Evidence map›Paper›PMID 30384835›Full record

ArticleBMC psychiatry2018

'Suicide rates in Crete, Greece during the economic crisis: the effect of age, gender, unemployment and mental health service provision'.

Maria Basta, Alexandros Vgontzas, Anastasia Kastanaki, Manolis Michalodimitrakis, Katerina Kanaki, Katerina Koutra, Maria Anastasaki, Panagiotis Simos

Abstract read
In one paragraph

Article in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Review
  2. Effect of the COVID-19 Pandemic on Suicide Mortality in Brazil: An Interrupted Time Series Analysis.International journal of environmental research and public health · 2025
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Mental Health Care Delivery for Older Adults in Rural Greece: Unmet Needs.Journal of neurosciences in rural practice · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Maria BastaDepartment of Psychiatry, University Hospital of Heraklion, Voutes,Heraklion, 71110, Crete, Greece.
Alexandros VgontzasDepartment of Psychiatry, University Hospital of Heraklion, Voutes,Heraklion, 71110, Crete, Greece. avgontzas@hmc.psu.edu.
Anastasia KastanakiDepartment of Forensic Science, School of Medicine, University of Crete, Voutes, Heraklion, 71003, Crete, Greece.
Manolis MichalodimitrakisDepartment of Forensic Science, School of Medicine, University of Crete, Voutes, Heraklion, 71003, Crete, Greece.
Katerina KanakiDepartment of Forensic Science, School of Medicine, University of Crete, Voutes, Heraklion, 71003, Crete, Greece.
Katerina KoutraDepartment of Psychology, School of Social Sciences, University of Crete, Gallos, Rethymnon, 74100, Crete, Greece.
Maria AnastasakiDepartment of Psychiatry, University Hospital of Heraklion, Voutes,Heraklion, 71110, Crete, Greece.
Panagiotis SimosDepartment of Psychiatry, University Hospital of Heraklion, Voutes,Heraklion, 71110, Crete, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, suicides in Greece have drawn national and international interest due to the current economic crisis. According to published reports, suicides in Greece have increased up to 40% and Crete has been highlighted as an area with the sharpest increase.

aimTo investigate the suicide mortality rates in Crete between 1999 and 2013 and their association with the economic crisis.

methodsData on suicides were selected from the Department of Forensic Medicine files of the University of Crete.

resultsOur analysis showed that (1) Crete, has the highest suicide mortality rate in Greece, however no significant increase was observed between 1999 and 2013, (2) there were opposing trends between men and women, with women showing a decrease whereas men showed an increase in that period, (3) there was a significant increase of suicides in middle-aged men (40-64 yrs) and elderly, although the highest unemployment rates were observed in young men and women, and (4) finally, there was a regional shift of suicides with a significant decrease in Western Crete and a significant increase in Eastern Crete.

conclusionsAlthough, Crete has the highest suicide mortality rates in Greece, we did not observe an overall increase during the last 15 years, including the period of economic crisis. Furthermore, there was an increase in middle-aged and elderly men, whereas young men and women showed oppositional trends during the years of austerity. This may be related to the culturally different expectations for the two genders, as well as that younger individuals may find refuge to either strong family ties or by immigrating abroad. Finally, the relative increase of suicides in Eastern Crete may be explained by factors, such as the lack of community mental health services in that area.

Indexed as

Economic RecessionAdultAgedCommunity Mental Health ServicesFemaleGreeceHealth Services AccessibilityHumansMaleMiddle AgedRetrospective StudiesSex FactorsSuicideUnemploymentYoung AdultEconomic crisisGenderGreeceHealth servicesSuicides

Identifiers

PMID30384835
PMCPMC6211416

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.