Observational studyBMJ open2016
Trends in suicidal behaviour in Dutch general practice 1983-2013: a retrospective observational study.
Observational study in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review.The American journal of psychiatry · 2021Pooled it
- Nudging General Practitioners to explore suicidal thoughts among depressed patients.BMC primary care · 2023Article
- A Qualitative Scoping Review of the Impacts of Economic Recessions on Mental Health: Implications for Practice and Policy.International journal of environmental research and public health · 2022Article
- The Impact of Economic Recessions on Depression, Anxiety, and Trauma-Related Disorders and Illness Outcomes-A Scoping Review.Behavioral sciences (Basel, Switzerland) · 2021Article
- Applying machine learning on health record data from general practitioners to predict suicidality.Internet interventions · 2020Article
- E-Learning to Improve Suicide Prevention Practice Skills Among Undergraduate Psychology Students: Randomized Controlled Trial.JMIR mental health · 2020Article
- Article
- Suicide Trends over Time by Occupation in Korea and Their Relationship to Economic Downturns.International journal of environmental research and public health · 2019Article
- Care of general practice patients preceding and following a suicide attempt: observational study in Flemish general practices.BMJ open · 2019Observational
- Discussing suicidality with depressed patients: an observational study in Dutch sentinel general practices.BMJ open · 2019Observational
- Natural environments and suicide mortality in the Netherlands: a cross-sectional, ecological study.The Lancet. Planetary health · 2018Article
- Springtime Peaks and Christmas Troughs: A National Longitudinal Population-Based Study into Suicide Incidence Time Trends in the Netherlands.Frontiers in psychiatry · 2018Article
- Improving Suicide Prevention in Dutch Regions by Creating Local Suicide Prevention Action Networks (SUPRANET): A Study Protocol.International journal of environmental research and public health · 2017Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo analyse trends in suicidal behaviour as reported by the Dutch sentinel general practices from 1983 to 2013. Second, to examine the relationship between suicidal behaviour and several patient characteristics. Finally, to compare the relationship between suicidal behaviour and patient characteristics before (1983-2007) and after (2008-2013) the start of the crisis.
setting40 general practices in the Netherlands during the period 1983-2013.
participantsPatients with an ICPC code of P77 (suicide attempt). PRIMARY AND SECONDARY OUTCOMES: Primary outcomes were age-adjusted and gender-specific trends in reported suicides (342) and suicide attempts (1614). Secondary outcomes were the relationship between suicidal behaviour and age, household composition, history of depression, recognition of suicide ideation, treatment before the suicidal behaviour and contact within the past month before suicidal behaviour for the period 1983-2013. Additionally, separate frequencies for the periods 1983-2007 and 2008-2013 were presented.
resultsJoin-point analyses revealed a significant rise in male suicides from 2008 (b=0.32, SE=0.1, p=0.008), and an increase in male suicide attempts since 2009 (b=0.19, SE=0.04, p<0.001). Female suicidal behaviour showed a steady decrease from 1989 to 2013(b=-0.03, SE=0.007, p<0.0001 for female suicide, b=-0.02, SE=0.002, p<0.001 for female attempts). Before 2007, a history of depression was reported in 65% (168/257) of the suicides. After the start of the recession, a depression was recognised in 44% (22/50) of the patients who died by suicide.
conclusionsSince 2008, there was a rise in the male suicide rate while female suicide behaviour has continued to decline. General practitioners less often reported a history of depression within patients who died due to suicide after 2007 than before. Training in the early recognition of suicide ideation in depressive patients might improve suicide prevention in primary care.
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