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Published in: Child and Adolescent Psychiatry and Mental Health 1/2017

Open Access 01-12-2017 | Research Article

The association of monthly, diurnal and circadian variations with suicide attempts by young people

Authors: Türkan Akkaya-Kalayci, Nestor D. Kapusta, Thomas Waldhör, Victor Blüml, Luise Poustka, Zeliha Özlü-Erkilic

Published in: Child and Adolescent Psychiatry and Mental Health | Issue 1/2017

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Abstract

Background

Different psychosocial factors might have an impact on suicidal behaviour and evidence shows that there may be an association between monthly, diurnal and circadian changes and suicidal behaviours.

Methods

In the present study we analysed retrospectively records of 2232 youth, who were treated in emergency units of state hospitals in Istanbul/Turkey after attempting suicide.

Results

The majority of the suicide attempters were females (81.6%). In both sexes, suicide attempts most frequently occurred at the beginning of the calendar week and between evening and midnight.

Conclusions

This study shows that suicide attempts in youth follow diurnal and circadian changes. As suicide attempts of youth most frequently occurred at the beginning of the calendar week and between evening and midnight, health services such as specialized counselling for youth should especially be available during this time.
Literature
1.
2.
go back to reference Schmidtke A, Bille-Brahe U, DeLeo D, Kerkhof A, Bjerke T, Crepet P, et al. Attempted suicide in Europe: rates, trends and sociodemographic characteristics of suicide attempters during the period 1989–1992. Results of the WHO/EURO Multicentre Study on Parasuicide. Acta Psychiatr Scand. 1996;93:327–38.CrossRefPubMed Schmidtke A, Bille-Brahe U, DeLeo D, Kerkhof A, Bjerke T, Crepet P, et al. Attempted suicide in Europe: rates, trends and sociodemographic characteristics of suicide attempters during the period 1989–1992. Results of the WHO/EURO Multicentre Study on Parasuicide. Acta Psychiatr Scand. 1996;93:327–38.CrossRefPubMed
4.
go back to reference Blum RW, Nelson-Mmari K. The health of young people in a global context. J Adolesc Health. 2004;35:402–18.CrossRefPubMed Blum RW, Nelson-Mmari K. The health of young people in a global context. J Adolesc Health. 2004;35:402–18.CrossRefPubMed
5.
go back to reference Mittendorfer-Rutz E, Rasmussen F, Wasserman D. Restricted fetal growth and adverse maternal psychosocial and socioeconomic conditions as risk factors for suicidal behaviour of offspring: a cohort study. Lancet. 2004;364:1135–40.CrossRefPubMed Mittendorfer-Rutz E, Rasmussen F, Wasserman D. Restricted fetal growth and adverse maternal psychosocial and socioeconomic conditions as risk factors for suicidal behaviour of offspring: a cohort study. Lancet. 2004;364:1135–40.CrossRefPubMed
6.
go back to reference Varnik A, Kolves K, Allik J, Arensman E, Aromaa E, van Audenhove C, et al. Gender issues in suicide rates, trends and methods among youths aged 15–24 in 15 European countries. J Affect Disord. 2009;113:216–26.CrossRefPubMed Varnik A, Kolves K, Allik J, Arensman E, Aromaa E, van Audenhove C, et al. Gender issues in suicide rates, trends and methods among youths aged 15–24 in 15 European countries. J Affect Disord. 2009;113:216–26.CrossRefPubMed
7.
go back to reference Wasserman D, Cheng Q, Jiang G. Global suicide rates among young people aged 15–19. World Psychiatry. 2005;4:114–20.PubMedPubMedCentral Wasserman D, Cheng Q, Jiang G. Global suicide rates among young people aged 15–19. World Psychiatry. 2005;4:114–20.PubMedPubMedCentral
8.
