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Suicidal ideation in adolescents and young adults in Greece: prevalence and association with sociodemographic variables, mental health and substance use

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References

  1. WHO (2018) National suicide prevention strategies progress, examples and indicators. World Health Organization, Geneva. https://www.who.int/mental_health/suicide-prevention/national_strategies_2019/en/. Accessed 20 Nov 2020

  2. Coope C, Donovan J, Wilson C, Barnes M, Metcalfe C, Hollingworth W, Kapur N, Hawton K, Gunnell D (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 183:98–105. https://doi.org/10.1016/j.jad.2015.04.045

    Article  PubMed  Google Scholar 

  3. Economou M, Angelopoulos E, Peppou LE, Souliotis K, Tzavara C, Kontoangelos K, Madianos M, Stefanis C (2016) Enduring financial crisis in Greece: prevalence and correlates of major depression and suicidality. Soc Psychiatry Psychiatr Epidemiol 51(7):1015–1024. https://doi.org/10.1007/s00127-016-1238-z

    Article  PubMed  Google Scholar 

  4. Economou M, Madianos M, Peppou LE, Theleritis C, Patelakis A, Stefanis C (2013) Suicidal ideation and reported suicide attempts in Greece during the economic crisis. World Psychiatry 12(1):53–59. https://doi.org/10.1002/wps.20016

    Article  PubMed  PubMed Central  Google Scholar 

  5. Fountoulakis KN, Savopoulos C, Apostolopoulou M, Dampali R, Zaggelidou E, Karlafti E, Fountoukidis I, Kountis P, Limenopoulos V, Plomaritis E, Theodorakis P, Hatzitolios AI (2015) Rate of suicide and suicide attempts and their relationship to unemployment in Thessaloniki Greece (2000–2012). J Affect Disord 174:131–136. https://doi.org/10.1016/j.jad.2014.11.047

    Article  PubMed  Google Scholar 

  6. Blasco MJ, Vilagut G, Almenara J, Roca M, Piqueras JA, Gabilondo A, Lagares C, Soto-Sanz V, Alayo I, Forero CG, Echeburua E, Gili M, Cebria AI, Bruffaerts R, Auerbach RP, Nock MK, Kessler RC, Alonso J (2019) Suicidal thoughts and behaviors: prevalence and association with distal and proximal factors in Spanish University Students. Suicide Life Threat Behav 49(3):881–898. https://doi.org/10.1111/sltb.12491

    Article  PubMed  Google Scholar 

  7. Daniel SS, Walsh AK, Goldston DB, Arnold EM, Reboussin BA, Wood FB (2006) Suicidality, school dropout, and reading problems among adolescents. J Learn Disabil 39(6):507–514. https://doi.org/10.1177/00222194060390060301

    Article  PubMed  Google Scholar 

  8. Kokkevi A, Rotsika V, Arapaki A, Richardson C (2011) Changes in associations between psychosocial factors and suicide attempts by adolescents in Greece from 1984 to 2007. Eur J Public Health 21(6):694–698. https://doi.org/10.1093/eurpub/ckq160

    Article  PubMed  Google Scholar 

  9. Fonseca-Pedrero E, Inchausti F, Pérez-Gutiérrez L, Aritio Solana R, Ortuño-Sierra J, Sánchez-García MÁ, Lucas-Molina B, Domínguez C, Foncea D, Espinosa V, Gorría A, Urbiola-Merina E, Fernández M, Merina Díaz C, Gutiérrez C, Aures M, Campos MS, Domínguez-Garrido E, de Albéniz P, Iturriaga A (2018) Suicidal ideation in a community-derived sample of Spanish adolescents. Rev Psiquiatria y Salud Mental 11(2):76–85. https://doi.org/10.1016/j.rpsm.2017.07.004

    Article  Google Scholar 

  10. Fuller-Thomson E, Carroll SZ, Yang W (2018) Suicide attempts among individuals with specific learning disorders: an underrecognized issue. J Learn Disabil 51(3):283–292. https://doi.org/10.1177/0022219417714776

    Article  PubMed  Google Scholar 

  11. Bernal M, Haro JM, Bernert S, Brugha T, de Graaf R, Bruffaerts R, Lépine JP, de Girolamo G, Vilagut G, Gasquet I, Torres JV, Kovess V, Heider D, Neeleman J, Kessler R, Alonso J (2007) Risk factors for suicidality in Europe: results from the ESEMED study. J Affect Disord 101(1–3):27–34. https://doi.org/10.1016/j.jad.2006.09.018

