Poster Index

Miscellany (assisted suicide, minorities, legal aspects, etc.)

Clinical and neurocognitive studies of suicidal behavior (17)  |  Clinical phenotyping of suicidal individuals (23)
Culture, ethnicity and spiritual approaches. New paradigms in suicidology (11)  |  Ethical and methodological challenges and solutions in suicide research (5)
Genetic, epigenetic and gene expression contributors to suicide risk (2)  |  Intervention research for prevention of suicidal behavior (30)
Lifespan differential aspects (from infancy to elderly) (7)  |  Miscellany (assisted suicide, minorities, legal aspects, etc.) (9)
Neurobiological underpinnings of suicidal behavior (3)  |  Novel monitoring strategies for detecting changes in risk over time (4)
Psychosocial variables: protective and risk factors. Resilience & vulnerability (38)  |  Testing the effectiveness of prevention strategies (6)




Miscellany (assisted suicide, minorities, legal aspects, etc.)


(78) PO-78. Globalisation, anomie and farmers suicide in India: a macro-sociological approach

Day: 10 | Time: 13:30 | Room: Poster Hall

Topic: Miscellany (assisted suicide, minorities, legal aspects, etc.)

Authors:Pravati Dalua . Assistant Professor, Deptt. of Sociology, KNC , University of Delhi, New Delhi, India
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 Introduction:
Abstract:
Suicide among the farming communities in regional provinces of India have been in rise for the last couple of years. Most official reports, studies and testimonials considered indebtedness and the burdens of debt defaulting to be the primal reasons for such adversity. Indebtedness is far from being a mere economic condition rather it represents a social condition of living which has been accentuated by the capitalization of societies. This paper seeks to understand the nature of suicide among Indian farmers in the post liberalization era. It argues that the package of a liberal regime, unbundled in 1991 at the national and state levels, has adverse impact on Indian peasantry by creating anomic condition of living. Anomie is a state of lack of regulation and greater social isolation typical of the capitalistic societies according to Durkheim, a French sociologist. The paper concludes that anomic condition laid by huge gap between aspirations and achievement of Indian farmers in post liberalization era serves as a fundamental basis for understanding farmers? suicide in India.

Key words: Globalization, Suicide, Anomie, Farmers


(134) PO-134. Publications on suicide and prevention: Adolescents, statistics, and general knowledge

Day: 10 | Time: 13:30 | Room: Poster Hall

Topic: Miscellany (assisted suicide, minorities, legal aspects, etc.)

Authors:Trine Banke Dandrade . Centre for Suicide Research, Denmark
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 Introduction:
The Centre for Suicide Research in Denmark conducts research into suicidal behaviour and prevention. The Centre publishes findings and results at three levels aimed at the general population, professionals, and decision makers.
 Goals:
The purpose is to determine which topics and which publications are the most in demand.
 Methodology:
Website statistics.
 Results:
From 2011 to 2014, the most popular publications for professionals have focused on prevention for adolescents. Data for 2015 is generated differently and is incomparable to data gathered in 2011-2014. However, reports for professionals on prevention for adolescents remain the most popular publications. New booklets targeted at the general population focusing on a single theme, e.g. the confidentiality of the clergy, or guidelines to the media professionals were also among the most sought out publications in 2015. Older booklets focusing on e.g. being bereaved, the suicide process, or signals of suicidal behaviour have remained popular since 2011.

Updated results will be presented at the ESSSB16.
 Conclusions:
The Centre for Suicide Research meets the most pressing demands, as we continuously publish on adolescents, statistics and general knowledge. Future publications may focus on or aim at vulnerable groups such as bereaved or those affected by suicide and suicidal behaviour.


(154) PO-154. The Register for Suicide Attempts - Methods and rates in relation to age, gender and demographic variation?

Day: 09 | Time: 13:30 | Room: Poster Hall

Topic: Miscellany (assisted suicide, minorities, legal aspects, etc.)

