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Social Psychiatry and Psychiatric Epidemiology

, Volume 48, Issue 7, pp 1115–1124 | Cite as

Household composition and suicidal behaviour in the adult population of Belgium

  • Lydia Gisle
  • Herman Van Oyen
Original Paper

Abstract

Purpose

We aimed to estimate the prevalence of suicidal behaviours, i.e. ideation and attempt, in the adult population of Belgium, and to explore their association with household composition.

Methods

Data of 4,459 adults (25–64 years) from the 2004 Belgian Health Interview Survey were used for analyses. Bivariate and multivariate logistic regressions were used to calculate the odds of engaging in suicidal behaviours according to household type, further controlling for age, sex, income, employment status and social support.

Results

Lifetime prevalence of ideation and attempts was 14 and 4.7 %, respectively. Current prevalence of ideation was 4.0 % and past year prevalence of attempts was 0.5 %. Compared to other household compositions, living alone (A) and as lone parent (P) increased the odds of lifetime and current suicidal thoughts (ORA 2.3, 95 % CI 1.7–2.9 and ORP 3.8, 95 % CI 1.9–7.7) and lifetime attempts (ORA 2.3, 95 % CI 1.4–3.6 and ORP 4.5, 95 % CI 2.4–8.5). When controlling for confounders, single person and single parent households still presented increased adjusted-odds of lifetime and current suicidal thoughts (a-ORA 1.8, 95 % CI 1.1–2.9 and a-ORP 2.3, 95 % CI 1.0–5.5). The likelihood of ever attempted suicide was also higher among single parent households (a-ORP 4.5, 95 % CI 2.4–8.5) after adjustment, but not among those living alone (a-ORA 1.4, 95 % CI 0.8–2.8).

Conclusion

Living alone or as lone parent place adults at higher risk for suicide behaviour, and this is only partly explained by lower socio-economic status or poor perceived support.

Keywords

Suicidal ideation Suicide attempt Single parent Household Risk factors 

Notes

Acknowledgments

The Health Interview Survey (HIS) is funded by the Belgian authorities responsible for public health at the federal, regional and community levels. The authors are grateful to the Belgian HIS team at the Scientific Institute of Public Health (Jean Tafforeau, coordinator; Stefaan Demarest; Sabine Drieskens; Edith Hesse; Johan Van der Heyden; Lydia Gisle) for the conception, organization, execution and data processing of the 2004 edition of the survey. They are thankful to Jean Tafforeau for reviewing the manuscript.

Conflict of interest

None to declare.

