Trends in suicidal behaviour in Dutch general practice 1983-2013: a retrospective observational study

Résumé

textbfOBJECTIVES: To analyse trends in suicidal behaviour as reported by the Dutch sentinel general practices from 1983 to 2013. Second, to examine the relationship between suicidal behaviour and several patient characteristics. Finally, to compare the relationship between suicidal behaviour and patient characteristics before (1983-2007) and after (2008-2013) the start of the crisis. textbfSETTING: 40 general practices in the Netherlands during the period 1983-2013. textbfPARTICIPANTS: Patients with an ICPC code of P77 (suicide attempt). textbfPRIMARY AND SECONDARY OUTCOMES: Primary outcomes were age-adjusted and gender-specific trends in reported suicides (342) and suicide attempts (1614). Secondary outcomes were the relationship between suicidal behaviour and age, household composition, history of depression, recognition of suicide ideation, treatment before the suicidal behaviour and contact within the past month before suicidal behaviour for the period 1983-2013. Additionally, separate frequencies for the periods 1983-2007 and 2008-2013 were presented. RESULTS: Join-point analyses revealed a significant rise in male suicides from 2008 (b=0.32