Biomedical subjects
Publications and source records attributed to L Kolmos.
Suicide rates in Denmark, Finland, Norway and Sweden for the past few years are presented. Despite the fact that the Nordic countries, both historically and at present, have many features in common, differences between the countries in the frequency of suicide are pronounced. These differences and the reliability of Nordic suicide statistics are discussed.
Sources of error theoretically possible in the registration of suicide are discussed. Using cause-of-death statistics for each of the Nordic countries, the relative influence of the various sources of error is evaluated. Two types of sources of error are identified, one is when cause-of-death is registered as drowning and the other is when it is registered as "unknown". Results have shown however, that the low probability of suicide in these cases, and consequently small numbers involved, could hardly influence differences in rates between the Nordic countries. The differences found in suicide statistics therefore reflect true differences in the frequency of suicide between these countries.
During a 6 months' period, 99 persons, randomly chosen among patients admitted for attempted suicide to the Department of Psychiatry, Odense University Hospital, were interviewed. This paper, which is the first in a series, deals with the theoretical and methodological background of the survey and the validity of the sample and also with some basic social characteristics of the suicide attempters. The majority of the suicide attempters were found to be single and many of them were living alone or alone with children. The sample could also be characterized by a low level of vocational education and by lack of association with the labour market. The suicide attempters could not, however, be unequivocally described as being in bad financial circumstances, neither were they solely from the lower social classes; the social status profile of the suicide attempters was closer to the status profile of suiciders, with relatively many persons from both upper and lower classes and few from the middle class.
Ninety-nine patients, randomly chosen among hospital admitted suicide attempters, were initially interviewed at the Department of Psychiatry, Odense University Hospital, Denmark, and then followed up for a period of about 3 years. Half of the patients repeated the attempt in the follow-up period, mostly in the first year. Ten patients committed suicide, half of them in the first 3 months after the interview, shortly after discharge from hospital. The majority of the repeaters were living alone, while those that committed suicide were mostly married women aged 50-60 years. Other characteristic features for the repeaters were previous suicidal behaviour and suicidal behaviour among relatives. Many had a psychiatric record and expressed chronic somatic complaints. Around the time of the attempt, many expressed hopelessness, isolation and suicidal ideation. Pierce's Suicide Intent Scale performed poorly due, in particular, to low specificity. Future work will focus on objective risk factors, those indicated here and others, in order to establish an up-to-date background for assessment and management.