References

  1. 1.
    Drieskens S, Van Oyen H, Tafforeau J, Lafontaine MF (2002) SPMA (Standardized Procedures for Mortality Analysis). IPH, BrusselsGoogle Scholar
  2. 2.
    Bossuyt N, Van Casteren V (2007) Epidemiology of suicide and suicide attempts in Belgium: results from the sentinel network of general practitioners. Int J Publ Health 52:153–157CrossRefGoogle Scholar
  3. 3.
    Borges G, Angst J, Nock MK, Ruscio AM, Walters EE, Kessler RC (2006) A risk index for 12-month suicide attempts in the National Comorbidity Survey Replication (NCS-R). Psychol Med 36:1747–1757PubMedCrossRefGoogle Scholar
  4. 4.
    Krug EG, Dahlberg LL, Mercy J, Zwi A, Lozano R (eds) (2002) World report on violence and health. World Health Organisation, Geneva, pp 1–346Google Scholar
  5. 5.
    De Leo D, Cerin E, Spathonis K, Burgis S (2005) Lifetime risk of suicide ideation and attempts in an Australian community: prevalence, suicidal process, and help-seeking behaviour. J Affect Disord 86:215–224PubMedCrossRefGoogle Scholar
  6. 6.
    Mann JJ, Currier D (2008) Suicide and attempted suicide. In: Fatemi SH, Clayton PJ (eds) The medical basis of psychiatry. Humana Press, Totowa, pp 561–576CrossRefGoogle Scholar
  7. 7.
    Gvion Y, Apter A (2012) Suicide and suicidal behavior. Public Health Rev 34(2) [Epub ahead of print]Google Scholar
  8. 8.
    Qin P, Mortensen PB (2003) The impact of parental status on the risk of completed suicide. Arch Gen Psychiatry 60:797–802PubMedCrossRefGoogle Scholar
  9. 9.
    Bernal M, Haro JM, Bernert S, Brugha T, de Graaf R, Bruffaerts R, Lepine JP, de Girolamo G, Vilagut G, Gasquet I, Torres JV, Kovess V, Heider D, Neeleman J, Kessler R, Alonso J (2007) Risk factors for suicidality in Europe: results from the ESEMED study. J Affect Disord 101:27–34PubMedCrossRefGoogle Scholar
  10. 10.
    Welch SS (2001) A review of the literature on the epidemiology of parasuicide in the general population. Psychiatr Serv 52:368–375PubMedCrossRefGoogle Scholar
  11. 11.
    Petronis KR, Samuels JF, Moscicki EK, Anthony JC (1990) An epidemiologic investigation of potential risk factors for suicide attempts. Soc Psychiatry Psychiatr Epidemiol 25:193–199PubMedGoogle Scholar
  12. 12.
    Hawton K, van HK (2009) Suicide. Lancet 373:1372–1381PubMedCrossRefGoogle Scholar
  13. 13.
    Sareen J, Cox BJ, Afifi TO, de Graaf R, Asmundson GJ, ten Have M, Stein MB (2005) Anxiety disorders and risk for suicidal ideation and suicide attempts: a population-based longitudinal study of adults. Arch Gen Psychiatry 62:1249–1257PubMedCrossRefGoogle Scholar
  14. 14.
    Druss B, Pincus H (2000) Suicidal ideation and suicide attempts in general medical illnesses. Arch Intern Med 160:1522–1526PubMedCrossRefGoogle Scholar
  15. 15.
    Barber JG, Blackman EK, Talbot C, Saebel J (2004) The themes expressed in suicide calls to a telephone help line. Soc Psychiatry Psychiatr Epidemiol 39:121–125PubMedCrossRefGoogle Scholar
  16. 16.
    World Health Organisation (2012) Public health action for the prevention of suicide: a framework. World Health Organisation, GenevaGoogle Scholar
  17. 17.
    Bayingana K, Demarest S, Gisle L, Hesse E, Miermans PJ, Tafforeau J, Van der Heyden J (2006) Enquête de Santé par Interview, Belgique, 2004. Institut Scientifique de Santé PubliqueGoogle Scholar
  18. 18.
    (2005) Health Interview Survey 2004, Belgium. Research Protocol. Scientific Institute of Public Health, BrusselsGoogle Scholar
  19. 19.
    Derogatis LR (1994) SCL-90-R administration, scoring and procedures manual. National Computer System, MinneapolisGoogle Scholar
  20. 20.
    Hagenaars A, de Vos K, Zaidi MA (1994) Poverty statistics in the late 1980s: Research based on Micro-data. Office for official publications of the European Communities, LuxemburgGoogle Scholar
  21. 21.
    Sherbourne CD, Stewart AL (1991) The MOS social support survey. Soc Sci Med 32:705–714PubMedCrossRefGoogle Scholar
  22. 22.
