Schmidtke / Bille-Brahe / DeLeo Suicidal Behaviour in Europe
1. Auflage 2004
ISBN: 978-1-61676-249-0
Verlag: Hogrefe Publishing
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)
Results from the Who/Euro Multicentre Study on Suicidal Behaviour
E-Book, Englisch, 301 Seiten
ISBN: 978-1-61676-249-0
Verlag: Hogrefe Publishing
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)
Suicide and suicidal behavior are a major problem in many countries around the world, and the differences between countries provide vital information for determining the most effective strategies for suicide prevention. The WHO / EURO Multicentre Study on Suicidal Behaviour is one of the largest ever research endeavors looking into the epidemiology, causes, and prevention of suicidal behavior, and has over the past years started to produce important and highly relevant results. Containing chapters from each of the participating centers from around Europe, this book brings together and summarizes the most significant findings with regard to the magnitude of the problem, their causes, and possible approaches to prevention - findings which could be of benefit not just in Europe but also in North America and around the world. A vital source of up-to-the-minute information from one of the most important studies in the world on suicidal behavior, this book is a must for all those concerned with suicide research and prevention, as well as epidemiology and public health policy
Autoren/Hrsg.
Fachgebiete
Weitere Infos & Material
1;Foreword;6
2;Table of Contents;8
3;Preface;12
4;Part I Introduction;14
4.1;The Suicide Situation in Europe and Suicide Prevention Within the Framework of the WHO Programme “ Health for All by the Year 2000”;16
4.2;The WHO/EURO Multicentre Study on Suicidal Behaviour;20
4.3;Definitions and Terminology Used in the WHO/ EURO Multicentre Study;24
4.4;Suicide and Suicide Attempts in Europe;28
4.5;Sociodemographic Characteristics of Suicide Attempters in Europe;42
5;Part II Results in the Individual Countries;58
5.1;Northern Europe;60
5.1.1;Suicidal Behaviour in Finland;62
5.1.2;Suicidal Behaviour in Norway;70
5.1.3;Suicidal Behaviour in Sweden;82
5.1.4;Suicidal Behaviour in Denmark;98
5.2;Central Europe;108
5.2.1;Suicidal Behaviour in Ireland;110
5.2.2;Suicidal Behaviour in Belgium;120
5.2.3;Suicidal Behaviour in Austria;126
5.2.4;Suicidal Behaviour in England and Wales;136
5.2.5;Suicidal Behaviour in France;146
5.2.6;Suicidal Behaviour in The Netherlands;154
5.2.7;Suicidal Behaviour in Germany;160
5.2.8;Suicidal Behaviour in Switzerland;170
5.3;Eastern Europe;178
5.3.1;Suicidal Behaviour in Lithuania;180
5.3.2;Suicidal Behaviour in Slovenia;184
5.3.3;Suicidal Behaviour in the Federal Republic of Yugoslavia ( Serbia and Montenegro);190
5.3.4;Suicidal Behaviour in the Ukraine;198
5.3.5;Suicidal Behaviour in Hungary;202
5.3.6;Suicidal Behaviour in Estonia;208
5.3.7;Suicidal Behaviour in Latvia;214
5.4;Southern Europe;218
5.4.1;Suicidal Behaviour in Spain (Basque Country);220
5.4.2;Suicidal Behaviour in Italy;224
5.4.3;Suicidal Behaviour in Greece;232
5.5;Other Participating Centres;236
5.5.1;Suicidal Behaviour in Turkey;238
5.5.2;Suicidal Behaviour in Israel;246
5.6;Invited Papers;252
5.6.1;Suicidal Behaviour in Asturias (Spain);254
5.6.2;Suicidal Behaviour in Poland;262
6;Part III Future Perspectives;266
6.1;The WHO/EURO Network on Suicide Prevention;268
7;Appendices;286
8;Suicide Preventive Organisations in Europe;288
9;Contributors;294
10;More eBooks at www.ciando.com;0
Suicidal Behaviour in the Federal Republic of Yugoslavia (Serbia and Montenegro) (p. 177-178)
Description of the catchment area The city of Novi Sad is located in the north of Yugoslavia (and Serbia), spread out in the Pannonian plains on both sides of the river Danube. It lies about 100 km south of Hungary, 150 km west of Romania and about 40 km east of Croatia. It is the provincial capital of Vojvodina, Serbia’s northern province, populated by about 2 million people. It is also the economic, administrative and educational centre of the region. The population of Novi Sad itself is about 300,000. For more than 40 years Novi Sad has been a university centre, today comprising of nearly 20 various faculties with about 30,000 students. Novi Sad is the second largest city (next to Belgrade) of present Yugoslavia, not only in population, but also in the economic sense. Besides agriculture, which is one of the major areas of economiy, it is also a big industrial centre.
The health care system has, as in the whole country, undergone some very turbulent changes in recent years. A decade ago, in former Yugoslavia, it was entirely state managed, with no private practice possibilities and with health insurance that entitled full health coverage, which meant that everything (medication, inpatient and outpatient care) was free of charge for the individual. In the following years, with all the social upheavals and deteriorating economy, the health care system also changed significantly – for the worse. Private practices appeared and developed, while the public health deteriorated in quality, since the state lacked funds to support it. Fewer services were available through public health care, while private practices are not covered by health insurance of any kind, so the individual has to pay for them in full. The supply of medications in state owned hospitals and pharmacies has also decreased over the last decade, again for the same reasons, shortage of money. As the result, many privately owned pharmacies started up, offering a full range of medications (again, without the coverage of health insurance). Private pharmacies sell drugs without medical prescription and verbal requests for drugs, including all psychopharmaceuticals, are sufficient. This means, in practice, that even a teenager or a child can get sedatives or hypnotics just like any over-the-counter drug. Currently, the state is making an effort to eradicate this practice, but unless the overall situation of the state health care system and drug supply improves, this is not likely to happen.
In terms of outpatient health care, there are nearly 50 outpatient health centres in the municipality of Novi Sad. They offer services of general practitioners, as well as specialists in nearly all branches of medicine. Inpatient services are all grouped in a single Clinical Centre, with a capacity of about 1200 beds, consisting of various specialized units. The second inpatient facility is the Military Hospital, and contains almost a couple of hundred beds, mostly for patients with surgical and internal medical problems.