    Article  CAS  PubMed  Google Scholar 

  12. Fairweather-Schmidt AK, Anstey KJ, Salim A, Rodgers B (2010) Baseline factors predictive of serious suicidality at follow-up: findings focussing on age and gender from a community-based study. BMC Psychiatry 10:41. https://doi.org/10.1186/1471-244x-10-41

    Article  PubMed  PubMed Central  Google Scholar 

  13. Kim SY, Shin YC, Oh KS, Shin DW, Lim WJ, Cho SJ, Jeon SW (2020) Association between work stress and risk of suicidal ideation: a cohort study among Korean employees examining gender and age differences. Scand J Work Environ Health 46(2):198–208. https://doi.org/10.5271/sjweh.3852

    Article  PubMed  Google Scholar 

  14. Coentre R, Faravelli C, Figueira ML (2016) Assessment of depression and suicidal behaviour among medical students in Portugal. Int J Med Educ 7:354–363. https://doi.org/10.5116/ijme.57f8.c468

    Article  PubMed  PubMed Central  Google Scholar 

  15. Skapinakis P, Bellos S, Gkatsa T, Magklara K, Lewis G, Araya R, Stylianidis S, Mavreas V (2011) The association between bullying and early stages of suicidal ideation in late adolescents in Greece. BMC Psychiatry 11:22. https://doi.org/10.1186/1471-244x-11-22

    Article  PubMed  PubMed Central  Google Scholar 

  16. Voss C, Ollmann TM, Miché M, Venz J, Hoyer J, Pieper L, Höfler M, Beesdo-Baum K (2019) Prevalence, onset, and course of suicidal behavior among adolescents and young adults in Germany. JAMA Netw Open 2(10):e1914386. https://doi.org/10.1001/jamanetworkopen.2019.14386

    Article  PubMed  PubMed Central  Google Scholar 

  17. Karanikola M, Zisimou P, Nystazaki M, Koutrouba A, Severinsson E (2019) Association between illegal use of substances and suicidal behavior in school students: an integrative review of empirical data. J Child Adolesc Psychiatr Nurs 32(2):80–101. https://doi.org/10.1111/jcap.12228

    Article  PubMed  Google Scholar 

  18. Labelle R, Breton JJ, Pouliot L, Dufresne MJ, Berthiaume C (2013) Cognitive correlates of serious suicidal ideation in a community sample of adolescents. J Affect Disord 145(3):370–377. https://doi.org/10.1016/j.jad.2012.08.027

    Article  PubMed  Google Scholar 

  19. Wang PW, Yen CF (2017) Adolescent substance use behavior and suicidal behavior for boys and girls: a cross-sectional study by latent analysis approach. BMC Psychiatry 17(1):392. https://doi.org/10.1186/s12888-017-1546-1

    Article  PubMed  PubMed Central  Google Scholar 

  20. Basta M, Karakonstantis S, Koutra K, Dafermos V, Papargiris A, Drakaki M, Tzagkarakis S, Vgontzas A, Simos P, Papadakis N (2019) NEET status among young Greeks: association with mental health and substance use. J Affect Disord 253:210–217. https://doi.org/10.1016/j.jad.2019.04.095

    Article  PubMed  Google Scholar 

  21. Wu Y, Levis B, Riehm KE, Saadat N, Levis AW, Azar M, Rice DB, Boruff J, Cuijpers P, Gilbody S, Ioannidis JPA, Kloda LA, McMillan D, Patten SB, Shrier I, Ziegelstein RC, Akena DH, Arroll B, Ayalon L, Baradaran HR, Baron M, Bombardier CH, Butterworth P, Carter G, Chagas MH et al (2019) Equivalency of the diagnostic accuracy of the PHQ-8 and PHQ-9: a systematic review and individual participant data meta-analysis. Psychol Med. https://doi.org/10.1017/s0033291719001314

    Article  PubMed  PubMed Central  Google Scholar 

  22. Spitzer RL, Kroenke K, Williams JB, Lowe B (2006) A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 166(10):1092–1097. https://doi.org/10.1001/archinte.166.10.1092

    Article  PubMed  Google Scholar 

  23. Kroenke K, Spitzer RL, Williams JB (2001) The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16(9):606–613

    Article  CAS  Google Scholar 

  24. Karekla M, Pilipenko N, Feldman J (2012) Patient Health Questionnaire: Greek language validation and subscale factor structure. Compr Psychiatry 53(8):1217–1226. https://doi.org/10.1016/j.comppsych.2012.05.008

