[Suicide in 24 European countries, 1972-1984].
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Biomedical subjects
Publications and source records attributed to R F Diekstra.
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433 medical and mental health institutions in the Netherlands took part in an investigation into the incidence of suicide and suicide attempts in children. The investigation is also concerned with the form that suicidal behaviour takes and an attempt is made to identify demographic and social characteristics of the children involved. The results show that suicide attempts do not constitute a very large problem in children aged 5-14; attempts hardly occur at all in children under the age of 11, but the incidence increases with age. It is also clear that children who make suicide attempts live in a problematic background situation.
Interviews with spouses of individually referred psychiatric outpatients reveal relevant complaints about the ways the spouses have been approached by previous psychotherapists of their patient-partner. Suggestions are given to incorporate these complaints into efficient strategies for the involvement of spouses in the treatment of the patients.
On the morning of September 29, 1981, while attending a meeting of the World Health Organization on suicide, held in Athens, I was suddenly called out of the meeting room. The reason was a telephone call from the Ministry of Health in my country, The Netherlands, announcing that my mentor and friend Professor Nico Speijer had died the night before. He and his wife had put an end to their lives. Apart from my personal feelings, Nico Speijer's way of death touched profoundly upon all of us present at the meeting. Speijer was the grand old man of suicidology in the Netherlands, and, more, he was an outstanding member, even an honorary member, of the International Association for Suicide Prevention. From the birth of this organization in 1960 on, he had been an active and colorful participant in practically all of its meetings. As can be expected in the case of a man of Speijer's status and reputation, his suicide evoked reactions nationwide. The leading newspapers and even the national TV networks made extensive mention of it. Though people's comments on the event were quite diverse, the underlying tone was generally one of understanding and sympathy. At the time of his death Speijer had been very ill with intestinal cancer and had been in great pain. His wife, herself disabled, had preferred to die with him rather than to be left behind. When I returned home from Athens, among the waiting mail, there was a letter written to me in the handwriting that had become so familiar over the previous 10 years.(ABSTRACT TRUNCATED AT 250 WORDS)
An attempt is made to explain the increase in adolescent suicidal behavior reported for most countries in the European Economic Community over the last two decades, within the framework of a social learning theory. A typology of suicidal acts based on an outcome-expectancy model is proposed that would make intelligible the observed positive correlation between the incidence of lethal and nonlethal suicidal acts, the latter having grown to epidemic proportions among the young. This epidemic can be attributed to the interplay of three groups of factors, namely, the socialization of a specific problem-solving behavior repertoire, socioeconomic conditions, and attitudes toward suicide. The implications for suicide prevention are briefly discussed.
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