ArticleCroatian medical journal2013
Availability of mental health service providers and suicide rates in Slovenia: a nationwide ecological study.
Article in Croatian medical journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 39 citations in OpenAlex.
- Analysis of health infrastructure and suicide rates in Brazil: a nationwide ecological spatial-temporal study, 2009-2023.Lancet regional health. Americas · 2026Article
- Validation of a machine learning model for indirect screening of suicidal ideation in the general population.Scientific reports · 2025Article
- Gender Inequality and Crude Suicide Rates in Türkiye: A Nationwide Retrospective Ecological Study.Noro psikiyatri arsivi · 2025Article
- Association between mental health workforce supply and clusters of high and low rates of youth suicide: An Australian study using suicide mortality data from 2016 to 2020.The Australian and New Zealand journal of psychiatry · 2023Article
- Suicide versus homicide firearm injury patterns on trauma systems in a study of the National Trauma Data Bank (NTDB).Scientific reports · 2022Article
- Characteristics of Korean students advised to seek psychiatric treatment before death by suicide.Frontiers in psychiatry · 2022Article
- Association Between Hopelessness And Suicidal Ideation In Iranian Medical Students: A Cross-Sectional Study.Health psychology research · 2021Article
- Macro-level mental health system indicators and cross-national suicide rates.Global health action · 2021Article
- Epidemiology of Suicide and the Psychiatric Perspective.International journal of environmental research and public health · 2018Review
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Authors and funding
4 authors at 2 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
aimTo investigate the influence of socioeconomic factors, mental health service availability, and prevalence of mental disorders on regional differences in the suicide rate in Slovenia.
methodsThe effects of different socioeconomic factors, mental health service availability, and mental disorders factors on suicide rates from 2000-2009 were analyzed using a general linear mixed model (GLMM). Pearson correlations were used to explore the direction and magnitude of associations.
resultsAmong socioeconomic factors, unemployment rate ranked as the most powerful predictor of suicide and an increase of one unit in the unemployment rate increased regional suicide rate by 2.21 (β=2.21, 95% confidence intervals [CI]=1.87-2.54, P<0.001). On the other hand, higher marriage/divorce ratio was negatively related to the suicide rate and an increase of one unit in marriage/divorce ratio reduced regional suicide rate by 1.16 (β=-1.16, 95% CI=-2.20 to -0.13, P<0.031). The most influential mental health service availability parameter was higher psychiatrist availability (4 psychiatrists and more working at outpatient clinics per 100 000 inhabitants), which was negatively correlated with the suicide rate and reduced regional suicide rate by 2.95 (β=-2.95, 95% CI=-4.60 to -1.31, P=0.002). Another negatively correlated factor was the antidepressant/anxiolytic ratio higher than 0.5, which reduced the regional suicide rate by 2.32 (β=-2.32, 95% CI=-3.75 to -0.89, P=0.003). Among mental health disorders, only the prevalence of alcohol use disorders was significantly related to the regional suicide rates and an increase of one unit in the prevalence of alcohol use disorders per 1000 inhabitants increased the regional suicide rate by 0.02 (β=0.02, 95% CI=0.01- 0.03, P=0.008).
conclusionsBesides unemployment, which was a very strong predictor of suicide rates, unequal availability of mental health services and quality of depressive disorder treatment may contribute to variations in suicide rates in different regions.
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