go back to reference Doganay Z, Sunter AT, Guz H, Ozkan A, Altintop L, Kati C, et al. Climatic and diurnal variation in suicide attempts in the ED. Am J Emerg Med. 2003;21:271–5.CrossRefPubMed Doganay Z, Sunter AT, Guz H, Ozkan A, Altintop L, Kati C, et al. Climatic and diurnal variation in suicide attempts in the ED. Am J Emerg Med. 2003;21:271–5.CrossRefPubMed
9.
go back to reference Lewinsohn PM, Rohde P, Seeley JR, Baldwin CL. Gender differences in suicide attempts from adolescence to young adulthood. J Am Acad Child Adolesc Psychiatry. 2001;40:427–34.CrossRefPubMed Lewinsohn PM, Rohde P, Seeley JR, Baldwin CL. Gender differences in suicide attempts from adolescence to young adulthood. J Am Acad Child Adolesc Psychiatry. 2001;40:427–34.CrossRefPubMed
12.
go back to reference Akkaya-Kalayci T, Popow C, Waldhor T, Ozlu-Erkilic Z. Impact of religious feast days on youth suicide attempts in Istanbul, Turkey. Neuropsychiatrie. 2015;29:120–4.CrossRefPubMed Akkaya-Kalayci T, Popow C, Waldhor T, Ozlu-Erkilic Z. Impact of religious feast days on youth suicide attempts in Istanbul, Turkey. Neuropsychiatrie. 2015;29:120–4.CrossRefPubMed
13.
go back to reference Akkaya-Kalayci T, Popow C, Winkler D, Bingol RH, Demir T, Ozlu Z. The impact of migration and culture on suicide attempts of children and adolescents living in Istanbul. Int J Psychiatry Clin Pract. 2015;19:32–9.CrossRefPubMed Akkaya-Kalayci T, Popow C, Winkler D, Bingol RH, Demir T, Ozlu Z. The impact of migration and culture on suicide attempts of children and adolescents living in Istanbul. Int J Psychiatry Clin Pract. 2015;19:32–9.CrossRefPubMed
14.
go back to reference Skala K, Bruckner T. Beating the odds: an approach to the topic of resilience in children and adolescents. Neuropsychiatrie. 2014;28:208–17.CrossRefPubMed Skala K, Bruckner T. Beating the odds: an approach to the topic of resilience in children and adolescents. Neuropsychiatrie. 2014;28:208–17.CrossRefPubMed
15.
go back to reference Beauchamp GA, Ho ML, Yin S. Variation in suicide occurrence by day and during major American holidays. J Emerg Med. 2014;46:776–81.CrossRefPubMed Beauchamp GA, Ho ML, Yin S. Variation in suicide occurrence by day and during major American holidays. J Emerg Med. 2014;46:776–81.CrossRefPubMed
16.
go back to reference Polewka A, Kroch S, Chrostek Maj J. Suicidal behavior and suicide attempts in adolescents and young adults—epidemiology, risk factors, prevention and treatment. J. Przegl Lek. 2004;61:261–4. Polewka A, Kroch S, Chrostek Maj J. Suicidal behavior and suicide attempts in adolescents and young adults—epidemiology, risk factors, prevention and treatment. J. Przegl Lek. 2004;61:261–4.
17.
go back to reference Valtonen H, Suominen K, Partonen T, Ostamo A, Lonnqvist J. Time patterns of attempted suicide. J Affect Disord. 2006;90:201–7.CrossRefPubMed Valtonen H, Suominen K, Partonen T, Ostamo A, Lonnqvist J. Time patterns of attempted suicide. J Affect Disord. 2006;90:201–7.CrossRefPubMed
18.
go back to reference Modan B, Nissenkorn I, Lewkowski SR. Suicide in a heterogeneous society. Br J Psychiatry. 1970;116:65–8.CrossRefPubMed Modan B, Nissenkorn I, Lewkowski SR. Suicide in a heterogeneous society. Br J Psychiatry. 1970;116:65–8.CrossRefPubMed
19.
go back to reference Corcoran P, Reilly M, Salim A, Brennan A, Keeley HS, Perry IJ. Temporal variation in Irish suicide rates. Suicide Life Threat Behav. 2004;34:429–38.CrossRefPubMed Corcoran P, Reilly M, Salim A, Brennan A, Keeley HS, Perry IJ. Temporal variation in Irish suicide rates. Suicide Life Threat Behav. 2004;34:429–38.CrossRefPubMed
20.
