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| Identifier |
000378726 |
| Title |
Διερεύνηση των αυτοκτονιών στην περιφέρεια Κρήτης κατά τη διάρκεια της ψυχιατρικής μεταρρύθμισης. Επιδημιολογική και ιατροδικαστική προσέγγιση |
| Alternative Title |
Suicide mortality on the island of Crete ,Greece ,during the psychiatric reform.Epidemiological and forensic approach |
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Author
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Καστανάκη, Αναστασία Ε
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Thesis advisor
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Μιχαλοδημητράκης, Εμμανουήλ
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Reviewer
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Κογεβίνας, Εμμανουήλ
Παρίτσης, Γεώργιος
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| Abstract |
The present dissertation is divided in two parts: a) an epidemiological study of suicide on the Greek island of Crete for the years 1999-2010 inclusive, and b) a psychological autopsy study of completed suicides. Subsequently, another objective is to describe suicide registration in Greece, and to assess the accuracy of the official published suicide data for the Greek island of Crete. Data were collected from the Department of Forensic Sciences of the Faculty of Medicine of the University of Crete and the State Service of Forensic Medicine of Western Crete. The sample of the psychological autopsy study consisted of all 374 subjects whose deaths received a suicide verdict and occurred between January 1999 and December 2007. Information was collected by conducting semi-structured interviews with the next-of-kin of the suicide victims, and from a variety of other sources. Furthermore, suicide data from the medico-legal system records in the region were compared with the suicide mortality data provided by the official source, the Hellenic Statistical Authority (EL.STAT.) for the years 1999-2009.
The main findings were (i) the overall age-standardized suicide rate (5.9 per 100,000) and the mean age-standardized suicide rate of 9.4/100,000 for males and 2.3/100,000 for females were the highest so far reported among other Greek regions; (ii) there was a reduction in the overall and male-/female suicide rates, but statistically insignificant; (iii) there were no data to support a causal link between the recent economic crisis and suicide mortality in the region; (iv) suicide rates decreased significantly among the individuals less than 30 years old, whereas among the elderly (75+) a significant increasing trend was observed; (v) a significant reduction of annual suicide rate by 11% in the prefecture of Chania was observed; (vi) rural suicide rates were twice as high as urban rates; (vii) statistically significant suicide seasonality was established with a peak in June; (viii) suicide methods were mostly violent, hanging being the most common for both genders; (ix) the victims’ gender, age, marital status and place of residence were associated with the choice of the suicide method; (x) psychiatric morbidity and previous self-harm were less than generally reported; (xi) there was evidence of a profound suicidal intent and intensive planning of the suicidal act in the majority of cases; (xii) 31.1% of the certified suicides in the medico-legal system records for the period 1999-2009, were not officially registered as such.
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| Language |
Greek |
| Subject |
Crete |
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Epidemiology |
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Hellenic statistical authority |
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Psychiatry |
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Psychological autopsy |
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Suicide |
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Suicide methods |
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Αυτοκτονία |
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Ελληνική στατιστική υπηρεσία |
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Επιδημιολογία |
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Κρήτη |
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Μέθοδοι αυτοκτονίας |
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Ψυχολογική αυτοψία |
| Issue date |
2012-07-24 |
| Collection
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School/Department--School of Medicine--Department of Medicine--Doctoral theses
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Type of Work--Doctoral theses
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| Views |
318 |
Διερεύνηση των αυτοκτονιών στην περιφέρεια Κρήτης κατά τη διάρκεια της ψυχιατρικής μεταρρύθμισης. Επιδημιολογική και ιατροδικαστική προσέγγιση
