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Published in: Social Psychiatry and Psychiatric Epidemiology 7/2016

01-07-2016 | Original Paper

Enduring financial crisis in Greece: prevalence and correlates of major depression and suicidality

Authors: Marina Economou, Elias Angelopoulos, Lily Evangelia Peppou, Kyriakos Souliotis, Chara Tzavara, Konstantinos Kontoangelos, Michael Madianos, Costas Stefanis

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 7/2016

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Abstract

Purpose

A series of repeated cross-sectional surveys conducted in 2008, 2009, 2011 and 2013 were conducted with the aim of estimating the prevalence of major depression and suicidality as well as of investigating its risk factors. The present report concentrates on the 2013 survey.

Methods

A random and representative sample of 2.188 people was telephone interviewed with regard to various socio-economic indicators and the presence of major depression and suicidality, which were assessed with the germane module of the Structured Clinical Interview.

Results

Findings suggest a rise in 1-month prevalence of major depression (12.3 %) and a decline in prevalence of suicidality (2.8 %). Female gender, residence in rural area, low educational attainment, unemployment and economic hardship were found to increase the odds of suffering from major depression. The influence of economic hardship and unemployment on suicidality was also substantial and independent of major depression.

Conclusions

Results stress the imperative need for the design and implementation of social policies and interventions that would offset the dire impact of the sustained recession in Greece.
Literature
3.
go back to reference Hellenic Statistical Authority (2015) Press release: risk of poverty. Research on income and living conditions of households 2014. HAS, Piraeus Hellenic Statistical Authority (2015) Press release: risk of poverty. Research on income and living conditions of households 2014. HAS, Piraeus
4.
go back to reference Hellenic Confederation of Professionals, Craftsmen and Merchants (2014) Research on household income and expenses. GSEEVE, Athens Hellenic Confederation of Professionals, Craftsmen and Merchants (2014) Research on household income and expenses. GSEEVE, Athens
5.
go back to reference United Nation’s Children’s Fund (2014) Children of the recession: the impact of the economic crisis on child well-being in rich countries. UNICEF, Florence United Nation’s Children’s Fund (2014) Children of the recession: the impact of the economic crisis on child well-being in rich countries. UNICEF, Florence
7.
go back to reference Eurostat (2015) Euro area unemployment rate at 11.1 %. Eurostat, Luxembourg Eurostat (2015) Euro area unemployment rate at 11.1 %. Eurostat, Luxembourg
8.
go back to reference Manpower Employment Organization (2015) Brief report: Registry of Manpower Employment Organization-April 2015. Manpower Employment Organization, Athens Manpower Employment Organization (2015) Brief report: Registry of Manpower Employment Organization-April 2015. Manpower Employment Organization, Athens
9.
go back to reference Kentikelenis A, Karanikolos M, Reeves A et al (2014) Greece’s health crisis: from austerity to denialism. Lancet 383:748–753CrossRefPubMed Kentikelenis A, Karanikolos M, Reeves A et al (2014) Greece’s health crisis: from austerity to denialism. Lancet 383:748–753CrossRefPubMed
10.
go back to reference Simou E, Koutsogeorgou E (2014) Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: a systematic review. Health Policy 115:111–119CrossRefPubMed Simou E, Koutsogeorgou E (2014) Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: a systematic review. Health Policy 115:111–119CrossRefPubMed
11.
go back to reference Vandoros S, Hessel P, Leone T et al (2013) Have health trends worsened in Greece as a result of the financial crisis? A quasi-experimental approach. Eur J Public Health 23:727–731CrossRefPubMed Vandoros S, Hessel P, Leone T et al (2013) Have health trends worsened in Greece as a result of the financial crisis? A quasi-experimental approach. Eur J Public Health 23:727–731CrossRefPubMed
12.