go back to reference Law CK, Leung CM. Temporal patterns of charcoal burning suicides among the working age population in Hong Kong SAR: the influence of economic activity status and sex. BMC Public Health. 2012;12:505.CrossRefPubMedPubMedCentral Law CK, Leung CM. Temporal patterns of charcoal burning suicides among the working age population in Hong Kong SAR: the influence of economic activity status and sex. BMC Public Health. 2012;12:505.CrossRefPubMedPubMedCentral
21.
go back to reference Caracciolo S, Manfredini R, Gallerani M, Tugnoli S. Circadian rhythm of parasuicide in relation to violence of method and concomitant mental disorder. Acta Psychiatr Scand. 1996;93:252–6.CrossRefPubMed Caracciolo S, Manfredini R, Gallerani M, Tugnoli S. Circadian rhythm of parasuicide in relation to violence of method and concomitant mental disorder. Acta Psychiatr Scand. 1996;93:252–6.CrossRefPubMed
22.
go back to reference Pandit A. Circadian rhythm variation in attempted suicide by deliberate self-poisoning, and in completed suicide, in Central Nepal. Biol Rhythm Res. 2004;35:229–33.CrossRef Pandit A. Circadian rhythm variation in attempted suicide by deliberate self-poisoning, and in completed suicide, in Central Nepal. Biol Rhythm Res. 2004;35:229–33.CrossRef
23.
go back to reference Lukaschek K, Baumert J, Erazo N, Ladwig KH. Stable time patterns of railway suicides in Germany: comparative analysis of 7,187 cases across two observation periods (1995–1998; 2005–2008). BMC Public Health. 2014;14:124.CrossRefPubMedPubMedCentral Lukaschek K, Baumert J, Erazo N, Ladwig KH. Stable time patterns of railway suicides in Germany: comparative analysis of 7,187 cases across two observation periods (1995–1998; 2005–2008). BMC Public Health. 2014;14:124.CrossRefPubMedPubMedCentral
24.
go back to reference Preti A, Miotto P. Diurnal variations in suicide by age and gender in Italy. J Affect Disord. 2001;65:253–61.CrossRefPubMed Preti A, Miotto P. Diurnal variations in suicide by age and gender in Italy. J Affect Disord. 2001;65:253–61.CrossRefPubMed
25.
go back to reference van Houwelingen CA, Beersma DG. Seasonal changes in 24-h patterns of suicide rates: a study on train suicides in The Netherlands. J Affect Disord. 2001;66:215–23.CrossRefPubMed van Houwelingen CA, Beersma DG. Seasonal changes in 24-h patterns of suicide rates: a study on train suicides in The Netherlands. J Affect Disord. 2001;66:215–23.CrossRefPubMed
26.
go back to reference Deveci A, Taskin EO, Erbay Dundar P, Demet MM, Kaya E, Ozmen E, et al. The prevalence of suicide ideation and suicide attempts in Manisa City Centre. Turk Psikiyatri Derg. 2005;16:170–8.PubMed Deveci A, Taskin EO, Erbay Dundar P, Demet MM, Kaya E, Ozmen E, et al. The prevalence of suicide ideation and suicide attempts in Manisa City Centre. Turk Psikiyatri Derg. 2005;16:170–8.PubMed
27.
go back to reference Lee MT, Wong BP, Chow BW, McBride-Chang C. Predictors of suicide ideation and depression in Hong Kong adolescents: perceptions of academic and family climates. Suicide Life Threat Behav. 2006;36:82–96.CrossRefPubMed Lee MT, Wong BP, Chow BW, McBride-Chang C. Predictors of suicide ideation and depression in Hong Kong adolescents: perceptions of academic and family climates. Suicide Life Threat Behav. 2006;36:82–96.CrossRefPubMed
28.
go back to reference Yalaki Z, Tasar MA, Yalcin N, Dallar Y. Cocuk ve genclik dönemindeki özkiyim girisimlerinin degerlendirilmesi. Ege Tip Dersigisi. 2011;50:125–8. Yalaki Z, Tasar MA, Yalcin N, Dallar Y. Cocuk ve genclik dönemindeki özkiyim girisimlerinin degerlendirilmesi. Ege Tip Dersigisi. 2011;50:125–8.
29.
