Browsing by Author "Lecic-Tosevski, Dusica"

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    Changes in national rates of psychiatric beds and incarceration in Central Eastern Europe and Central Asia from 1990-2019 : A retrospective database analysis
    (2021-08) Mundt, Adrian P.; Rozas Serri, Enzo; Siebenfoercher, Mathias; Alikaj, Valbona; Ismayilov, Fuad; Razvodovsky, Yury E.; Hasanovic, Mevludin; Marinov, Petar; Franciskovic, Tanja; Cermakova, Pavla; Harro, Jaanus; Sulaberidze, Lela; Kalapos, Miklos Peter; Assimov, Marat; Nurmagambetova, Saltanat; Ibishi, Nazmie F.; Molchanova, Elena; Taube, Maris; Chihai, Jana; Dedovic, Jovo; Gosek, Pawel; Tataru, Nicoleta; Golenkov, Andrei; Lecic-Tosevski, Dusica; Randjelovic, Dunja; Izakova, Lubomira; Svab, Vesna; Vohidova, Mutabara; Kerimi, Nina; Sukhovii, Oleksii; Priebe, Stefan; Department of Psychiatry and Narcology
    Background: Numbers of psychiatric beds (general, forensic, and residential) and prison populations have been considered to be indicators of institutionalisation of people with mental illnesses. The present study aimed to assess changes of those indicators across Central Eastern Europe and Central Asia (CEECA) over the last three decades to capture how care has developed during that historical period. Methods: We retrospectively obtained data on numbers of psychiatric beds and prison populations from 30 countries in CEECA between 1990 and 2019. We calculated the median of the percent changes between the first and last available data points for all CEECA and for groups of countries based on former political alliances and income levels. Findings: Primary national data were retrieved from 25 out of 30 countries. Data from international registries were used for the remaining five countries. For all of CEECA, the median decrease of the general psychiatric bed rates was 33.8% between 1990 and 2019. Median increases were observed for forensic psychiatric beds (24.7%), residential facility beds (12.0%), and for prison populations (36.0%). Greater reductions of rates of psychiatric beds were observed in countries with lower per capita income as well as in countries that were formerly part of the Soviet Union. Seventeen out of 30 countries showed inverse trends for general psychiatric beds and prison populations over time, indicating a possible shift of institutionalisation towards correctional settings. Interpretation: Most countries had decreased rates of general psychiatric beds, while there was an increase of forensic capacities. There was an increase in incarceration rates in a majority of countries. The large variation of changes underlines the need for policies that are informed by data and by comparisons across countries. (C) 2021 The Authors. Published by Elsevier Ltd.
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    Relationship of suicide rates to economic variables in Europe : 2000-2011
    (2014-12-01) Fountoulakis, Konstantinos N.; Kawohl, Wolfram; Theodorakis, Pavlos N.; Kerkhof, Ad J.F.M.; Navickas, Alvydas; Höschl, Cyril; Lecic-Tosevski, Dusica; Sorel, Eliot; Rancans, Elmars; Palova, Eva; Juckel, Georg; Isacsson, Goran; Korosec Jagodic, Helena; Botezat-Antonescu, Ileana; Warnke, Ingeborg; Rybakowski, Janusz; Azorin, Jean Michel; Cookson, John; Waddington, John; Pregelj, Peter; Demyttenaere, Koen; Hranov, Luchezar G.; Injac Stevovic, Lidija; Pezawas, Lucas; Adida, Marc; Figuera, Maria Luisa; Pompili, Maurizio; Jakovljević, Miro; Vichi, Monica; Perugi, Giulio; Andrasen, Ole; Vukovic, Olivera; Mavrogiorgou, Paraskevi; Varnik, Peeter; Bech, Per; Dome, Peter; Winkler, Petr; Salokangas, Raimo K.R.; From, Tiina; Danileviciute, Vita; Gonda, Xenia; Rihmer, Zoltan; Forsman Benhalima, Jonas; Grady, Anne; Kloster Leadholm, Anne Katrine; Soendergaard, Susan; Nordt, Carlos; Lopez-Ibor, Juan; Department of Psychiatry and Narcology
    Background: It is unclear whether there is a direct link between economic crises and changes in suicide rates. Aims: The Lopez-Ibor Foundation launched an initiative to study the possible impact of the economic crisis on European suicide rates. Method: Data was gathered and analysed from 29 European countries and included the number of deaths by suicide in men and women, the unemployment rate, the gross domestic product (GDP) per capita, the annual economic growth rate and inflation. Results: There was a strong correlation between suicide rates and all economic indices except GPD per capita in men but only a correlation with unemployment in women. However, the increase in suicide rates occurred several months before the economic crisis emerged. Conclusions: Overall, this study confirms a general relationship between the economic environment and suicide rates; however, it does not support there being a clear causal relationship between the current economic crisis and an increase in the suicide rate.
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    Relationship of suicide rates with climate and economic variables in Europe during 2000-2012
    (2016) Fountoulakis, Konstantinos N.; Chatzikosta, Isaia; Pastiadis, Konstantinos; Zanis, Prodromos; Kawohl, Wolfram; Kerkhof, Ad J.F.M.; Navickas, Alvydas; Höschl, Cyril; Lecic-Tosevski, Dusica; Sorel, Eliot; Rancans, Elmars; Palova, Eva; Juckel, Georg; Isacsson, Goran; Jagodic, Helena Korosec; Botezat-Antonescu, Ileana; Rybakowski, Janusz; Azorin, Jean Michel; Cookson, John; Waddington, John; Pregelj, Peter; Demyttenaere, Koen; Hranov, Luchezar G.; Stevovic, Lidija Injac; Pezawas, Lucas; Adida, Marc; Figuera, Maria Luisa; Jakovljevic, Miro; Vichi, Monica; Perugi, Giulio; Andreassen, Ole A.; Vukovic, Olivera; Mavrogiorgou, Paraskevi; Varnik, Peeter; Dome, Peter; Winkler, Petr; Salokangas, Raimo K.R.; From, Tiina; Danileviciute, Vita; Gonda, Xenia; Rihmer, Zoltan; Forsman, Jonas; Grady, Anne; Hyphantis, Thomas; Dieset, Ingrid; Soendergaard, Susan; Pompili, Maurizio; Bech, Per; Department of Psychiatry and Narcology
    Background: It is well known that suicidal rates vary considerably among European countries and the reasons for this are unknown, although several theories have been proposed. The effect of economic variables has been extensively studied but not that of climate. Methods: Data from 29 European countries covering the years 2000-2012 and concerning male and female standardized suicidal rates (according to WHO), economic variables (according World Bank) and climate variables were gathered. The statistical analysis included cluster and principal component analysis and categorical regression. Results: The derived models explained 62.4 % of the variability of male suicidal rates. Economic variables alone explained 26.9 % and climate variables 37.6 %. For females, the respective figures were 41.7, 11.5 and 28.1 %. Male suicides correlated with high unemployment rate in the frame of high growth rate and high inflation and low GDP per capita, while female suicides correlated negatively with inflation. Both male and female suicides correlated with low temperature. Discussion: The current study reports that the climatic effect (cold climate) is stronger than the economic one, but both are present. It seems that in Europe suicidality follows the climate/temperature cline which interestingly is not from south to north but from south to north-east. This raises concerns that climate change could lead to an increase in suicide rates. The current study is essentially the first successful attempt to explain the differences across countries in Europe; however, it is an observational analysis based on aggregate data and thus there is a lack of control for confounders.