    Fairweather-Schmidt AK, Anstey KJ (2012) Prevalence of suicidal behaviours in two Australian general population surveys: methodological considerations when comparing across studies. Soc Psychiatry Psychiatr Epidemiol 47:515–522PubMedCrossRefGoogle Scholar
  23. 23.
    Pan YJ, Stewart R, Chang CK (2012) Socioeconomic disadvantage, mental disorders and risk of 12-month suicide ideation and attempt in the National Comorbidity Survey Replication (NCS-R) in US. Soc Psychiatry Psychiatr Epidemiol. doi: 10.1007/s00127-012-0591-9
  24. 24.
    Borges G (2006) A risk index for 12-month suicide attempts in the National Comorbidity Survey Replication (NCS-R). Psychol Med 36(12):1747–1757PubMedCrossRefGoogle Scholar
  25. 25.
    Bille-Brahe U (1998) Suicidal behaviour in Europe: The situation in the 1990s. World Health Organisation, CopenhagenGoogle Scholar
  26. 26.
    Haukka J, Suominen K, Partonen T, Lonnqvist J (2008) Determinants and outcomes of serious attempted suicide: a nationwide study in Finland, 1996–2003. Am J Epidemiol 167:1155–1163PubMedCrossRefGoogle Scholar
  27. 27.
    Taylor A, Dal Grande E, Gill T, Fisher L, Goldney R (2007) Detecting determinants of suicidal ideation: south Australian surveillance system results. Int J Public Health 52:142–152PubMedCrossRefGoogle Scholar
  28. 28.
    O’Reilly D, Rosato M, Connolly S, Cardwell C (2008) Area factors and suicide: 5-year follow-up of the Northern Ireland population. Br J Psychiatry 192:106–111PubMedCrossRefGoogle Scholar
  29. 29.
    Middleton N, Whitley E, Frankel S, Dorling D, Sterne J, Gunnell D (2004) Suicide risk in small areas in England and Wales, 1991–1993. Soc Psychiatry Psychiatr Epidemiol 39:45–52PubMedCrossRefGoogle Scholar
  30. 30.
    Smith JC, Mercy JA, Conn JM (1988) Marital status and the risk of suicide. Am J Public Health 78:78–80PubMedCrossRefGoogle Scholar
  31. 31.
    Lorant V, Kunst AE, Huisman M, Bopp M, Mackenbach J (2005) A European comparative study of marital status and socio-economic inequalities in suicide. Soc Sci Med 60:2431–2441PubMedCrossRefGoogle Scholar
  32. 32.
    Kessler RC, Borges G, Walters EE (1999) Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry 56:617–626PubMedCrossRefGoogle Scholar
  33. 33.
    Kessler RC, Berglund P, Borges G, Nock M, Wang PS (2005) Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990–1992 to 2001–2003. JAMA 293:2487–2495PubMedCrossRefGoogle Scholar
  34. 34.
    Preuss UW, Schuckit MA, Smith TL, Danko GP, Bucholz KK, Hesselbrock MN, Hesselbrock V, Kramer JR (2003) Predictors and correlates of suicide attempts over 5 years in 1,237 alcohol-dependent men and women. Am J Psychiatry 160:56–63PubMedCrossRefGoogle Scholar
  35. 35.
    Neeleman J, de Graaf R, Vollebergh W (2004) The suicidal process; prospective comparison between early and later stages. J Affect Disord 82:43–52PubMedCrossRefGoogle Scholar
  36. 36.
    Borges G, Angst J, Nock MK, Ruscio AM, Kessler RC (2008) Risk factors for the incidence and persistence of suicide-related outcomes: a 10-year follow-up study using the National Comorbidity Surveys. J Affect Disord 105:25–33PubMedCrossRefGoogle Scholar
  37. 37.
    Andres AR, Collings S, Qin P (2010) Sex-specific impact of socio-economic factors on suicide risk: a population-based case-control study in Denmark. Eur J Public Health 20:265–270PubMedCrossRefGoogle Scholar
  38. 38.
    Biblarz TJ, Stacey J (2010) How does the gender of parents matter? J Marriage Fam 72:3–22CrossRefGoogle Scholar
  39. 39.
    Ceccherini-Nelli A, Priebe S (2011) Economic factors and suicide rates: associations over time in four countries. Soc Psychiatry Psychiatr Epidemiol 46:975–982PubMedCrossRefGoogle Scholar
  40. 40.
    Fairweather-Schmidt AK, Anstey KJ, Salim A, Rodgers B (2010) Baseline factors predictive of serious suicidality at follow-up: findings focussing on age and gender from a community-based study. BMC Psychiatry 10:41PubMedCrossRefGoogle Scholar
  41. 41.
  42. 42.

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of Public Health and SurveillanceScientific Institute of Public HealthBrusselsBelgium

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