The Epidemiology of Suicidal Behaviour in Australia *

Abstract

There has been a striking rise in the suicide rate in Australia over the past 20 years. Between 1955 and 1965, the rate has risen from 15.1 per 100,000 in men to 18.8 and from 5.4 per 100,000 in women to 10.8 (W.H.O.). This rise is largely due to increase in self-poisoning. Studies of Victorian data from the last 20 years reveal that the rise is particularly evident in men between the ages of 25 and 44 and in women under the age of 35 and over the age of 55. It is much more evident in the metropolis of Melbourne, suggesting the importance of social factors.

There has also been a two to three times increase in cases of attempted suicide due to self-poisoning with various commonly prescribed drugs presenting in casualty departments of general hospitals since 1955. Detailed study of 150 cases seen at the Alfred Hospital in 1969 reveals the predominance of women, the importance of interpersonal, marital and family difficulties, and of social isolation, as well as past parental deprivation.

These findings indicate the desirability of restricting sedative drug prescriptions, the need for befriending services in the city, a knowledge of social services available, and education for married and family life. Better training in developmental and social psychology for medical practitioners, nurses, ministers of religion and the police will also help in prevention.

References

Australian Frontier Research Seminar (1969). Community Responsibility for Young Children at Risk. Melbourne.

Bagley

(1968). The evaluation of a suicide prevention scheme by an ecological method. Soc. Sci. Med., 2: 1.

Bruhn

(1962). Broken homes among attempted suicides and psychiatric outpatients: a comparative study. J. Ment. Sci., 108: 772.

Buckle

R. C.

Linnane

McConaghy

(1965). Attempted suicide presenting at Alfred Hospital, Melbourne. Med. J. Aust., 1: 754.

Buglass

McCulloch

J. W.

(1970). Further suicidal behaviour: the development and validation of predictive scales. Brit. J. Psychiat., 116: 483.

Bureau of Census and Statistics (Australia). Current information.

Caplan

(1964). Principles of Preventive Psychiatry. Basic Books, New York.

Clifton

B. S.

Mackey

K. H.

McLeod

J. G.

(1965). Barbiturate poisoning. Med. J. Aust., 1: 63.

Durkheim

(1951). Suicide. Routledge, London.

10.

Edwards

J. E.

Whitlock

F. A.

(1968). Suicide and attempted suicide in Brisbane. Med. J. Aust., 1: 932.

11.

Farberow

N. I.

Shneidman

E. S.

(1961). The Cry for Help. McGraw Hill, New York.

12.

Gibbs

Martin

(1964). Status Integration and Suicide. University of Oregon Press.

13.

Gold

(1965). Suicide and attempted suicide in north-eastern Tasmania. Med. J. Aust., 2: 361.

14.

Greer

Gunn

J. C.

(1966). Attempted suicides from intact and broken homes. Brit. med. J., 2: 1355.

15.

Greer

Gunn

J. C.

Keller

K. M.

(1966). Aetiological factors in attempted suicide. Brit. med. J., 2: 1352.

16.

Gurin

Beroff

Feld

(1960). Americans view their Mental Health. Basic Books, New York.

17.

Halbwachs

(1930). Les Causes du Suicide. Paris. Health Economics Service Ltd. (1970). Prescription Medicines in Australia Fact Book. Sydney.

18.

Hershon

H. I.

(1968). Attempted suicide in a large rural area during an eight year period. Brit. J. Psychiat., 114: 279.

19.

Hocking

F. H.

(1962). Morbidity in a general teaching hospital: the incidence of some medical, surgical and psychiatric conditions. Med. J. Aust., 2: 259.

20.

Jacobsen

Stickler

Morley

W. M.

(1968). Generic and individual approaches to crisis intervention. Amer. J. Pub. Health, 58: 338.

21.

James

I. P.

Derham

S. D.

Scott-Orr

D. N.

(1963). Attempted suicide — a study of 100 patients referred to a general hospital. Med. J. Aust. 1: 375.

22.

Kessel

W. I. N.

(1965). Self-poisoning. Part 1. Brit. med. J., 2: 1265.

23.

Kessel

W. I. N.

(1965). Self-poisoning. Part 2. Brit. med. J., 2: 1336.

24.

Krupinski

Stoller

Polke

(1966). Attempted suicides admitted to the Mental Health Department, Victoria, Australia. Int. J. Psychiat., 13: 5.

25.

Linnane

Buckle

R. C.

McConaghy

(1966). A comparison of patients seen at the Alfred Hospital after suicidal attempts in 1959–1960 and 1963–1964. Med. J. Aust., 1: 665.

26.

McConaghy

Linnane

Buckle

R. C.

(1966). Parental deprivation and attempted suicide. Med. J. Aust., 1: 886.

27.

McCulloch

J. W.

Philip

A. E.

Carstairs

G. M.

(1967). The ecology of suicidal behaviour. Brit. J. Psychiat., 113: 313.

28.

Oliver

R. G.

Kaminski

Tudor

Hetzel

B. S.

(1970). The epidemiology of attempted suicide as seen in the Casualty Department, Alfred Hospital, Melbourne. Med. J. Aust., 1: 833.

29.

Parnell

Skottowe

(1957). Towards preventing suicide. Lancet, 1: 206.

30.

Sainsbury

(1955). Suicide in London. Maudsley Monograph, No. 1. Chapman and Hall, London.

31.

Seager

C. P.

Flood

R. A.

(1965). Suicide in Bristol. Brit. J. Psychiat., 111: 919.

32.

Shneidman , (1963). Orientations towards death; a vital aspect of the study of lives. In: White

R. W.

(Ed.). The Study of Lives. Atherton Press, New York.

33.

Stengel

Cook

N. G.

(1958). Attempted suicide. Maudsley Monograph No 4. Chapman and Hall, London.

34.

Stengel

(1964). Suicide and Attempted Suicide. 1st Edition. Penguin, Harmondsworth.

35.

Stengel

(1967). Suicide and Attempted Suicide. 2nd Edition. Penguin, Harmondsworth.

36.

World Health Organization (1968). The Prevention of Suicide. Public Health Paper No 35. W.H.O., Geneva.

37.

World Health Statistics Report (1968). 21: No 6.