Authors:Christina Petrea Larsen . Centre for Suicide Research , Denmark
- Anne Katrine Thrue Mikkelsen -

 Introduction:
Knowledge of the extent of attempted suicides in Denmark can be found in the Register for Suicide Attempts?. The register has existed since 1989 covering the former County of Funen. An extension of the register was initiated in 2011. The aim is that in time The Register for Suicide Attempts will be a nationwide register.
 Goals:
The goal is that The Register for Suicide Attempts will i.a. illuminate the association between suicide attempts and circumstances, methods, age and gender, and demographic variation.
 Methodology:
We received transcripts of all civil registration numbers that had been in contact with an emergency ward (somatic and psychiatric) due to a suicide attempt. From each patient?s medical journal, we recorded the following variables: Age, gender, place of registration, code for cause of contact, method, medicine, circumstances in relation to the attempt: proximal- and distal factors.
 Results:
The results are based on data collection from years 2012-2014 in two out of five Regions of Denmark. At the time of writing, we are collecting the data which will be presented at the conference. The results will focus on methods and rates in relation to age, gender and demographic variation.
 Conclusions:
Previous results [1, 2] are consistent with existing research on this field. The number of attempted suicides is a minimum figure as not all suicide attempters have subsequent contact with either somatic- or psychiatric emergency wards. The information in the patient?s medical journal depends on what information the attending doctor is able to gather.
 References:
1) Larsen CP, Mikkelsen AKT: Register for Selvmordsforsøg 2012, 2013 & 2014. Center for Selvmordsforskning. 2015.
2) Egeskov CP, Ejdesgaard BA, Konieczna A: Udvidelse af Register for Selvmordsforsøg, -Hvorfor forsøger mennesker at begå selvmord? Center for Selvmordsforskning. 2013.


(156) PO-156. Register for Suicide Attempts - Why do people try to commit suicide? - Circumstances

Day: 09 | Time: 10:30 | Room: Poster Hall

Topic: Miscellany (assisted suicide, minorities, legal aspects, etc.)

Authors:Anne Katrine Thrue Mikkelsen . Centre for Suicide Research, Denmark
- Christina Petrea Larsen -

 Introduction:
Knowledge of the extent of attempted suicides in Denmark can be found in the Register for Suicide Attempts. The study is based on registered suicide attempts during 2012-2014 collected from two Regions of Denmark. Results of the study define the most frequent proximal and distal circumstances in relation to registered suicide attempts by gender in 2012-2014.
 Goals:
The aim of this study is to gain greater knowledge of the potential triggering and underlying factors for the individuals suicide attempt that allows us to elucidate why people try to commit suicide.
 Methodology:
We received transcripts of all civil registration numbers that had been in contact with an emergency ward (somatic) due to a suicide attempt in 2012-2014. From each registered patient?s medical record, we registered the following variables: time, date, age, gender, place of registration, code for cause of contact, method, circumstances in relation to the attempt: proximal- and distal factors defined in various triggering and underlying causes.
 Results:
Results of this study will include the most and second most frequent proximal and distal circumstances in relation to registered suicide attempts in 2012-2014 [1,2]. Results will be presented at the poster session.
 Conclusions:
The reasons why people try to commit suicide is often complex. The number of registered attempted suicides is only the tip of the iceberg, as not all suicide attempters have subsequent contact with somatic emergency wards. The information in the patient?s medical record depends on the information the attending doctor is able to gather, which affects the results of this study.
 References:
1) Larsen CP, Mikkelsen AKT: Register for Selvmordsforsøg 2012, 2013 & 2014. Center for Selvmordsforskning. 2015.
2) Egeskov CP, Ejdesgaard BA, Konieczna A: Udvidelse af Register for Selvmordsforsøg, -Hvorfor forsøger mennesker at begå selvmord? Center for Selvmordsforskning. 2013.


(213) PO-213. Social demography characteristics and method use in suicide attempts in VII Area Principado de Asturias.

Day: 10 | Time: 13:30 | Room: Poster Hall

Topic: Miscellany (assisted suicide, minorities, legal aspects, etc.)

Authors:Covadonga Huergo Lora . uhp hospital alvarez buylla, spain
- Sergio Ocio Leon - Manuel Gomez Simon - Mario Javier Hernandez Gonzalez - Omar Walid Muquebil Ali Al Shabanl Rodriguez - Jaime Lopez Fernandez -

 Introduction:
Suicide is an act or a voluntary omission in which a person kills his own life. It includes action which finalizes in dead, also all acts in which don't end in dead and attempts which its goal is to gain attention for help.
 Goals:
To study the social-demografic factors in suicide attemps (age, sex, racial classification, marital status and number of children) and method used.
 Methodology:
The study design included 36 patients, was descriptive, transversal and retrospective and it last one year.
 Results:
Females occures more often (58,3%), and the mean age of the study is 43,53 (DT 14,58), where Mens do suicide at the mean age 49,47 (DT 14,86) and women at 39,29 (DT 13,11) (probabilty 0,037). White people is the most frequency race. The most frequency marital status is marriage (52.8%), and number of children is from 0 to 5 with a medium of 1 The 47,7% are suffering from physical illness, which 11,1% of those are suffering fibromyalgia in female. Neoplasia rate is similar between sexs. Most methods used are pharmacy intoxication (61,1%), self injured (19,4%), hanging (5,6%), jumping (8,3%), carbon-monoxide poisoning (5,6 %)
 Conclusions:
The profile of suicide study is woman, 40 age-old, married and medium number of children of 1 . Men try to suicide when they are older than women. Nearly half of cases are suffering of physical illness (female mainly), in which the most illness are fibromyalgia and neoplasia. Most methods used are pharmacy intoxication with medications like Antidepressants and/or anxiety.
 References:
Isaac Sakinofsky, MD, FRCPC, FRC Psych. Treatment Suicidality in Depressive Illness. The Canadian Journal of Psychiatry 2007 june;52(1):71-102.