go back to reference Hessel P, Vandoros S, Avendano M (2014) The differential impact of the financial crisis on health in Ireland and Greece: a quasi-experimental approach. Public Health 128:911–919CrossRefPubMedPubMedCentral Hessel P, Vandoros S, Avendano M (2014) The differential impact of the financial crisis on health in Ireland and Greece: a quasi-experimental approach. Public Health 128:911–919CrossRefPubMedPubMedCentral
13.
go back to reference Bonovas S, Nikolopoulos G (2012) High-burden epidemics in Greece in the era of economic crisis. Early signs of a public health tragedy. J Prev Med Hyg 53:169–171PubMed Bonovas S, Nikolopoulos G (2012) High-burden epidemics in Greece in the era of economic crisis. Early signs of a public health tragedy. J Prev Med Hyg 53:169–171PubMed
14.
go back to reference Tapia Granados JA, Rodriguez JM (2015) Health, economic crisis and austerity. A comparison of Greece, Finland and Iceland. Health Policy 119:941–953CrossRefPubMed Tapia Granados JA, Rodriguez JM (2015) Health, economic crisis and austerity. A comparison of Greece, Finland and Iceland. Health Policy 119:941–953CrossRefPubMed
15.
go back to reference Kentikelenis A, Karanikolos M, Papanicolas I et al (2011) Health effects of the financial crisis: omens of a Greek tragedy. Lancet 378:1457–1458CrossRefPubMed Kentikelenis A, Karanikolos M, Papanicolas I et al (2011) Health effects of the financial crisis: omens of a Greek tragedy. Lancet 378:1457–1458CrossRefPubMed
16.
go back to reference Economou M, Madianos M, Theleritis C et al (2011) Increased suicidality amid economic crisis in Greece. Lancet 378:1459CrossRefPubMed Economou M, Madianos M, Theleritis C et al (2011) Increased suicidality amid economic crisis in Greece. Lancet 378:1459CrossRefPubMed
17.
go back to reference Stuckler D, Basu S, Suhrche M et al (2011) Effects of the 2008 recession on health: a first look at European data. Lancet 378:124–125CrossRefPubMed Stuckler D, Basu S, Suhrche M et al (2011) Effects of the 2008 recession on health: a first look at European data. Lancet 378:124–125CrossRefPubMed
18.
go back to reference Fountoulakis KN, Grammatikopoulos IA, Koupidis S et al (2012) Health and the financial crisis in Greece. Lancet 379:1001–1002CrossRefPubMed Fountoulakis KN, Grammatikopoulos IA, Koupidis S et al (2012) Health and the financial crisis in Greece. Lancet 379:1001–1002CrossRefPubMed
20.
go back to reference Madianos M, Alexiou T, Patelakis A et al (2014) Suicide, unemployment and other socioeconomic factors evidence from the economic crisis in Greece. Eur J Psychiatry 28:39–49CrossRef Madianos M, Alexiou T, Patelakis A et al (2014) Suicide, unemployment and other socioeconomic factors evidence from the economic crisis in Greece. Eur J Psychiatry 28:39–49CrossRef
21.
go back to reference Branas CC, Kastanaki A, Michalodimitrakis M et al (2014) The impact of economic austerity and prosperity events on suicide in Greece: a 30-year interrupted time-series analysis. BMJ Open 5:e005619CrossRef Branas CC, Kastanaki A, Michalodimitrakis M et al (2014) The impact of economic austerity and prosperity events on suicide in Greece: a 30-year interrupted time-series analysis. BMJ Open 5:e005619CrossRef
22.
go back to reference Rachiotis G, Stuckler D, McKee M et al (2015) What has happened to suicides during the Greek economic crisis? Findings from an ecological study of suicides and their determinants (2003–2012). BMJ Open 5:e007295CrossRefPubMedPubMedCentral Rachiotis G, Stuckler D, McKee M et al (2015) What has happened to suicides during the Greek economic crisis? Findings from an ecological study of suicides and their determinants (2003–2012). BMJ Open 5:e007295CrossRefPubMedPubMedCentral
23.
go back to reference Antonakakis N, Collins A (2014) The impact of fiscal austerity on suicide: on the empirics of a modern Greek tragedy. Soc Sci Med 112:39–50CrossRefPubMed Antonakakis N, Collins A (2014) The impact of fiscal austerity on suicide: on the empirics of a modern Greek tragedy. Soc Sci Med 112:39–50CrossRefPubMed
24.
go back to reference Economou M, Peppou LE, Souliotis K (2016) Mental health repercussions of the economic disaster in Greece. In: Christodoulou G (ed) Crises and disasters. Cambridge Scholars Publishing, Cambridge (in press) Economou M, Peppou LE, Souliotis K (2016) Mental health repercussions of the economic disaster in Greece. In: Christodoulou G (ed) Crises and disasters. Cambridge Scholars Publishing, Cambridge (in press)
25.
