrace. Suicide Life Threat Behav 2005;35:460–467.CrossRefGoogle ScholarPubMed
Reseland, S, Le Noury, J, Aldred, G, Healy, DNational suicide rates 1961–2003: further analysis of nordic data for suicide, autopsies and ill-defined death rates. Psychother Psychosom 2008;77:78–82.CrossRefGoogle ScholarPubMed
Rihmer, ZCan better recognition and treatment of depression reduce suicide rates? A brief review. Eur Psychiatry 2001;16:406–409.CrossRefGoogle ScholarPubMed
Rihmer, Z, Barsi, J, Veg, K, Katona, CLSuicide rates in Hungary correlate negatively with reported rates of depression. J Affect Disord 1990;20:87–91.CrossRefGoogle ScholarPubMed
Routley, VH, Ozanne-Smith, JThe impact of catalytic converters on motor vehicle exhaust gas suicides. Med J Aust 1998;168:65–67.CrossRefGoogle ScholarPubMed
Rutz, WPreventing suicide and premature death by education and treatment. J Affect Disord 2001;62:123–129.CrossRefGoogle ScholarPubMed
Simon, OR, Swann, AC, Powell, KE, Potter, LB, Kresnow, MJ, O’Carroll, PWCharacteristics of impulsive suicide attempts and attempters. Suicide Life Threat Behav 2001;32(Suppl. 1):49–59.CrossRefGoogle ScholarPubMed
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