(214) PO-214. Suicide Attempt assessment in Area VII of SM

Day: 09 | Time: 13:30 | Room: Poster Hall

Topic: Miscellany (assisted suicide, minorities, legal aspects, etc.)

Authors:Covadonga Huergo Lora . uhp hospital alvarez buylla, spain
- Sergio Ocio Leon - Manuel Gomez Simon - Mario Javier Hernandez Gonzalez - Omar Walid Muquebil Ali Al Shaban Rodriguez - Jaime Lopez Fernandez -

 Introduction:
Suicide is a health public problem, because it's the fourth cause in the list of the causes of lost age's potential life.
 Goals:
To determine suicide intentionality in area VII mainly studying: existence of impulsiveness in the attempts, the goal of suicide attempts and the possibility of pleading help
 Methodology:
The study uses sampling with 36 patients who had did a suicide attempt and were given the Beck Scale for Suicide Ideation to fill (the goal is evaluate suicide attempt characteristics, keeping in mind the seriousness of attempt and assessment the subsequent risk of new attempts. The Beck Scale is a 20-question multiple-choice self-report inventory. Each question has a set of at least three possible responses, ranging in intensity. The more punctuation, more seriousness In this study, its going to be assessment the next items of the Beck Scale: the loneliness in the moment of the attempt, the goal of the attempt and premeditation degree.
 Results:
First, the pacients loneliness in the moment of the suicide attempt: 83% had somebody else, some near the pacient or any change of contact somebody. Second, in the goal of the attempt: 61,1% the goal was tried to change the medium which rounds them or change the medium and get out of the way. Last but no least, the premeditation degree: 83,3% was impulsive, 16,7% was planned in attempt and 8,3% had a period of thinking it over before attempt.
 Conclusions:
In this study, like others (Lozatno et al, 2000), the pacient had any way to plead help, and the most of them wanted to change the medium, being the premeditation degree impulsive in the most cases.
 References:
1. Bobes García J, Sáiz Martínez PA, García-Portilla González MP, Bascarán Fdez MT, Bousoño García M. Comportamientos suicidas, prevención y tratamiento. 1ªedición. Barcelona: Ars Medica; 2004


(247) PO-247. Suicidal behaviour: Anthropological dichotomies at the border between life and death

Day: 10 | Time: 13:30 | Room: Poster Hall

Topic: Miscellany (assisted suicide, minorities, legal aspects, etc.)

Authors:Juan Valdes-Stauber . University of Ulm (Germany)-Zentrum für Psychiatrie Südwürttemberg, Ravensburg-Germany
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 Introduction:
Life and death are inexorably entwined with each other, the latter giving substance to the former (G. Simmel), but death also represents a break of communication (T.H. Macho). Suicide may arise from tedium vitae (Aulo Gelio) and may be viewed as a specific human ability to demonstrate autonomy and to control unacceptable life conditions (J. Baechler).
 Goals:
To establish the historical and anthropological relevance of suicide as a manifestation of human freedom and dignity or, alternatively, as the loss of freedom because of a mental disorder. Finally, we consider whether suicide is in fact a yearning for ontological truth.
 Results:
The first dichotomy is the risk of suicide from depersonalisation and loss of reality control or by the breakdown of self-esteem. The second dichotomy is between the anger to die and anger to keep alive. The third dichotomy is the emotional spectrum between aggressiveness and escapism. The fourth dichotomy denotes a death antinomy: the will to die and will to keep in permanence. The fifth dichotomy designates the tension between an autonomous person with dignity and free will and a person entangled in their mental disorder. The sixth and final dichotomy is between the mute of suicide and the absence of dialogue for the surviving relatives and friends.
 Conclusions:
Attempting suicide appears to reflect a basic anthropological constant and issues related to mourning are in the fabric of human life (R. Andrés). It reflects not only despair but also hopelessness (Laín-Entralgo) and the breakdown of personal project of life (J. Marías). There is also a relevant anthropological question to be answered about the importance of mental disorders or of changing social conditions in the process of suicide.


