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Risk factors for multiple suicidality in Hungary

Published online by Cambridge University Press:  23 March 2020

M.D. Toth ,
P. Osváth ,
V. Vörös ,
K. Futó ,
N. Ágnes ,
A. Székely ,
G. Purebl  and
S. Fekete
M.D. Toth
Affiliation:
National Public Heath and Medical Officer Service, Office of the Chief Medical Officer, Budapest, Hungary
P. Osváth
Affiliation:
University of Pécs, Department of Psychiatry and Psychotherapy, Pécs, Hungary
V. Vörös
Affiliation:
University of Pécs, Department of Psychiatry and Psychotherapy, Pécs, Hungary
K. Futó
Affiliation:
INDIT Foundation, Alcohol Outpatient Unit, Pécs, Hungary
N. Ágnes
Affiliation:
University of Pécs, Department of Psychiatry and Psychotherapy, Pécs, Hungary
A. Székely
Affiliation:
Semmelweis University, Institute of Behavioural Sciences, Budapest, Hungary
G. Purebl
Affiliation:
Semmelweis University, Institute of Behavioural Sciences, Budapest, Hungary
S. Fekete
Affiliation:
University of Pécs, Department of Psychiatry and Psychotherapy, Pécs, Hungary

Abstract

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Introduction

Suicide rate in Hungary is among the highest in the European Union (2015: 18.9/100,000 inhabitant). Although there is no national registration system of suicide attempts in Hungary, according to previous studies Hungarian Romas have three times higher suicide attempt rate than non-Romas.

Objectives

The aim of this study was to explore socio-demographic and mental health risk factors of multiple suicide attempts in Hungary.

Methods

A total of 1547 suicide attempts were assessed via retrospective data analysis using patient records. Data on socio-demographic variables, psychiatric diagnoses, methods and reported reasons of suicide attempts were investigated. Binary logistic regression analyses were performed to identify potential risk factors for multiple suicide attempts.

Results

The ratio of multiple attempters were 37.7% in the sample, with a Roma predominance (Roma: 51.8%, non-Roma: 34.8%, χ2(1) = 27.64; P < 0.001). Of the potential factors examined, Roma ethnicity (OR: 2,03; CI: 1.53–2.70; P < 0.001), economic inactivity (OR: 1.7; CI: 1.36–2.18; P < 0.001), mood disorders (OR: 1.58; CI: 1.25–1.99; P < 0.001), personality disorders (OR: 2.09; CI: 1.45–3.01; P = 0.00), organic mental disorders (OR: 1.76; CI: 1.01–3.07; P = 0.44) and mistreatment as reported reasons (OR: 3.95; CI: 1.17–13.32; P = 0.02) were found as significant risk factors of multiple suicide attempts.

Conclusion

National registration of suicide attempts would be necessary for a more thorough analysis. Beside the more advanced treatment of mental health disorders, increased efforts in prevention are recommended with a special focus of low SES groups and Roma ethnicity. The specific background factors in Roma ethnic group should be further examined.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster Walk: Suicidology and suicide prevention – Part 2
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S403 - S404
Copyright
Copyright © European Psychiatric Association 2017
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