    Article  PubMed  Google Scholar 

  25. Rossom RC, Coleman KJ, Ahmedani BK, Beck A, Johnson E, Oliver M, Simon GE (2017) Suicidal ideation reported on the PHQ9 and risk of suicidal behavior across age groups. J Affect Disord 215:77–84. https://doi.org/10.1016/j.jad.2017.03.037

    Article  PubMed  PubMed Central  Google Scholar 

  26. Zygo M, Pawłowska B, Potembska E, Dreher P, Kapka-Skrzypczak L (2019) Prevalence and selected risk factors of suicidal ideation, suicidal tendencies and suicide attempts in young people aged 13–19 years. Ann Agric Environ Med 26(2):329–336. https://doi.org/10.26444/aaem/93817

    Article  PubMed  Google Scholar 

  27. Borges G, Nock MK, Haro Abad JM, Hwang I, Sampson NA, Alonso J, Andrade LH, Angermeyer MC, Beautrais A, Bromet E, Bruffaerts R, de Girolamo G, Florescu S, Gureje O, Hu C, Karam EG, Kovess-Masfety V, Lee S, Levinson D, Medina-Mora ME, Ormel J, Posada-Villa J, Sagar R, Tomov T, Uda H et al (2010) Twelve-month prevalence of and risk factors for suicide attempts in the World Health Organization World Mental Health Surveys. J Clin Psychiatry 71(12):1617–1628. https://doi.org/10.4088/JCP.08m04967blu

    Article  PubMed  PubMed Central  Google Scholar 

  28. Nock MK, Borges G, Bromet EJ, Alonso J, Angermeyer M, Beautrais A, Bruffaerts R, Chiu WT, de Girolamo G, Gluzman S, de Graaf R, Gureje O, Haro JM, Huang Y, Karam E, Kessler RC, Lepine JP, Levinson D, Medina-Mora ME, Ono Y, Posada-Villa J, Williams D (2008) Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatry 192(2):98–105. https://doi.org/10.1192/bjp.bp.107.040113

    Article  PubMed  PubMed Central  Google Scholar 

  29. Gonzalez VM, Hewell VM (2012) Suicidal ideation and drinking to cope among college binge drinkers. Addict Behav 37(8):994–997. https://doi.org/10.1016/j.addbeh.2012.03.027

    Article  PubMed  PubMed Central  Google Scholar 

  30. Zhang X, Wu LT (2014) Suicidal ideation and substance use among adolescents and young adults: a bidirectional relation? Drug Alcohol Depend 142:63–73. https://doi.org/10.1016/j.drugalcdep.2014.05.025

    Article  PubMed  Google Scholar 

  31. Goldston DB (2004) Conceptual issues in understanding the relationship between suicidal behavior and substance use during adolescence. Drug Alcohol Depend 76(Suppl):S79-91. https://doi.org/10.1016/j.drugalcdep.2004.08.009

    Article  PubMed  Google Scholar 

  32. Goudriaan AE, Grekin ER, Sher KJ (2007) Decision making and binge drinking: a longitudinal study. Alcohol Clin Exp Res 31(6):928–938. https://doi.org/10.1111/j.1530-0277.2007.00378.x

    Article  PubMed  PubMed Central  Google Scholar 

  33. Calati R, Ferrari C, Brittner M, Oasi O, Olie E, Carvalho AF, Courtet P (2019) Suicidal thoughts and behaviors and social isolation: a narrative review of the literature. J Affect Disord 245:653–667. https://doi.org/10.1016/j.jad.2018.11.022

    Article  PubMed  Google Scholar 

  34. Kleiman EM, Liu RT (2013) Social support as a protective factor in suicide: findings from two nationally representative samples. J Affect Disord 150(2):540–545. https://doi.org/10.1016/j.jad.2013.01.033

    Article  PubMed  PubMed Central  Google Scholar 

  35. Macalli M, Tournier M, Galera C, Montagni I, Soumare A, Cote SM, Tzourio C (2018) Perceived parental support in childhood and adolescence and suicidal ideation in young adults: a cross-sectional analysis of the i-Share study. BMC Psychiatry 18(1):373. https://doi.org/10.1186/s12888-018-1957-7

    Article  PubMed  PubMed Central  Google Scholar 

  36. Baumeister RF (1990) Suicide as escape from self. Psychol Rev 97(1):90–113. https://doi.org/10.1037/0033-295x.97.1.90

    Article  CAS  PubMed  Google Scholar 

  37. May AM, Klonsky ED (2016) What distinguishes suicide attempters from suicide ideators? A meta-analysis of potential factors. Clin Psychol Sci Pract 23(1):5–20. https://doi.org/10.1111/cpsp.12136

