Suicide in Castellon, 2009-2015: do sociodemographic and psychiatric factors help understand urban-rural differences?
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Title
Suicide in Castellon, 2009-2015: do sociodemographic and psychiatric factors help understand urban-rural differences?Author (s)
Date
2018ISSN
1888-9891; 1989-4600Bibliographic citation
SUSO-RIBERA, Carlos, et al. Suicide in Castellon, 2009-2015: Do sociodemographic and psychiatric factors help understand urban-rural differences?. Revista de psiquiatria y salud mental, 2018, vol. 11, núm. 1Type
info:eu-repo/semantics/articlePublisher version
http://www.elsevier.es/en-revista-revista-psiquiatria-salud-mental-486-articulo- ...Version
info:eu-repo/semantics/submittedVersionSubject
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Abstract
Introduction. Studies have pointed to rurality as an important
factor influencing suicide. Research so far suggests that several
sociodemograpic and psychiatric factors might influence urban-rural
differences in ... [+]
Introduction. Studies have pointed to rurality as an important
factor influencing suicide. Research so far suggests that several
sociodemograpic and psychiatric factors might influence urban-rural
differences in suicide. Also, their contribution appears to depend on sex
and age. Unfortunately, studies including a comprehensive set of
explanatory variables altogether are still scare and most studies have
failed to present their analyses split by sex and age groups. Also,
urban-rural differences in suicide in Spain have been rarely
investigated. The present study aimed at explaining rural-urban
differences in suicidality in the province of XXXX (blinded) (Spain). A
comprehensive set of sociodemographic and psychiatric factors was
investigated and analyses were split by sex and age. Material and method.
The sample comprised all suicides recorded in the province of XXXX
(blinded) from January 2009 to December 2015 (n = 343). Sociodemographic
data included sex, age, and suicide method. Psychiatric data included the
history of mental health service utilization, psychopathology, suicide
attempts, and psychiatric hospitalization. Results. Consistent with past
research, suicide rates were highest in rural areas, especially in men
and older people. We also found that urban-rural differences in
sociodemographic and psychiatric variables were sensitive to sex and age.
Our results indicated that specialized mental health service use and
accessibility to suicide means might help understand urban-rural
differences in suicide, especially in men. When exploring urban-rural
differences as a function of age, general practitioner visits for
psychiatric reasons were more frequent in the older age group in rural
areas. Conclusions. Study implications for suicide prevention strategies
in Spain are discussed. [-]
El nivel la ruralidad ha demostrado ser un factor
importante en el suicidio. Las diferencias en suicidio según ruralidad
parecen explicarse por factores sociodemográficos y psiquiátricos y su
importancia depende ... [+]
El nivel la ruralidad ha demostrado ser un factor
importante en el suicidio. Las diferencias en suicidio según ruralidad
parecen explicarse por factores sociodemográficos y psiquiátricos y su
importancia depende del sexo y la edad. Hasta ahora, se han explorado
pocos factores sociodemográficos y psiquiátricos a la vez, siendo aún más
infrecuentes los análisis separando por sexo y edad. Además, en España,
las diferencias en suicidio según ruralidad han sido poco investigadas.
Este trabajo explora las diferencias en suicidio entre áreas rurales y
urbanas en la provincia de XXXX (blinded) (España). Para ello, se evaluó
un amplio conjunto de factores sociodemográficos (sexo, edad y método de
suicidio) y psiquiátricos (historia de uso de servicios de salud mental,
psicopatología, intentos de suicidio y hospitalización psiquiátrica). Los
análisis se dividieron por sexo y edad. Material y método. La muestra
incluyó todos los suicidios registrados en la provincia de XXXX (blinded)
entre enero de 2009 y diciembre de 2015 (n = 343). Resultados. En línea
con trabajos anteriores, encontramos tasas de suicidio más altas en las
zonas rurales, especialmente en hombres y personas mayores. El efecto de
las variables sociodemográficas y psiquiátricas sobre las diferencias en
suicidio dependieron de sexo y edad. Así, el uso de salud mental y la
accesibilidad a métodos de suicidio explicarían las diferencias de
ruralidad en suicidio sobretodo en hombres, mientras que la frecuencia de
visitas psiquiátricas con el médico de familia haría lo mismo en personas
mayores. Conclusiones. En el texto se discuten las implicaciones de estos
resultados para la prevención del suicidio en España. [-]
Is part of
Revista de psiquiatria y salud mental, 2018, vol. 11, núm. 1Investigation project
Elaboration of this work was partially supported by grant FHPCS 2016/04 from the Foundation of the Provincial Hospital of Castellon (Spain) and a grant from the College of Physicians in the province of Castellon.Rights
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