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M Dankowicz

Publications and source records attributed to M Dankowicz.

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Regional differences in the distribution of suicide in the former Soviet Union during perestroika, 1984-1990.

The former USSR covered 22.4 million square kilometres and had a population of 288,362,296 in 1990. During 1984-1990 the former USSR consisted of 15 republics, which formed culturally, geographically and historically different regions. Yearly, approximately 45,000-50,000 males and 14,000-15,000 females committed suicide. Suicide rates in the former USSR during 1984-1990 varied greatly between different regions, from 3.5 cases per 100,000 inhabitants in the Caucasus (Georgia, Azerbaijan and Armenia) to 11.8 in Central Asia (Kazakhstan, Kirgizia, Turkmenistan, Uzbekistan and Tajikistan), 18.1 in Moldova, 25.6 in the Slavic region (Russia, the Ukraine and Belarus) and 28.0 in the Baltic region (Latvia, Lithuania and Estonia). The same pattern of great variation between different regions was observed for both men and women in the former USSR, with suicide rates for men ranging from 4.9 in the Caucasian region to 45.9 in the Baltics, and suicide rates for women ranging from 2.1 in the Caucasus to 12.3 in the Baltics.

Age Distribution↗

Marked decrease in suicide among men and women in the former USSR during perestroika.

At the same time as substantial and rapid socio-political and socio-economic changes took place during the period of perestroika, suicide rates in the former USSR decreased by approximately 32% for men and 19% for women. The decreases in the suicide rates of men in the former USSR were unlike the suicide rate decreases taking place in 22 other European countries, where rates decreased by approximately 8% for men and 17% for women during this time period. Declines in suicide rates from 1984 to 1986-1988 occurred in all republics, with the largest decreases in Russia and Belarus, at 42% for men and 20% for women. The decrease in suicide rates of men in the former USSR was most pronounced until 1986-1988, after which time an increasing trend was observed. Suicide rates for men in the former USSR decreased 3.8-fold more than they did for men in other parts of Europe, while decreases in the suicide rates for women in the former USSR were on the same level as in Europe.

Adolescent↗

Age-specific suicide rates in the Slavic and Baltic regions of the former USSR during perestroika, in comparison with 22 European countries.

Age-specific differences in suicide rates in the Baltic and Slavic regions of the former USSR were studied for the period 1984-1990, and were compared to those of 22 European countries. It was observed that suicide rates per 100,000 inhabitants in the Slavic and Baltic regions increased directly with age for women, and showed a bimodal distribution with peaks for the 45-54 and > or = 75 age groups for men. In most of the 22 European countries, the suicide rates of both men and women increased directly with age. In 1990 the suicide rates in the Slavic and Baltic regions ranged from 25.1 for the 15-24 age group to 86.9 for men aged 75 or older, and from 6.0 to 29.8 for women, while the suicide rates in Europe ranged from 13.0 to 64.8 for men and from 3.6 to 18.7 for women. Decreases in the suicide rates in the Slavic and Baltic regions during perestroika were largest for the 25-54 age group, averaging at drop of 45% for men and 33% for women between 1984 and 1986-1988. The pattern of age-specific suicide rates for women in the Slavic and Baltic regions remained similar to that in Europe throughout the period studied. This was in contrast to a distinct pattern of male suicide rates in the Slavic and Baltic regions in 1984, which converged with those found in other parts of Europe during 1986-1988. It appears that perestroika contributed to a unique pattern of male suicide mortality in the Slavic and Baltic regions, especially in the 25-54 age group.

Adolescent↗