ArticleBMJ open2015
The impact of economic austerity and prosperity events on suicide in Greece: a 30-year interrupted time-series analysis.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 138 citations in OpenAlex.
- Health outcomes during the 2008 financial crisis in Europe: systematic literature review.BMJ (Clinical research ed.) · 2016Pooled it
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- Participatory Action Research for Tackling Distress and Burnout in Young Medical Researchers: Normative Beliefs before and during the Greek Financial Crisis.International journal of environmental research and public health · 2022Article
- The fear of COVID-19 and job insecurity impact on depression and anxiety: An empirical study in China in the COVID-19 pandemic aftermath.Current psychology (New Brunswick, N.J.) · 2022Article
- Relationships between Expenditure of Regional Governments and Suicide Mortalities Caused by Six Major Motives in Japan.International journal of environmental research and public health · 2021Article
- Help-seeking intentions in the U.S. population during the COVID-19 pandemic: Examining the role of COVID-19 financial hardship, suicide risk, and stigma.Psychiatry research · 2021Article
- Perceived Importance of Public Health Risks in Greece: A Nationwide Survey of the Adult Population.International journal of environmental research and public health · 2021Article
- Economic uncertainty and suicide in the United States.European journal of epidemiology · 2021Article
- Economic Distress in Families with a Member Suffering from Severe Mental Illness: Illness Burden or Financial Crisis? Evidence from Greece.Community mental health journal · 2021Article
- The Threat of COVID-19 and Job Insecurity Impact on Depression and Anxiety: An Empirical Study in the USA.Frontiers in psychology · 2021Article
- The ACE Index: mapping childhood adversity in England.Journal of public health (Oxford, England) · 2020Article
- Do Locus of Control, Self-esteem, Hope and Shame Mediate the Relationship Between Financial Hardship and Mental Health?Community mental health journal · 2020Article
- Government spending, recession, and suicide: evidence from Japan.BMC public health · 2020Article
- A Time-Series Analysis of Firearm Purchasing After Mass Shooting Events in the United States.JAMA network open · 2019Article
- 'Suicide rates in Crete, Greece during the economic crisis: the effect of age, gender, unemployment and mental health service provision'.BMC psychiatry · 2018Article
Corrections and comments
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Authors and funding
8 authors at 6 institutions in 3 countries.
Funding
Abstract
objectivesTo complete a 30-year interrupted time-series analysis of the impact of austerity-related and prosperity-related events on the occurrence of suicide across Greece.
settingGreece from 1 January 1983 to 31 December 2012.
participantsA total of 11 505 suicides, 9079 by men and 2426 by women, occurring in Greece over the study period. PRIMARY AND SECONDARY OUTCOMES: National data from the Hellenic Statistical Authority assembled as 360 monthly counts of: all suicides, male suicides, female suicides and all suicides plus potentially misclassified suicides.
resultsIn 30 years, the highest months of suicide in Greece occurred in 2012. The passage of new austerity measures in June 2011 marked the beginning of significant, abrupt and sustained increases in total suicides (+35.7%, p<0.001) and male suicides (+18.5%, p<0.01). Sensitivity analyses that figured in undercounting of suicides also found a significant, abrupt and sustained increase in June 2011 (+20.5%, p<0.001). Suicides by men in Greece also underwent a significant, abrupt and sustained increase in October 2008 when the Greek recession began (+13.1%, p<0.01), and an abrupt but temporary increase in April 2012 following a public suicide committed in response to austerity conditions (+29.7%, p<0.05). Suicides by women in Greece also underwent an abrupt and sustained increase in May 2011 following austerity-related events (+35.8%, p<0.05). One prosperity-related event, the January 2002 launch of the Euro in Greece, marked an abrupt but temporary decrease in male suicides (-27.1%, p<0.05).
conclusionsThis is the first multidecade, national analysis of suicide in Greece using monthly data. Select austerity-related events in Greece corresponded to statistically significant increases for suicides overall, as well as for suicides among men and women. The consideration of future austerity measures should give greater weight to the unintended mental health consequences that may follow and the public messaging of these policies and related events.
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