go back to reference Madianos M, Economou M, Alexiou T et al (2011) Depression and economic hardship across Greece in 2008 and 2009: two cross-sectional surveys nationwide. Soc Psychiatry Psychiatr Epidemiol 46:943–952CrossRefPubMed Madianos M, Economou M, Alexiou T et al (2011) Depression and economic hardship across Greece in 2008 and 2009: two cross-sectional surveys nationwide. Soc Psychiatry Psychiatr Epidemiol 46:943–952CrossRefPubMed
26.
go back to reference Economou M, Madianos M, Peppou LE et al (2013) Major depression in the era of economic crisis: a replication of a cross-sectional study across Greece. J Affect Disord 145:308–314CrossRefPubMed Economou M, Madianos M, Peppou LE et al (2013) Major depression in the era of economic crisis: a replication of a cross-sectional study across Greece. J Affect Disord 145:308–314CrossRefPubMed
27.
go back to reference Economou M, Madianos M, Le Peppou et al (2014) Cognitive social capital and mental illness during economic crisis: a nationwide population-based study in Greece. Soc Sci Med 100:141–147CrossRefPubMed Economou M, Madianos M, Le Peppou et al (2014) Cognitive social capital and mental illness during economic crisis: a nationwide population-based study in Greece. Soc Sci Med 100:141–147CrossRefPubMed
28.
go back to reference Economou M, Madianos M, Peppou LE et al (2013) Suicidal ideation and reported suicide attempts in Greece during the economic crisis. World Psychiatry 12:53–59CrossRefPubMedPubMedCentral Economou M, Madianos M, Peppou LE et al (2013) Suicidal ideation and reported suicide attempts in Greece during the economic crisis. World Psychiatry 12:53–59CrossRefPubMedPubMedCentral
29.
go back to reference First MB, Spitzer R, Gibbon M et al (1996) Structured clinical interview for DSM IV axis I disorders, patient edition. Biometric Research, New York State Psychiatric Institute, New York First MB, Spitzer R, Gibbon M et al (1996) Structured clinical interview for DSM IV axis I disorders, patient edition. Biometric Research, New York State Psychiatric Institute, New York
30.
go back to reference Madianos M, Papaghelis M, Philippakis A (1997) The reliability of SCID-I in Greece in clinical and general population. Psychiatriki 8:101–108 Madianos M, Papaghelis M, Philippakis A (1997) The reliability of SCID-I in Greece in clinical and general population. Psychiatriki 8:101–108
31.
go back to reference Mylona K, Tsiantou V, Zavras D et al (2014) Determinants of self-reported frequency of depressive symptoms in Greece during economic crisis. Public Health 128:752–754CrossRefPubMed Mylona K, Tsiantou V, Zavras D et al (2014) Determinants of self-reported frequency of depressive symptoms in Greece during economic crisis. Public Health 128:752–754CrossRefPubMed
32.
go back to reference Lee S, Guo W, Tsang A et al (2010) Evidence for the 2008 economic crisis exacerbating depression in Honk Kong. J Affect Disord 126:125–133CrossRefPubMed Lee S, Guo W, Tsang A et al (2010) Evidence for the 2008 economic crisis exacerbating depression in Honk Kong. J Affect Disord 126:125–133CrossRefPubMed
33.
go back to reference Wang JL, Smailes E, Sareen J et al (2010) The prevalence of mental disorders in the working population over the period of global economic crisis. Can J Psychiatry 55:598–605PubMed Wang JL, Smailes E, Sareen J et al (2010) The prevalence of mental disorders in the working population over the period of global economic crisis. Can J Psychiatry 55:598–605PubMed
34.
go back to reference Gili M, Roca M, Basu S et al (2013) The mental health risks of economic crisis in Spain: evidence from primary care centres 2006 and 2010. Eur J Public Health 23:103–108CrossRefPubMed Gili M, Roca M, Basu S et al (2013) The mental health risks of economic crisis in Spain: evidence from primary care centres 2006 and 2010. Eur J Public Health 23:103–108CrossRefPubMed
35.
go back to reference Hong J, Knapp M, McGuire A (2011) Income-related inequalities in the prevalence of depression and suicidal behaviour: a 10-year trend following economic crisis. World Psychiatry 10:40–44CrossRefPubMedPubMedCentral Hong J, Knapp M, McGuire A (2011) Income-related inequalities in the prevalence of depression and suicidal behaviour: a 10-year trend following economic crisis. World Psychiatry 10:40–44CrossRefPubMedPubMedCentral
36.
