Spatiotemporal Suicide Risk in Germany: A Longitudinal Study 2007–11

Abstract Despite comprehensive prevention programs in Germany, suicide has been on the rise again since 2007. The underlying reasons and spatiotemporal risk patterns are poorly understood. We assessed the spatiotemporal risk of suicide per district attributable to multiple risk and protective factor...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Marco Helbich, Paul L. Plener, Sebastian Hartung, Victor Blüml
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c2815edb05cb45cd98823737e59766b9
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:c2815edb05cb45cd98823737e59766b9
record_format	dspace
spelling	oai:doaj.org-article:c2815edb05cb45cd98823737e59766b92021-12-02T16:06:29ZSpatiotemporal Suicide Risk in Germany: A Longitudinal Study 2007–1110.1038/s41598-017-08117-42045-2322https://doaj.org/article/c2815edb05cb45cd98823737e59766b92017-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-08117-4https://doaj.org/toc/2045-2322Abstract Despite comprehensive prevention programs in Germany, suicide has been on the rise again since 2007. The underlying reasons and spatiotemporal risk patterns are poorly understood. We assessed the spatiotemporal risk of suicide per district attributable to multiple risk and protective factors longitudinally for the period 2007–11. Bayesian space–time regression models were fitted. The nationwide temporal trend showed an increase in relative risk (RR) of dying from suicide (RR 1.008, 95% credibility intervals (CI) 1.001–1.016), whereas district-specific deviations from the grand trend occurred. Striking patterns of amplified risk emerged in southern Germany. While the number of general practitioners was positively related (RR 1.003, 95% CI 1.000–1.006), income was negatively and non-linearly related with suicide risk, as was population density. Unemployment was associated and showed a marked nonlinearity. Neither depression prevalence nor mental health service supply were related. The findings are vital for the implementation of future suicide prevention programs. Concentrating preventive efforts on vulnerable areas of excess risk is recommended.Marco HelbichPaul L. PlenerSebastian HartungVictor BlümlNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-8 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Marco Helbich Paul L. Plener Sebastian Hartung Victor Blüml Spatiotemporal Suicide Risk in Germany: A Longitudinal Study 2007–11
description	Abstract Despite comprehensive prevention programs in Germany, suicide has been on the rise again since 2007. The underlying reasons and spatiotemporal risk patterns are poorly understood. We assessed the spatiotemporal risk of suicide per district attributable to multiple risk and protective factors longitudinally for the period 2007–11. Bayesian space–time regression models were fitted. The nationwide temporal trend showed an increase in relative risk (RR) of dying from suicide (RR 1.008, 95% credibility intervals (CI) 1.001–1.016), whereas district-specific deviations from the grand trend occurred. Striking patterns of amplified risk emerged in southern Germany. While the number of general practitioners was positively related (RR 1.003, 95% CI 1.000–1.006), income was negatively and non-linearly related with suicide risk, as was population density. Unemployment was associated and showed a marked nonlinearity. Neither depression prevalence nor mental health service supply were related. The findings are vital for the implementation of future suicide prevention programs. Concentrating preventive efforts on vulnerable areas of excess risk is recommended.
format	article
author	Marco Helbich Paul L. Plener Sebastian Hartung Victor Blüml
author_facet	Marco Helbich Paul L. Plener Sebastian Hartung Victor Blüml
author_sort	Marco Helbich
title	Spatiotemporal Suicide Risk in Germany: A Longitudinal Study 2007–11
title_short	Spatiotemporal Suicide Risk in Germany: A Longitudinal Study 2007–11
title_full	Spatiotemporal Suicide Risk in Germany: A Longitudinal Study 2007–11
title_fullStr	Spatiotemporal Suicide Risk in Germany: A Longitudinal Study 2007–11
title_full_unstemmed	Spatiotemporal Suicide Risk in Germany: A Longitudinal Study 2007–11
title_sort	spatiotemporal suicide risk in germany: a longitudinal study 2007–11
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/c2815edb05cb45cd98823737e59766b9
work_keys_str_mv	AT marcohelbich spatiotemporalsuicideriskingermanyalongitudinalstudy200711 AT paullplener spatiotemporalsuicideriskingermanyalongitudinalstudy200711 AT sebastianhartung spatiotemporalsuicideriskingermanyalongitudinalstudy200711 AT victorbluml spatiotemporalsuicideriskingermanyalongitudinalstudy200711
_version_	1718384987473969152

Spatiotemporal Suicide Risk in Germany: A Longitudinal Study 2007–11

Ejemplares similares