Cent Eur J Public Health 2009, 17(1):41-46 | DOI: 10.21101/cejph.a3493

The Influence of Marital Status on Epidemiological Characteristics of Suicides in the Southeastern Part of Serbia

Branislav Petrović1, Biljana Kocić1, Dragana Nikić1, Maja Nikolić1, Dragan Bogdanović2
1 Public Health Institute Niš, University of Niš Medical School, Serbia
2 Public Health Institute Niš, Serbia

Background: The support of close persons is a protective factor in the suicide epidemiology. The aim of this paper is to determine if there are differences between epidemiological characteristics of the suicides committed by married people in relation to singles.

Methods: In order to determine epidemiological characteristics of suicide among married and single people in the southeastern Serbia 628 suicides committed from 1995 to 2002 among persons 20 years of age and over were analysed. To compare suicide rates between married and single persons χ2 test was performed.

Results: From 628 registered suicides, 188 were performed by women, and 440 by men. The average annual suicide rate among males was 24.1 per 100,000 and among females it was 9.9. The highest rates were among widowed (139.0) and divorced men (63.2). The highest risk factor for suicide was to be widowed (men: RR=8.35; women: RR=2.75). The suicide trend among women, both married and single has been declining, whilst among males it has been on significant increase. Seasonality of suicides, weekly and daily distribution had a small influence on the epidemiological characteristics of suicides. Married women committed more suicides by poisoning than single women (p=0.02). In both groups, the most frequent way is hanging.

Conclusion: Though marital status plays important role in an increasing rates of suicide, time and the way of its happening, this role is not decisive. Single people are very vulnerable and the time and way of suicide show that their reasons are more serious than among married ones.

Keywords: suicide, epidemiology, marital status, hanging, poisoning, firearms

Received: April 2, 2008; Revised: August 22, 2008; Accepted: August 22, 2008; Published: March 1, 2009  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Petrović B, Kocić B, Nikić D, Nikolić M, Bogdanović D. The Influence of Marital Status on Epidemiological Characteristics of Suicides in the Southeastern Part of Serbia. Cent Eur J Public Health. 2009;17(1):41-46. doi: 10.21101/cejph.a3493. PubMed PMID: 19418719.
Download citation