go back to reference Organization for Economic Cooperation and Development (2007) OECD health report. Organization for Economic Cooperation and Development, Paris Organization for Economic Cooperation and Development (2007) OECD health report. Organization for Economic Cooperation and Development, Paris
37.
go back to reference Hasin DS, Fenton MC, Weissman MM (2011) Epidemiology of depressive disorders. In: Tsuang MT, Tohenm M, Jones P (eds) Textbook in psychiatric epidemiology. John Wiley & Sons, West Sussex Hasin DS, Fenton MC, Weissman MM (2011) Epidemiology of depressive disorders. In: Tsuang MT, Tohenm M, Jones P (eds) Textbook in psychiatric epidemiology. John Wiley & Sons, West Sussex
38.
go back to reference Piccinelli M, Wilkinson G (2008) Gender differences in depression: critical review. Br J Psychiatry 177:486–492CrossRef Piccinelli M, Wilkinson G (2008) Gender differences in depression: critical review. Br J Psychiatry 177:486–492CrossRef
39.
go back to reference Peen J, Shoevers RA, Beekman AT et al (2010) The current status of urban-rural areas in psychiatric disorders. Acta Psychiatr Scand 121:84–93CrossRefPubMed Peen J, Shoevers RA, Beekman AT et al (2010) The current status of urban-rural areas in psychiatric disorders. Acta Psychiatr Scand 121:84–93CrossRefPubMed
40.
go back to reference Hellenic Statistical Authority (2013) Research on labor force 2013. HSA, Piraeus Hellenic Statistical Authority (2013) Research on labor force 2013. HSA, Piraeus
41.
go back to reference Kasimis C, Zografakis S (2014) Crisis and return to agriculture. In: Zampourloukou S, Kousi M (eds) Social aspects of the crisis in Greece. Pedio, Athens Kasimis C, Zografakis S (2014) Crisis and return to agriculture. In: Zampourloukou S, Kousi M (eds) Social aspects of the crisis in Greece. Pedio, Athens
42.
go back to reference Economou C, Kaitelidou D, Kentikelenis A et al (2014) The impact of the financial crisis on the health system and health in Greece. WHO, Copenhagen Economou C, Kaitelidou D, Kentikelenis A et al (2014) The impact of the financial crisis on the health system and health in Greece. WHO, Copenhagen
43.
go back to reference Souliotis K, Papageorgiou M, Politi A et al (2014) Barriers to accessing biologic treatment for rheumatoid arthritis in Greece: the unseen impact of the fiscal crisis—the Health Outcomes Patient Environment (HOPE) study. Rheumatol Int 34:25–33CrossRefPubMed Souliotis K, Papageorgiou M, Politi A et al (2014) Barriers to accessing biologic treatment for rheumatoid arthritis in Greece: the unseen impact of the fiscal crisis—the Health Outcomes Patient Environment (HOPE) study. Rheumatol Int 34:25–33CrossRefPubMed
44.
go back to reference McGuffin P, Rivera M (2015) The interaction between stress and genetic factors in the etiopathogenesis of depression. World Psychiatry 14:162–165CrossRef McGuffin P, Rivera M (2015) The interaction between stress and genetic factors in the etiopathogenesis of depression. World Psychiatry 14:162–165CrossRef
45.
go back to reference Hoynes HW, Miller DL, Schaller J (2012) Who suffers during recessions? NBER Work Pap 17951 Hoynes HW, Miller DL, Schaller J (2012) Who suffers during recessions? NBER Work Pap 17951
46.
47.
go back to reference Jefferis BJ, Nazareth I, Marston L et al (2011) Association between unemployment and major depressive disorder: evidence from an international, prospective study (the predict cohort). Soc Sci Med 73:1627–1634CrossRefPubMed Jefferis BJ, Nazareth I, Marston L et al (2011) Association between unemployment and major depressive disorder: evidence from an international, prospective study (the predict cohort). Soc Sci Med 73:1627–1634CrossRefPubMed
48.
go back to reference Reeves A, McKee M, Stuckler D (2014) Economic suicides in the Great Recession in Europe and North America. Br J Psychiatry 205:246–247CrossRefPubMed Reeves A, McKee M, Stuckler D (2014) Economic suicides in the Great Recession in Europe and North America. Br J Psychiatry 205:246–247CrossRefPubMed
49.
go back to reference Drydakis N (2015) The effect of unemployment on self-reported health and mental health in Greece from 2008 to 2013: a longitudinal study before and during the financial crisis. Soc Sci Med 128:43–51CrossRefPubMed Drydakis N (2015) The effect of unemployment on self-reported health and mental health in Greece from 2008 to 2013: a longitudinal study before and during the financial crisis. Soc Sci Med 128:43–51CrossRefPubMed
