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Depression, suicide and suicide prevention in Hungary[2014.03.26.] - MPT Web-szerkesztőség - Hírkategória: Tudomány Depression and suicidal behaviour is a major public helath problem everywhere but particularly in Hungary where till 2000 the suicide rate was highest in the world. In spite of the fact that suicidal behaviour is very complex, multicausal human behaviour with several psychiatric-biological, psycho-social and cultural components, international and Hungarian data consistently show that around 90 percent of suicide victims and suicide attempters have at least one current Axis I mental diaorder (major depression 56-87 %, substance-use disorders26-65 % and schizophrenia 6-13 %) at the time of the suicide event.
The strong relationship between suicide attempts and depression has been also found both in clinical and population-based epidemiological studies in Hungary.
Epidemiological studies, conducted about 25 years ago showed that underdiagnosis of depression and low access to health-care are significantly associated with high suicide mortality in Hungary. However, in agreement with the findings of the Swedish Gotland study two most recent Hungarian findings also showed that education of GPs, other helathcare workers and the public on the diagnosis and treatment of depressive disorders resulted in marked decline in suicide mortalitay of the region served by trained GPs. These increased psychiatric activity beyond the local prevention projects regarding depression and suicide is one of the main factors resulting in a marked (almost 50 percent) decline in suicide mortality in Hungary in the lst 30 years. Recently, problem solving training as an evidence based intervention in attempted suicide has also been introduced in outpatient clinical psychology services. Results indicate that it can effectively contribute to the prevention of further suicidde attempts. This symposiump will overview the past and most recent Hungarian studies on the clinical psycho-social and genetical aspects of the complex relationship between depression, suicidal behaviour and suicide prevention. Our aim is also to highlight the conclusions may be useful for other communities with traditionally high suicide rates.
WPA Congress, Madrid, 14-18 September, 2014 - Special symposium
Programme:
Chairs:
Rihmer Z, and Perczel-Forintos D.
Speakers:
Rihmer Z, Depression, suicide and suicide prevention in Hungary. An overwiew
Döme P, Historical and epidemiological aspects of suicide in Hungary
Perczel Forintos D, Ajtay Gy. .: Problemsolving training for patients with attempted suicide
Gonda X, Rihmer Z: Molecular basis of suicide with particular regards to affective temperament
Purebl Gy, Székely A, Rihmer Z, Multi-level approaches against depression and suicide in Hungary. What could we learn from countries with traditionally high suicide rates?