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Ethnic minority groups show elevated suicide attempt rates across Europe. Evidence suggests a similar trend for women of Turkish origin in Germany, yet data on suicidal behaviour in minorities in Germany is scarce. The objective was to examine rates of suicidal behaviour, underlying motives, and to explore the effectiveness of an intervention program.
Methods:
From 05/2009–09/2011, data on all suicide attempts among women of Turkish origin who presented at a hospital-based emergency unit in Berlin, Germany, were collected. A multi-modal intervention was conducted in 2010 and the effects of age, generation and the intervention on suicide attempt rates were examined.
Results:
At the start, the highest rate was found in women aged 18–24 years with 225.4 (95% CI = 208.8–242.0)/100,000. Adjustment disorder was the most prevalent diagnosis with 49.7% (n = 79), being more common in second-generation women (P = .004). Further analyses suggested an effect of the intervention in the youngest age group (trend change of ß = –1.25; P = .017).
Conclusion:
Our findings suggest a particularly high rate of suicide attempts by 18–24-year-old, second-generation women of Turkish origin in Berlin. Furthermore, our results suggest a trend change in suicide attempts in women aged 18–24 years related to a population-based intervention program.
Edited by
Frederick P. Rivara, Harborview Injury Prevention and Research Center, Seattle,Peter Cummings, Harborview Injury Prevention and Research Center, Seattle,Thomas D. Koepsell, Harborview Injury Prevention and Research Center, Seattle,David C. Grossman, Harborview Injury Prevention and Research Center, Seattle,Ronald V. Maier, Harborview Injury Prevention and Research Center, Seattle
Rates can account for population size and time intervals. To generate a rate, the population from which the counts arose must be defined. Population size is a common choice for a denominator. Many geopolitical regions, such as cities or countries, create estimates of the population during a given year. Cumulative incidence is commonly used when the entire population from which the incident cases arise can be counted and followed to the conclusion of the observation period. Proportional incidence or proportional mortality is sometimes used when an accurate denominator is not available. A more formal statistical test of a difference in two proportions is the chi-squared test; large sample and exact methods are available in virtually any statistical package. To compare the rates of injury in two or more regions, or between time periods, it is sometimes desirable to adjust for other factors, which may confound the comparison.
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