(380) PO-380. Suicide risks in same-sex and opposite-sex couples in Denmark and Sweden, 1989-2013

Day: 10 | Time: 13:30 | Room: Poster Hall

Topic: Miscellany (assisted suicide, minorities, legal aspects, etc.)

Authors:Annette Erlangsen . Research Unit, Mental Health Centre Copenhagen, Copenhagen - Denmark
- Sven Drefahl - Ann Haas - Charlotte Björkenstam - Merete Nordentoft - Gunnar Andersson -

 Introduction:
Sexual minority, or generally preferred, lesbian, gay, bisexual and transgendered (LGBT) populations, are emphasized as an underserved high risk group with respect to suicide prevention. As the first country in the world, Denmark introduced same-sex partnerships in 1989 and Sweden followed suit in 1995.
 Goals:
The aim of the current study was to assess suicide rates in same-sex and opposite-sex marriages in Denmark and Sweden.
 Methodology:
A prospective cohort study design was applied to study longitudinal, individual-level register data covering all individuals living in Denmark (since 1989) and Sweden (since 1995) through 2013. Changes in civil status were updated with monthly precision based on data from the civil registries. The outcome of interest was defined as suicides (ICD-10: X60-X84) and likely suicides (ICD-10: X60-X84; Y10-Y34). We calculated suicide rates of married as well as divorced/widowed for same-sex and opposite-sex couples.
 Results:
In Denmark and Sweden, a total of 124,850 and 43,061 person-years were observed for same-sex marriages, respectively. The corresponding numbers of opposite-sex marriages were 16,130,696 and xx person-years for Denmark and Sweden. In all, 51 suicides and 55 likely suicides were observed among persons who had entered a same-sex union in Denmark while 14 suicides and 19 likely suicides were recorded in Sweden.
 Conclusions:
The suicide risk appeared to be about three times as high for those living in same-sex unions when compared to opposite-sex unions.


(418) PO-418. Pathways to Suicide Attempts among Adult Gay and Bisexual Men: A Mediation Analysis

Day: 09 | Time: 13:30 | Room: Poster Hall

Topic: Miscellany (assisted suicide, minorities, legal aspects, etc.)

Authors:Travis Hottes Salway . University of Toronto. Community-Based Research Centre for Gay Men's Health., Toronto
- Dionne Gesink - Anne Rhodes - David Brennan - Olivier Ferlatte - Rick Marchand - Terry Trussler -

 Introduction:
Gay and bisexual men (GBM) are more likely to attempt suicide than heterosexual men. This disparity is commonly interpreted using minority stress theory; however, specific pathways from antigay stigma to suicidal behavior are poorly understood.
 Goals:
The objective of this study is to measure the relationship between distinct minority stress constructs and suicide attempts among GBM, as mediated by specific psychosocial challenges.
 Methodology:
Data were drawn from a Canadian community-based survey of adult GBM (N=8037). Structural equation modeling was used to compare associations between three latent constructs—enacted stigma (e.g., discrimination, harassment), anticipated prejudice, and concealment of sexuality—and suicide attempts in the last 12 months. Factor analysis was used to generate a measurement model for latent constructs. Path analysis was used to estimate coefficients for direct, indirect/mediation, and total (sum of direct and indirect) pathways, evaluated based on magnitude and statistical significance.
 Results:
279 respondents (3.5%) reported a recent suicide attempt. The largest total effect was observed for enacted stigma (0.250, 95% CI 0.162, 0.338), and this association was partially mediated by depression (0.084, 95% CI 0.055, 0.113) and drug/alcohol use (0.028, 95%CI 0.001, 0.055). The total effect of anticipated prejudice was relatively smaller (0.022, 95% CI -0.051, 0.095) and mediated by depression (0.021, 95% CI 0.003, 0.039) and social isolation (0.015, 95% CI 0.005, 0.025). Concealment had an inverse association with suicide attempts as mediated by depression (-0.018, 95% CI -0.032, -0.004) but was also positively associated with suicide attempts when mediated through social isolation (0.045, 95% CI 0.020, 0.070). That is, concealment increased social isolation, which in turn increased suicide attempts.
 Conclusions:
Enacted stigma, anticipated prejudice, and concealment of sexuality were all associated with adult suicide attempts; however, mediating pathways differed by construct, suggesting that a combination of strategies is required to prevent suicide in adult GBM.