go back to reference Jessen G, Jensen BF, Arensman E, Bille-Brahe U, Crepet P, De Leo D, et al. Attempted suicide and major public holidays in Europe: findings from the WHO/EURO multicentre study on parasuicide. Acta Psychiatr Scand. 1999;99:412–8.CrossRefPubMed Jessen G, Jensen BF, Arensman E, Bille-Brahe U, Crepet P, De Leo D, et al. Attempted suicide and major public holidays in Europe: findings from the WHO/EURO multicentre study on parasuicide. Acta Psychiatr Scand. 1999;99:412–8.CrossRefPubMed
30.
go back to reference Jessen G, Andersen K, Arensman E, Bille-Brahe U, Crepet P, De Leo D, et al. Temporal fluctuations and seasonality in attempted suicide in Europe. Findings from the WHO/EURO multicentre study on parasuicide. Archiv Suicide Res. 1999;5:57–9. Jessen G, Andersen K, Arensman E, Bille-Brahe U, Crepet P, De Leo D, et al. Temporal fluctuations and seasonality in attempted suicide in Europe. Findings from the WHO/EURO multicentre study on parasuicide. Archiv Suicide Res. 1999;5:57–9.
31.
go back to reference Nishi M, Miyake H, Okamoto H, Goto Y, Sakai T. Relationship between suicide and holidays. Epidemiology. 2000;10:317–20.CrossRef Nishi M, Miyake H, Okamoto H, Goto Y, Sakai T. Relationship between suicide and holidays. Epidemiology. 2000;10:317–20.CrossRef
32.
go back to reference Dervic K, Akkaya-Kalayci T, Kapusta ND, Kaya M, Merl E, Vogel E, et al. Suicidal ideation among Viennese high school students. Wien Klin Wochenschr. 2007;119:174–80.CrossRefPubMed Dervic K, Akkaya-Kalayci T, Kapusta ND, Kaya M, Merl E, Vogel E, et al. Suicidal ideation among Viennese high school students. Wien Klin Wochenschr. 2007;119:174–80.CrossRefPubMed
33.
go back to reference Dervic K, Gould MS, Lenz G, Kleinman M, Akkaya-Kalayci T, Velting D, et al. Youth suicide risk factors and attitudes in New York and Vienna: a cross-cultural comparison. Suicide Life Threat Behav. 2006;36:539–52.CrossRefPubMed Dervic K, Gould MS, Lenz G, Kleinman M, Akkaya-Kalayci T, Velting D, et al. Youth suicide risk factors and attitudes in New York and Vienna: a cross-cultural comparison. Suicide Life Threat Behav. 2006;36:539–52.CrossRefPubMed
34.
go back to reference Ranney ML, Patena JV, Nugent N, Spirito A, Boyer E, Zatzick D, et al. PTSD, cyberbullying and peer violence: prevalence and correlates among adolescent emergency department patients. Gen Hosp Psychiatry. 2016;39:32–8.CrossRefPubMed Ranney ML, Patena JV, Nugent N, Spirito A, Boyer E, Zatzick D, et al. PTSD, cyberbullying and peer violence: prevalence and correlates among adolescent emergency department patients. Gen Hosp Psychiatry. 2016;39:32–8.CrossRefPubMed
35.
go back to reference Gabennesch H. When promises fail: a theory of temporal fluctuations in suicide. Soc Forces. 1988;67:129–45.CrossRef Gabennesch H. When promises fail: a theory of temporal fluctuations in suicide. Soc Forces. 1988;67:129–45.CrossRef
36.
go back to reference Erazo N, Baumert J, Ladwig KH. Sex-specific time patterns of suicidal acts on the German railway system. An analysis of 4003 cases. J Affect Disord. 2004;83:1–9.CrossRefPubMed Erazo N, Baumert J, Ladwig KH. Sex-specific time patterns of suicidal acts on the German railway system. An analysis of 4003 cases. J Affect Disord. 2004;83:1–9.CrossRefPubMed
37.
go back to reference Mergl R, Havers I, Althaus D, Rihmer Z, Schmidtke A, Lehfeld H, et al. Seasonality of suicide attempts: association with gender. Eur Arch Psychiatry Clin Neurosci. 2010;260:393–400.CrossRefPubMed Mergl R, Havers I, Althaus D, Rihmer Z, Schmidtke A, Lehfeld H, et al. Seasonality of suicide attempts: association with gender. Eur Arch Psychiatry Clin Neurosci. 2010;260:393–400.CrossRefPubMed
38.
go back to reference Rocchi MB, Sisti D, Cascio MT, Preti A. Seasonality and suicide in Italy: amplitude is positively related to suicide rates. J Affect Disord. 2007;100:129–36.CrossRefPubMed Rocchi MB, Sisti D, Cascio MT, Preti A. Seasonality and suicide in Italy: amplitude is positively related to suicide rates. J Affect Disord. 2007;100:129–36.CrossRefPubMed
