The relationship of the perceived impact of the current Greek recession with increased suicide risk is moderated by mental illness in patients with long-term conditions

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dc.contributor.authorNtountoulaki, Elisaveten
dc.contributor.authorPaika, Vassilikien
dc.contributor.authorPapaioannou, Dimitraen
dc.contributor.authorGuthrie, Elspethen
dc.contributor.authorKotsis, Konstantinosen
dc.contributor.authorFountoulakis, Konstantinos N.en
dc.contributor.authorCarvalho, Andre F.en
dc.contributor.authorHyphantis, Thomasen
dc.date.accessioned2017-04-03T10:58:16Z
dc.date.available2017-04-03T10:58:16Z
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/27895
dc.rightsDefault License
dc.subjectFinancial crisis
dc.subjectSuicide
dc.subjectDepression
dc.subjectGreece
dc.subjectAnxiety
dc.subjectGeneralized anxiety disorder
dc.subjectChronic illness
dc.subjectLong-term conditions
dc.titleThe relationship of the perceived impact of the current Greek recession with increased suicide risk is moderated by mental illness in patients with long-term conditionsen
heal.abstractObjective: Adverse life events may contribute to the emergence of suicidality. We aimed to test the relationship between the impact of the Greek recession and suicidal risk in people with long-term conditions (LTCs) and to determine whether this relationship is moderated by the presence of a mental disorder. Methods: Suicidal risk (RASS) and crisis parameters were assessed in a cross-sectional survey including 376 patients with LTCs (type-II diabetes mellitus, rheumatological disorders and chronic obstructive pulmonary disease) attending the Emergency Department or specialty clinics. A diagnosis of mental disorder was confirmed by the Mini International Neuropsychiatric Interview (MINI) interview. Hierarchical regression models were used to quantify moderator effects. Results: Suicidal risk was significantly associated with the perceived impact of the recession (p = 0.028). However, moderation analysis showed that this relationship was significant only in those diagnosed with either major depressive disorder or generalized anxiety disorder. Conclusions: These findings suggest that the perceived impact of the current Greek recession is not correlated with suicidal risk per se, but the recession may act as precipitator in combination with other risk factors, such as the presence of a mental illness, thus supporting the importance of early diagnosis and treatment of mental disorders in vulnerable groups.en
heal.accessfree
heal.bibliographicCitationp.7en
heal.dateAvailable2017-04-03T10:59:16Z
heal.fullTextAvailabilitytrue
heal.identifier.secondaryhttp://dx.doi.org/10.1016/j.jpsychores.2017.03.008
heal.journalNameJournal of Psychosomatic Researchen
heal.journalTypepeer-reviewed
heal.languageen
heal.publicationDate2017-03-23
heal.publisherElsevieren
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.recordProviderUniversity of Ioannina, School of Health Sciences, Faculty of Medicineen
heal.typejournalArticle
heal.type.elΆρθρο περιοδικούel
heal.type.enJournal articleen

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