JNSS 2013, 4(1-2):7-20 | DOI: 10.32725/jnss.2013.002

Factors influencing the increase in incidence of suicide and substance abuse in Central Eastern Europe

Jessica E. Dowches1,*, Daniel J. West, Jr.2
1 University of Scranton, Bel Air, Maryland 21014, USA
2 University of Scranton, Department of Health Administration and Human Resources, Scranton, Pennsylvania, USA

What caused the incidence of suicide and substance abuse to increase in Central and Eastern Europe after the Velvet Revolution? This paper examines the history, public health status, and mental health status of the Czech Republic, Slovak Republic, and Hungary in efforts to identify key factors in the surge of suicide rates and substance abuse since the Velvet Revolution. Critical success factors and best practices are discussed in hopes of combating the mental health crisis facing the world. Solutions are presented as recommendations to improve the health status of Central and Eastern Europe.

Keywords: mental health; health reform; suicide; substance abuse; Central and Eastern Europe

Received: May 3, 2013; Accepted: May 27, 2013; Published: March 1, 2013  Show citation

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Dowches JE, West DJ. Factors influencing the increase in incidence of suicide and substance abuse in Central Eastern Europe. Journal of Nursing, Social Studies, Public Health and Rehabilitation. 2013;4(1-2):7-20. doi: 10.32725/jnss.2013.002.
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References

  1. Almasi K, Belso N, Kapur N, Webb R, Cooper J, Hadley S, Kerfoot M, Dunn G, Sotonyi P, Rihmer Z, