Avtor/Urednik		Korošec Jagodič, Helena; Rokavec, Tatjana; Agius, Mark A.; Pregelj, Peter
Naslov		Availability of mental health service providers and suicide rates in Slovenia
Tip		članek
Vol. in št.		Letnik 54, št. 5
Leto izdaje		2013
Obseg		str. 444-452
ISSN		0353-9504 - Croatian medical journal
Jezik		eng
Abstrakt		Aim To investigate the influence of socioeconomic factors, mental health service availability, and prevalence of men- tal disorders on regional differences in the suicide rate in Slovenia. Methods The effects of different socioeconomic factors, mental health service availability, and mental disorders fac- tors on suicide rates from 2000-2009 were analyzed using a general linear mixed model (GLMM). Pearson correlations were used to explore the direction and magnitude of as- sociations. Results Among socioeconomic factors, unemployment rate ranked as the most powerful predictor of suicide and an increase of one unit in the unemployment rate increased regional suicide rate by 2.21 ([beta] = 2.21, 95% confidence in- tervals [CI] = 1.87-2.54, P < 0.001). On the other hand, high- er marriage/divorce ratio was negatively related to the sui- cide rate and an increase of one unit in marriage/divorce ratio reduced regional suicide rate by 1.16 ([beta] = -1.16, 95% CI = -2.20 to -0.13, P < 0.031). The most influential mental health service availability parameter was higher psychia- trist availability (4 psychiatrists and more working at outpa- tient clinics per 100 000 inhabitants), which was negatively correlated with the suicide rate and reduced regional sui- cide rate by 2.95 ([beta] = -2.95, 95% CI = -4.60 to -1.31, P = 0.002). Another negatively correlated factor was the antidepres- sant/anxiolytic ratio higher than 0.5, which reduced the re - gional suicide rate by 2.32 ([beta] = -2.32, 95% CI = -3.75 to -0.89, P = 0.003). Among mental health disorders, only the preva- lence of alcohol use disorders was significantly related to the regional suicide rates and an increase of one unit in the prevalence of alcohol use disorders per 1000 inhabitants increased the regional suicide rate by 0.02 ([beta] = 0.02, 95% CI = 0.01- 0.03, P = 0.008). Conclusions Besides unemployment, which was a very strong predictor of suicide rates, unequal availability of mental health services and quality of depressive disorder treatment may contribute to variations in suicide rates in different regions.
Proste vsebinske oznake		suicide mental health study samomor duševno zdravje študija