39.
go back to reference Polewka A, Szkolnicka B, Targosz D, Groszek B, Kroch S, Chrostek Maj J, et al. Fluctuations and seasonality in suicidal attempts. Przegl Lek. 2004;61:269–73.PubMed Polewka A, Szkolnicka B, Targosz D, Groszek B, Kroch S, Chrostek Maj J, et al. Fluctuations and seasonality in suicidal attempts. Przegl Lek. 2004;61:269–73.PubMed
41.
go back to reference Cam B. Suicide attempt, sociodemographic characteristics, and seasonality. Klinik Psikofarmakoloji Bülteni. 2012;22:158. Cam B. Suicide attempt, sociodemographic characteristics, and seasonality. Klinik Psikofarmakoloji Bülteni. 2012;22:158.
42.
go back to reference Elisei S, Verdolini N, Anastasi S. Suicidal attempts among Emergency Department patients: one-year of clinical experience. Psychiatr Danub. 2012;24(Suppl 1):S140–2.PubMed Elisei S, Verdolini N, Anastasi S. Suicidal attempts among Emergency Department patients: one-year of clinical experience. Psychiatr Danub. 2012;24(Suppl 1):S140–2.PubMed
43.
go back to reference Monnin J, Thiemard E, Vandel P, Nicolier M, Tio G, Courtet P, et al. Sociodemographic and psychopathological risk factors in repeated suicide attempts: gender differences in a prospective study. J Affect Disord. 2012;136:35–43.CrossRefPubMed Monnin J, Thiemard E, Vandel P, Nicolier M, Tio G, Courtet P, et al. Sociodemographic and psychopathological risk factors in repeated suicide attempts: gender differences in a prospective study. J Affect Disord. 2012;136:35–43.CrossRefPubMed
44.
go back to reference Naidoo SS, Schlebusch L. Sociodemographic and clinical profiles of suicidal patients requiring admission to hospitals south of Durban. S Afr Fam Pract. 2013;55:373–9.CrossRef Naidoo SS, Schlebusch L. Sociodemographic and clinical profiles of suicidal patients requiring admission to hospitals south of Durban. S Afr Fam Pract. 2013;55:373–9.CrossRef
45.
go back to reference Rancic N, Ignjatovic Ristic D, Radovanovic S, Kocic S, Radevic S. Sociodemographic and clinical characteristics of hospitalized patients after suicide attempt: a twenty-year retrospective study. Med Glas (Zenica). 2012;9:350–5.PubMed Rancic N, Ignjatovic Ristic D, Radovanovic S, Kocic S, Radevic S. Sociodemographic and clinical characteristics of hospitalized patients after suicide attempt: a twenty-year retrospective study. Med Glas (Zenica). 2012;9:350–5.PubMed
46.
go back to reference Aydin A, Gulec M, Boysan M, Selvi Y, Selvi F, Kadak MT, et al. Seasonality of self-destructive behaviour: seasonal variations in demographic and suicidal characteristics in Van, Turkey. Int J Psychiatry Clin Pract. 2013;17:110–9.CrossRefPubMed Aydin A, Gulec M, Boysan M, Selvi Y, Selvi F, Kadak MT, et al. Seasonality of self-destructive behaviour: seasonal variations in demographic and suicidal characteristics in Van, Turkey. Int J Psychiatry Clin Pract. 2013;17:110–9.CrossRefPubMed
47.
go back to reference Mann JJ. A current perspective of suicide and attempted suicide. Ann Intern Med. 2002;136:302–11.CrossRefPubMed Mann JJ. A current perspective of suicide and attempted suicide. Ann Intern Med. 2002;136:302–11.CrossRefPubMed
Metadata
Title
The association of monthly, diurnal and circadian variations with suicide attempts by young people
Authors
Türkan Akkaya-Kalayci
Nestor D. Kapusta
Thomas Waldhör
Victor Blüml
Luise Poustka
Zeliha Özlü-Erkilic
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Child and Adolescent Psychiatry and Mental Health / Issue 1/2017
Electronic ISSN: 1753-2000
DOI
https://doi.org/10.1186/s13034-017-0171-6

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