References

  1. World Health Organization. World health report 2001. Geneva: WHO; 2001.
  2. World Health Organization. Figures and facts about suicides. Technical report. Geneva: WHO; 1999.
  3. De Leo D. Why are we not getting any closer to preventing suicide? Br J Psychiatry. 2002 Nov;181:372-4. Go to original source... Go to PubMed...
  4. Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, et al. Suicide prevention strategies: a systematic review. JAMA. 2005 Oct 26;294(16):2064-74. Go to original source... Go to PubMed...
  5. Kposowa AJ. Divorce and suicide risk. J Epidemiol Community Health. 2003 Dec;57(12):993. Go to original source...
  6. Smith JC, Mercy JA, Conn JM. Marital status and the risk of suicide.Am J Public Health. 1988 Jan;78(1):78-80. Go to original source...
  7. Grujić V. Adult population health status, health needs and health care utilisation in Serbia. Glasnik instituta za zaštitu zdravlja Srbije. 2003;(12):26-9. (In Serbian.)
  8. Marcikić M, Ugljarević M, Dijanić T, Dumencić B, Pozgain I. Epidemiological features of suicides in Osijek County, Croatia, from 1986 to 2000. Coll Antropol. 2003;27 Suppl 1:101-10. Go to PubMed...
  9. National Institute of Mental Health. Frequently asked questions about suicide. Bethesda: NIMH Public Inquiries; 2000.
  10. Myrphy GE. Why women are less likely that men to commit suicide. Compr Psychiatry. 1998 Jul-Aug;39(4):165-75. Go to original source...
  11. Durkheim E. The suicide. Beograd: BIGZ; 1997.
  12. Qin P, Agerbo E, Westergård-Nielsen N, Eriksson T, Mortensen PB. Gender differences in risk factors for suicide in Denmark. Br J Psychiatry. 2000 Dec;177:546-50. Go to original source... Go to PubMed...
  13. Hawton K. Sex and suicide. Gender differences in suicidal behaviour. Br J Psychiatry. 2000 Dec;177:484-5. Go to original source... Go to PubMed...
  14. Hawton K. By their own young hand. BMJ. 1992Apr 18;304(6833):1000. Go to original source...
  15. Kelly S, Bunting J. Trends in suicide in England and Wales, 1982-96. Popul Trends. 1998;(92):29-41.
  16. Hawton K. Why has suicide increased in young males? Crisis. 1998;19(3):119-24. Go to original source... Go to PubMed...
  17. World Health Organization. Suicide prevention in Europe. The WHO European monitoring survey on national suicide prevention programmes and strategies. Copenhagen: WHO Regional Office for Europe; 2002.
  18. Nikolić D, Dimitrijević D. Suicides in the SR Yugoslavia. Belgrade: Federal Center for Health Protection and Promotion; 1995.
  19. Petrovich B, Cvetkovich M, Tiodorovich B, et al. Epidemiological characteristics of females suicides in the South-East part of Serbia.Acta Med Medianae. 1997;37(2):23-33.
  20. PetrovichB,KocichB,CvetkovichM.Suicideandtheotherviolentdeathsinthe Region of Nisin 1987. Preventivemedicinedays, Nis.Abstract book.Nis:1987.
  21. Petrovich B, Cvetkovich M, Tiodorovich B, et al. Epidemiological investigation of suicides in the South-East part of Serbia.Acta Med Medianae. 1993;33(3):87-96.
  22. Petrovich B, Tiodorovich B, Kocich B, Cvetkovich M, Blagojevich L. Influence of socio-economic crisis on epidemiological characteristic of suicide in the region of Nis (southeastern part of Serbia,Yugoslavia). Eur J Epidemiol. 2001;17(2):183-7. Go to original source...
  23. Cheng AT, Chen TH, Chen CC, Jenkins R. Psychosocial and psychiatric risk factors for suicide. Case-control psychological autopsy study. Br J Psychiatry. 2000 Oct;177:360-5. Go to original source... Go to PubMed...
  24. Charlton J. Trends and patterns in suicide in England and Wales. Int J Epidemiol. 1995;24 Suppl 1:S45-52. Go to original source...
  25. Heikkinen ME, Isometsä ET, Marttunen MJ, Aro HM, Lonnqvist JK. Social factors in suicide. Br J Psychiatry. 1995 Dec;167(6):747-53. Go to original source... Go to PubMed...
  26. Schapira K, Linsley KR, Linsley A, Kelly TP, Kay DW. Relationship of suicide rates to social factors and availability of lethal methods: comparison of suicide in Newcastle upon Tyne 1961-1965 and 1985-1994. Br J Psychiatry. 2001 May;178:458-64. Go to original source... Go to PubMed...
  27. KposowaAJ. Marital status and suicide in the National Longitudinal Mortality Study. J Epidemiol Community Health. 2000 Apr;54(4):254-61. Go to original source...
  28. Luoma JB, Pearson JL. Suicide and marital status in the United States, 1991-1996: is widowhood a risk factor? Am J Public Health. 2002 Sep;92(9):1518-22. Go to original source...
  29. Rocchi MB, Perlini C. Is the time of suicide a random choice? A new statistical perspective. Crisis. 2002;23(4):161-6. Go to original source... Go to PubMed...
  30. Lester D, Frank ML. Sex differences in the seasonal distribution of suicides. Br J Psychiatry. 1988 Jul;153:115-7. Go to original source... Go to PubMed...
  31. Micciolo R, Zimmermann-Tansella C, Williams P, Tansella M. Seasonal variation in suicide: is there a sex difference? Psychol Med. 1989 Feb;19(1):199-203. Go to original source... Go to PubMed...
  32. Yip PS, ChaoA, Ho TP.Are-examination of seasonal variation in suicides inAustralia and New Zealand. JAffect Disord. 1998 Jan;47(1-3):141-50. Erratum in: J Affect Disord 2001 Mar;63(1-3):257. Go to original source...