The relationship of the perceived impact of the current Greek recession with increased suicide risk is moderated by mental illness in patients with long-term conditions.

Autor: Ntountoulaki E; Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, Greece., Paika V; Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, Greece., Papaioannou D; Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, Greece., Guthrie E; Psychiatry Research Group, Medical School, University of Manchester, Manchester, UK., Kotsis K; Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, Greece., Fountoulakis KN; Third Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece., Carvalho AF; Department of Clinical Medicine, Faculty of Medicine, Federal University of Ceará, Fortaleza, CE, Brazil., Hyphantis T; Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, Greece. Electronic address: tyfantis@cc.uoi.gr.
Jazyk: angličtina
Zdroj: Journal of psychosomatic research [J Psychosom Res] 2017 May; Vol. 96, pp. 98-105. Date of Electronic Publication: 2017 Mar 23.
DOI: 10.1016/j.jpsychores.2017.03.008
Abstrakt: Objective: Adverse life events may contribute to the emergence of suicidality. We aimed to test the relationship between the impact of the Greek recession and suicidal risk in people with long-term conditions (LTCs) and to determine whether this relationship is moderated by the presence of a mental disorder.
Methods: Suicidal risk (RASS) and crisis parameters were assessed in a cross-sectional survey including 376 patients with LTCs (type-II diabetes mellitus, rheumatological disorders and chronic obstructive pulmonary disease) attending the Emergency Department or specialty clinics. A diagnosis of mental disorder was confirmed by the Mini International Neuropsychiatric Interview (MINI) interview. Hierarchical regression models were used to quantify moderator effects.
Results: Suicidal risk was significantly associated with the perceived impact of the recession (p=0.028). However, moderation analysis showed that this relationship was significant only in those diagnosed with either major depressive disorder or generalized anxiety disorder.
Conclusions: These findings suggest that the perceived impact of the current Greek recession is not correlated with suicidal risk per se, but the recession may act as precipitator in combination with other risk factors, such as the presence of a mental illness, thus supporting the importance of early diagnosis and treatment of mental disorders in vulnerable groups.
(Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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