    Article  Google Scholar 

  38. Albanese BJ, Macatee RJ, Stanley IH, Bauer BW, Capron DW, Bernat E, Joiner TE, Schmidt NB (2019) Differentiating suicide attempts and suicidal ideation using neural markers of emotion regulation. J Affect Disord 257:536–550. https://doi.org/10.1016/j.jad.2019.07.014

    Article  PubMed  Google Scholar 

  39. WHO (2014) Preventive Suicide. A global imperative.World Health Organization, Geneva. https://apps.who.int/iris/bitstream/handle/10665/131056/9789241564779_eng.pdf?sequence=1. Accessed 20 Nov 2020

  40. Wu Y, Levis B, Riehm KE, Saadat N, Levis AW, Azar M, Rice DB, Boruff J, Cuijpers P, Gilbody S, Ioannidis JPA, Kloda LA, McMillan D, Patten SB, Shrier I, Ziegelstein RC, Akena DH, Arroll B, Ayalon L, Baradaran HR, Baron M, Bombardier CH, Butterworth P, Carter G, Chagas MH et al (2019) Equivalency of the diagnostic accuracy of the PHQ-8 and PHQ-9: a systematic review and individual participant data meta-analysis - ERRATUM. Psychol Med. https://doi.org/10.1017/s0033291719002137

    Article  PubMed  PubMed Central  Google Scholar 

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Funding

The research leading to several of the results presented in the present paper has received funding from the EEA/Norwegian Financial Mechanism 2009–2014, under Project Contract no. EEA Grants/GR07-3757 (“Neets2”: Research and Comprehensive Intervention for the social inclusion of a major socially vulnerable group: Psychological profile/psychopathology, skills' profile, needs assessment and programmes' development for training-reskilling and psychological support towards the re-inclusion of young people not in education, employment of training). The Project was carried out by the Centre for Educational Policy Development of the General Federation of Greek Workers (KANEP/GSEE) (Project Coordinator Partner), the Centre for Political Research & Documentation of the Department of Political Science at the University of Crete (KEPET/UoC) and the Centre for Human Rights of the Department of Political Science at the University of Crete (KEADIK/UoC) (Project Partner 1). It was carried out from 15/12/2015 to 14/12/2016. Prof. Nikos Papadakis was the Team Leader of the EEA-funded ‘Neets2’ Project.

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Authors and Affiliations

  1. Department of Psychiatry, University Hospital of Heraklion, Voutes, Heraklion, 71110, Crete, Greece

    Maria Basta, Katerina Micheli, Stamatis Karakonstantis, Panagiotis Simos & Alexandros N. Vgontzas

  2. Department of Social Work, Hellenic Mediterranean University, Crete, Greece

    Katerina Micheli

  3. Department of Psychology, University of Crete, Rethymno, Greece

    Katerina Koutra

  4. Department of Political Science, University of Crete, Rethymno, Greece

    Vasilis Dafermos, Maria Drakaki & Nikolaos Papadakis

  5. Department of Child and Adolescent Psychiatry, University Hospital of Heraklion, Crete, Greece

    Eugenia Soumaki

  6. Medical School, National and Kapodistrian University of Athens, Athens, Greece

    Dimitrios Anagnostopoulos

  7. Hellenic Educational and Therapeutic Centre for the Mental Health of Children and Young People, Athens, Greece

    Dimitrios Anagnostopoulos

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  1. Maria Basta
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  2. Katerina Micheli
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  3. Stamatis Karakonstantis
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  5. Vasilis Dafermos
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  6. Maria Drakaki
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  7. Eugenia Soumaki
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  8. Panagiotis Simos
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  9. Dimitrios Anagnostopoulos
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  10. Alexandros N. Vgontzas
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  11. Nikolaos Papadakis
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Corresponding author

Correspondence to Maria Basta.

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All the authors declare that they have no conflict of interest.

Ethical approval

The study was approved by the Ethics Committee of the University Hospital in Heraklion. All participants were informed about the scope and the purpose of the study and consented verbally to participating in the study through telephone interviews based on a structured questionnaire.

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Basta, M., Micheli, K., Karakonstantis, S. et al. Suicidal ideation in adolescents and young adults in Greece: prevalence and association with sociodemographic variables, mental health and substance use. Eur Child Adolesc Psychiatry 30, 1129–1136 (2021). https://doi.org/10.1007/s00787-021-01747-0

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