PubMed Health⌕ Search

Biomedical subjects

Elmar Etzersdorfer

Publications and source records attributed to Elmar Etzersdorfer.

8 recordsLinked to original sources
PubMed2007

Trends in suicide rates of the elderly in Austria, 1970-2004: an analysis of changes in terms of age groups, suicide methods and gender.

BACKGROUND: Suicides of the elderly (persons aged 65 and older) make up a large proportion of total suicides. Since suicide rates of the elderly are highest in western populations, addressing them as a risk group in prevention plans has been recommended. In order to assess possible approaches to prevention strategies, this study examines high-risk groups of the elderly. METHODS: We examined official statistics on suicides that occurred in Austria between 1970-2004 (18,101 Suicides of the elderly). We analyzed time trends and differences in suicide methods as well as in age groups and both genders of the elderly. RESULTS: Three major high-risk groups were identified: elderly male suicides by firearms; elderly female suicides by poisoning, which occur more often with increasing age; and suicides of both genders by jumping from heights. CONCLUSION: Besides conducting treatment of psychiatric disorders of the elderly, restricting the means to commit suicide may help to prevent it among the elderly. Such specific prevention strategies should be implemented in national suicide prevention plans for the high-risk groups identified in this study.

Age Factors↗
PubMed2006

Suicide by shooting is correlated to rate of gun licenses in Austrian counties.

OBJECTIVES: Shooting as method of suicide has increased considerably in Austria over recent decades and represented 23.5% of all suicides among men during the period 1990-2000. It is thought that the availability of guns could lead to their use in acts of suicide, and therefore we investigated the numbers of gun licenses (which constitutes ownership of guns and permission to carry a gun) in the nine Austrian counties and their correlation with suicides by shooting and other methods. METHODS: We studied registered suicides, including the method used, between 1990 and 2000 in Austria and the numbers of gun licenses held in the nine counties of Austria in the same period. RESULTS: We found a strong correlation between the average gun license rate for the period 1990-2000 and suicides by shooting (r = 0.967), and only very weak correlation, and for some of the years under investigation a negative correlation, with other methods of committing suicide (r = 0.117) and the suicide rate in general (r = 0.383). CONCLUSIONS: As shooting as a method of suicide has increased in Austria in recent decades, and is a highly lethal method, the finding that the shooting suicide rate is related to the extent of gun ownership deserves attention, especially as there is evidence that restriction of gun ownership is an important factor in suicide prevention.

Austria↗
PubMed2006

Suicidality in bipolar disorders--psychoanalytic contribution.

This paper gives an overview of psychoanalytic contributions to the understanding of suicidal behavior in bipolar patients. Although little specific literature is available, many authors have contributed to the understanding of these patients' psychodynamics and suicidality in various papers. Different points of emphasis are described, among these are defensive strategies, narcissistic personality structure, and dealing with intense feelings such as object loss. Using detailed case descriptions, the inner world of bipolar patients as it relates to their suicidality, along with the appropriate psychoanalytically oriented approach to treatment, are highlighted.

Attitude to Death↗
PubMed2005

Epidemiology of suicide in Austria 1990-2000: general decrease, but increased suicide risk for old men.

OBJECTIVES AND METHODS: The epidemiology of suicide in Austria, 1990-2000, was investigated. RESULTS: In comparison with 1980-1990, an overall decrease in the incidence of suicide was found. The annual averages for male, female, and total suicide rates were 32.2, 11.0, and 21.3, respectively, representing decreases of 17.6%, 25.7%, and 19.3%. Decreases were observed in all age groups except for males aged 80-84 years, where the suicide rate was 123.5 (15.1% increase), and for males aged 85 years or over, where the rate was 148.9 (25.4% increase). Hanging is still the most frequently used suicide method in Austria, despite steady decreases during recent decades. During the 1990s, hanging was used in 47.5% of male suicides and 34.8% of female cases. Shooting is the next most common method for male suicides (23.5% of cases) and has become more frequent for both sexes. CONCLUSIONS: The main findings reveal that the decrease in suicide incidence in Austria is greater for females than for males, reflecting the increased suicide risk within the oldest male age groups. This population subgroup should thus be a particular target for suicide-prevention efforts in Austria. A further aim within a national strategy for suicide prevention should be to stop the increased use of shooting as a suicide method.

Adolescent↗
PubMed2004

A dose-response relationship between imitational suicides and newspaper distribution.

Although the Werther effect is well known, up to now a correlation between the differential distribution of particular media reports and subsequent imitational suicides could not be found. This study investigates a celebrity suicide by gun in Austria, which led to extensive reports in the largest Austrian newspaper, whose distribution shows substantial regional differences. The numbers of suicides by firearm in the 3 weeks after the reporting showed an increase over the 3 weeks prior. Regional analysis revealed a strong correlation of suicides by firearm and distribution of the newspaper (log odds ratios; r(9) = .62; p = .04, one-tailed). This dose-response effect explains 40% of the variability of changes. These results underline the influence of media reports on suicidal behavior.

Journal Article↗
PubMed2002

Suicide risk-related knowledge and attitudes of general practitioners.

BACKGROUND: Those attempting or committing suicide very often contact their general practitioner (GP) in the weeks before the suicidal act. Therefore, the ability of GPs to detect and treat suicidality is of major importance for suicide prevention. OBJECTIVES: This study investigated the knowledge, attitudes, experiences, and potential problems GPs have in dealing with persons at risk of committing suicide in Vienna, a city well known for having a rather high suicide rate. METHODS: A 41-item questionnaire was developed and mailed to a random sample of 200 Viennese GPs who practice under the health insurance system. RESULTS: GPs' knowledge on suicidality and its management is sufficient, as is their awareness of risk groups, particularly regarding the suicide risk of depressed persons. However, there is a marked underestimation of the suicide risk of alcoholics and an overestimation of the risk of physicians. GPs also found it difficult to assess suicide risk, and they generally did not receive enough training in suicide prevention and were interested in further training. CONCLUSIONS: The results indicate a high general knowledge on suicidality, and a rather liberal attitude towards the issue, but they also reveal deficits and a need for further training.

Adult↗
PubMed2002

[A modern Kaspar Hauser].

OBJECTIVE AND METHODS: The case of a mentally disturbed young man is described, whose identity could not be revealed over more than four months. It is compared to Kaspar Hauser, similarities and differences are highlighted. RESULTS: The "Kaspar Hauser of Stuttgart" is retrospectively revealed as a young man with experiences of severe deprivation. The missing case history and independent history were an obstacle in the treatment, albeit not fundamental, advantages being reached with a relation-oriented approach. CONCLUSIONS: Informations obtained after clarification of the identity of the young man suggest a multiplication of unfavourable circumstances, leading to sub-optimal treatment and finally the "Kaspar-Hauser-Situation". Contributing were his belonging to the less integrated group of migrants in Germany, as well as severe deprivation in the family and a generally sub-optimal treatment of mentally disturbed young patients.

Adolescent↗