Psychological Medicine



Original Article

Suicide ideation, plans and attempts in Ukraine: findings from the Ukraine World Mental Health Survey


EVELYN J. BROMET a1c1, JOHAN M. HAVENAAR a2, NATHAN TINTLE a3, STANISLAV KOSTYUCHENKO a4, ROMAN KOTOV a1 and SEMYON GLUZMAN a4
a1 Department of Psychiatry, State University of New York at Stony Brook, Stony Brook, NY, USA
a2 Department of Psychiatry,Vrije Universiteit Medical Centre, Amsterdam, The Netherlands
a3 Department of Mathematics, Hope College, Holland, MI, USA
a4 Ukrainian Psychiatric Association, Kyiv, Ukraine

Article author query
bromet ej   [PubMed][Google Scholar] 
havenaar jm   [PubMed][Google Scholar] 
tintle n   [PubMed][Google Scholar] 
kostyuchenko s   [PubMed][Google Scholar] 
kotov r   [PubMed][Google Scholar] 
gluzman s   [PubMed][Google Scholar] 

Abstract

Background. Because the suicide rates in Eastern Europe have increased, the epidemiology of suicide behaviors in this part of the world is in urgent need of study. Using data from the Ukraine site of the World Mental Health (WMH) Survey Initiative, we present the first population-based findings from a former Soviet country on the descriptive epidemiology of suicide ideation, plans and attempts, and their links to current functioning and service utilization.

Method. In 2002, a nationally representative sample of 4725 adults in Ukraine was interviewed with the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Risk factors included demographic characteristics, trauma, smoking, and parental and personal psychiatric disorders. Current functional impairments and recent service utilization were assessed.

Results. The lifetime prevalence of suicide ideation was 8·2%. The average age of onset was 31. The key risk factors were female sex, younger age, trauma, parental depression, and prior alcohol, depressive and intermittent explosive disorders, especially the presence of co-morbidity. Ideators had poorer functioning and greater use of health services. One-third of ideators had a plan, and one-fifth made an attempt. Among ideators, young age, smoking and prior psychiatric disorders were risk factors for these behaviors.

Conclusions. Together with the increasing suicide rate, these results suggest that suicide intervention programs in Ukraine should focus on the generation of young adults under 30. The associations with co-morbidity, impairments in current functioning and greater service use indicate that a physician education program on suicidality should be comprehensive in scope and a public health priority in Ukraine.

(Published Online February 9 2007)


Correspondence:
c1 Department of Psychiatry, SUNY Stony Brook, Putnam Hall-South Campus, Stony Brook, NY 11794-8790, USA. (Email: evelyn.bromet@stonybrook.edu)


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