50.
go back to reference Economou M, Peppou LE, Louki E et al (2012) Depression telephone helpline: help-seeking during the financial crisis. Psychiatriki 23:17–28PubMed Economou M, Peppou LE, Louki E et al (2012) Depression telephone helpline: help-seeking during the financial crisis. Psychiatriki 23:17–28PubMed
51.
go back to reference Manpower Employment Organization (2013) Brief report: Registry of Manpower Employment Organization-May 2013. Manpower Employment Organization, Athens Manpower Employment Organization (2013) Brief report: Registry of Manpower Employment Organization-May 2013. Manpower Employment Organization, Athens
52.
go back to reference Meltzer H, Bebbington P, Brugha T et al (2011) Personal debt and suicidal ideation. Psychol Med 41:771–778CrossRefPubMed Meltzer H, Bebbington P, Brugha T et al (2011) Personal debt and suicidal ideation. Psychol Med 41:771–778CrossRefPubMed
53.
go back to reference Melzter H, Bebbington P, Brugha T et al (2012) The relationship between personal debt and specific mental disorders. Eur J Public Health 23:108–113 Melzter H, Bebbington P, Brugha T et al (2012) The relationship between personal debt and specific mental disorders. Eur J Public Health 23:108–113
54.
go back to reference Ahnquist J, Wamala SP (2011) Economic hardships in adulthood and mental health in Sweden: the Sweden National Public Health Survey 2009. BMC Public Health 11:788–798CrossRefPubMedPubMedCentral Ahnquist J, Wamala SP (2011) Economic hardships in adulthood and mental health in Sweden: the Sweden National Public Health Survey 2009. BMC Public Health 11:788–798CrossRefPubMedPubMedCentral
55.
go back to reference Blair-West GW, Cantor CH, Mellsop GW et al (1999) Lifetime suicide risk in major depression: sex and age determinants. J Affect Disord 55:171–178CrossRefPubMed Blair-West GW, Cantor CH, Mellsop GW et al (1999) Lifetime suicide risk in major depression: sex and age determinants. J Affect Disord 55:171–178CrossRefPubMed
56.
go back to reference Malone KM, Haas GL, Sweeney JA et al (1995) Major depression and the risk of attempted suicide. J Affect Disord 34:173–185CrossRefPubMed Malone KM, Haas GL, Sweeney JA et al (1995) Major depression and the risk of attempted suicide. J Affect Disord 34:173–185CrossRefPubMed
57.
go back to reference Coope C, Donovan J, Wilson C et al (2015) Characteristics of people dying by suicide after job loss, financial difficulties and other economic stressors during a period of recession (2010–2011): a review of coroners’ records. J Affect Disord 183:98–105CrossRefPubMed Coope C, Donovan J, Wilson C et al (2015) Characteristics of people dying by suicide after job loss, financial difficulties and other economic stressors during a period of recession (2010–2011): a review of coroners’ records. J Affect Disord 183:98–105CrossRefPubMed
58.
go back to reference Beck A, Steer R, Beck J et al (1993) Hopelessness, depression suicidal ideation and clinical diagnosis of depression. Suicide Life Threat Behav 23:139–145PubMed Beck A, Steer R, Beck J et al (1993) Hopelessness, depression suicidal ideation and clinical diagnosis of depression. Suicide Life Threat Behav 23:139–145PubMed
61.
go back to reference Skapinakis P, Bellos S, Koupidis S, Grammatikopoulos I, Theodorakis PN, Mavreas V (2013) Prevalence and sociodemographic associations of common mental disorders in a nationally representative sample of the general population. BMC Psychiatry 13:163–176CrossRefPubMedPubMedCentral Skapinakis P, Bellos S, Koupidis S, Grammatikopoulos I, Theodorakis PN, Mavreas V (2013) Prevalence and sociodemographic associations of common mental disorders in a nationally representative sample of the general population. BMC Psychiatry 13:163–176CrossRefPubMedPubMedCentral
Metadata
Title
Enduring financial crisis in Greece: prevalence and correlates of major depression and suicidality
Authors
Marina Economou
Elias Angelopoulos
Lily Evangelia Peppou
Kyriakos Souliotis
Chara Tzavara
Konstantinos Kontoangelos
Michael Madianos
Costas Stefanis
Publication date
01-07-2016
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 7/2016
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-016-1238-z

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