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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Treatment of suicidal people around the world

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Author(s):
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Bruffaerts, R. [1] ; Demyttenaere, K. [1] ; Hwang, I. [2] ; Chiu, W-T. [2] ; Sampson, N. [2] ; Kessler, R. C. [2] ; Alonso, J. [3, 4] ; Borges, G. [5, 6] ; de Girolamo, G. [7] ; de Graaf, R. [8] ; Florescu, S. [9] ; Gureje, O. [10] ; Hu, C. [11, 12] ; Karam, E. G. [13] ; Kawakami, N. [14] ; Kostyuchenko, S. [15] ; Kovess-Masfety, V. [16, 17] ; Lee, S. [18] ; Levinson, D. [19] ; Matschinger, H. [20] ; Posada-Villa, J. [21] ; Sagar, R. [22] ; Scott, K. M. [23] ; Stein, D. J. [24] ; Tomov, T. [25] ; Viana, M. C. [26] ; Nock, M. K. [27]
Total Authors: 27
Affiliation:
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[1] UPC KUL, Univ Hosp Gasthuisberg, Louvain - Belgium
[2] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 - USA
[3] Hosp Mar, Hlth Serv Res Unit, IMIM, Barcelona - Spain
[4] CIBER Epidemiol & Salud Publ, Barcelona - Spain
[5] Natl Inst Psychiat Mexico, Dept Epidemiol Res, Div Epidemiol & Psychosocial Res, Mexico City, DF - Mexico
[6] Metropolitan Autonomous Univ, Mexico City, DF - Mexico
[7] IRCCS Ctr S Giovanni di Dio Fatebenefratelli, Brescia - Italy
[8] Netherlands Inst Mental Hlth & Addict, Utrecht - Netherlands
[9] Natl Sch Publ Hlth & Hlth Serv Management, Publ Hlth Res & Evidence Based Med Dept, Bucharest - Romania
[10] Univ Coll Hosp, Ibadan - Nigeria
[11] Shenzhen Inst Mental Hlth, Shenzhen - Peoples R China
[12] Shenzhen Kangning Hosp, Shenzhen - Peoples R China
[13] Balamand Univ, St George Hosp Univ Med Ctr, Fac Med, Med Inst Neuropsychol Disorders, Inst Dev Res Advo, Beirut - Lebanon
[14] Univ Tokyo, Grad Sch Med, Dept Mental Hlth, Tokyo - Japan
[15] Ukrainian Psychiat Assoc, Kiev - Ukraine
[16] Univ Paris 05, EA 4069, Paris - France
[17] EHESP Sch Publ Hlth, Dept Epidemiol, Paris - France
[18] Chinese Univ Hong Kong, Prince Wales Hosp, Shatin, Hong Kong - Peoples R China
[19] Mental Hlth Serv Minist Hlth, Jerusalem - Israel
[20] Univ Leipzig, Psychiat Clin, Leipzig - Germany
[21] Javeriana Univ, Ctr Med Sabana, Bogota - Colombia
[22] All India Inst Med Sci, Dept Psychiat, Delhi - India
[23] Wellington Sch Med & Hlth Sci, Dept Psychol Med, Otago - New Zealand
[24] Univ Cape Town, Dept Psychiat, ZA-7925 Cape Town - South Africa
[25] New Bulgarian Univ, Inst Human Relat, Sofia - Bulgaria
[26] Univ Sao Paulo, Sch Med, Sect Psychiat Epidemiol, Inst Psychiat, Sao Paulo - Brazil
[27] Harvard Univ, Dept Psychol, Cambridge, MA 02138 - USA
Total Affiliations: 27
Document type: Journal article
Source: BRITISH JOURNAL OF PSYCHIATRY; v. 199, n. 1, p. 64-70, JUL 2011.
Web of Science Citations: 135
Abstract

Background Suicide is a leading cause of death worldwide; however, little information is available about the treatment of suicidal people, or about barriers to treatment. Aims To examine the receipt of mental health treatment and barriers to care among suicidal people around the world. Method Twenty-one nationally representative samples worldwide (n=55 302; age 18 years and over) from the World Health Organization's World Mental Health Surveys were interviewed regarding past-year suicidal behaviour and past-year healthcare use. Suicidal respondents who had not used services in the past year were asked why they had not sought care. Results Two-fifths of the suicidal respondents had received treatment (from 17% in low-income countries to 56% in high-income countries), mostly from a general medical practitioner (22%), psychiatrist (15%) or non-psychiatrist (15%). Those who had actually attempted suicide were more likely to receive care. Low perceived need was the most important reason for not seeking help (58%), followed by attitudinal barriers such as the wish to handle the problem alone (40%) and structural barriers such as financial concerns (15%). Only 7% of respondents endorsed stigma as a reason for not seeking treatment. Conclusions Most people with suicide ideation, plans and attempts receive no treatment. This is a consistent and pervasive finding, especially in low-income countries. Improving the receipt of treatment worldwide will have to take into account culture-specific factors that may influence the process of help-seeking. (AU)

FAPESP's process: 03/00204-3 - Epidemiological study of psychiatric disorders in the São Paulo Metropolitan Region: prevalence, risk factors, and social and economical burden
Grantee:Laura Helena Silveira Guerra de Andrade
Support Opportunities: Research Projects - Thematic Grants