title: [Suicide, antidepressant prescription and unemployment in Andalusia (Spain)].
abstract: OBJECTIVE
  To analyze the trend in suicide mortality in Andalusia from 1975 to 2012 and its relationship with unemployment and the use of antidepressants.
  
  
  METHODS
  Poisson's segmented regression models were used to estimate changes over time. The association between suicide and the factors examined was measured using Spearman's correlation coefficient.
  
  
  RESULTS
  Suicide mortality patterns in men and women are rising. The largest increase was found in people aged from 15 to 44 years, with an annual percentage rate change of 1.21 (95%CI: 0.7-1.7) for men and 0.93 (95%CI: 0.4-1.4) for women.
  
  
  CONCLUSIONS
  Mortality by suicide has increased in Andalusia since 1975 in all age and gender groups except for women aged 65 years or above. During the last few decades, an upward trend has been observed in young people and a stable or falling trend in the remaining population. Temporary variations in suicide rates are not associated with unemployment rates or with changes in antidepressant prescription.
authors.affiliation: Unidad de Gestión Clínica de Salud Mental, Hospital Universitario Virgen Macarena, Servicio Andaluz de Salud, Sevilla, España. Electronic address: jose.alameda.sspa@juntadeandalucia.es.
authors.forename: José
authors.initials: J
authors.lastname: Alameda-Palacios
authors.affiliation: Servicio de Información y Evaluación, Consejería de Salud de la Junta de Andalucía, Sevilla, España.
authors.forename: Miguel
authors.initials: M
authors.lastname: Ruiz-Ramos
authors.affiliation: Servicio de Promoción del Uso Racional del Medicamento, Dirección General de Asistencia Sanitaria y Resultados en Salud, Servicio Andaluz de Salud, Sevilla, España.
authors.forename: Beatriz
authors.initials: B
authors.lastname: García-Robredo
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000928:Antidepressive Agents / Q000627:therapeutic use*; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D004363:Drug Utilization / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D013030:Spain / Q000453:epidemiology; D013405:Suicide / Q000706:statistics & numerical data* / Q000639:trends; D014478:Unemployment / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D000928:Antidepressive Agents
keywords: Antidepresivos; Antidepressant agents; Desempleo; Suicide; Suicidio; Unemployment
vernacular_title: Suicidio, prescripción de antidepresivos y desempleo en Andalucía.