Age-related variation in recent life events preceding suicide.
Recent life events as reported by the next of kin were explored in male and female suicide victims to see how these factors varied across age groups by decade of age. The study population comprised all 1022 suicide victims aged 20 years and older in Finland during a 12-month period who had life event data assessed as reliable by the interviewing mental health professionals. Age-related patterns of variation of life events were found: separation, serious family arguments, financial trouble, job problems, unemployment, and residence change were more common among younger victims, whereas somatic illness and retirement were more common among older victims. Mean number of life events, greater among men than women, tended to decline gradually across the age range. In terms of sex differences, somatic illness was more common among elderly men, while separation, financial trouble, and unemployment were more common among younger men. Most life events among younger age groups were possibly dependent upon the victims' own behavior. Logistic regression indicated association between specific life events and alcohol misuse: separation, serious family arguments, financial trouble and unemployment were especially related to alcohol misuse. Violent suicide method lacked association with life events, being commoner only among males and those not having misused alcohol. Age- and sex-specific control groups and multidimensional life event interview schedules are needed to further investigate the relative risk of life events in suicide.
Heikkinen
M E
ME
National Public Health Institute, Department of Mental Health, Helsinki, Finland.
Isometsä
E T
ET
Aro
H M
HM
Sarna
S J
SJ
Lönnqvist
J K
JK
D000328:Adult; D017677:Age Distribution; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000437:Alcoholism / Q000453:epidemiology; D005190:Family; D005260:Female; D005387:Finland / Q000453:epidemiology; D006801:Humans; D008016:Life Change Events; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D012179:Retirement / Q000706:statistics & numerical data; D012306:Risk; D012737:Sex Factors; D013405:Suicide / Q000706:statistics & numerical data*; D014478:Unemployment / Q000706:statistics & numerical data