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Summary

In Chapter 1 the different medical study designs are discussed and the difference between age, period and cohort effects is explained. Furthermore, some general information (e.g. prior knowledge, software used for the examples) needed to work through the book is provided. Finally, there is a short section in which the differences between the second and third edition are outlined.

Background

To examine the effect of time on suicide after bereavement among widowed persons.

Method

The data were extracted from Swiss mortality statistics for the period 1987–2005. The time between bereavement and subsequent death, specifically by suicide, was determined by linkage of individual records of married persons. The suicide rates and the standardized mortality ratios in the first week/month/year of widowhood were calculated based on person-year calculations.

Results

The annualized suicide rates in widowed persons were highest in the first week after bereavement: 941 males and 207 females per 100 000. The corresponding standardized mortality ratios were approximately 34 and 19 respectively. In the first month(s) after bereavement, the rates and the ratios decreased, first rapidly, then gradually. Except in older widows, they did not reach the baseline levels during the first year after bereavement.

Conclusions

The suicide risk of widowed persons is increased in the days, weeks and months after bereavement. Widowed persons are a clear-cut risk group under the aegis of undertakers, priests and general practitioners.

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Chapter 1 - Introduction

Summary

Suicide after bereavement: an overlooked problem

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2 results

Chapter 1 - Introduction

Summary

Suicide after bereavement: an overlooked problem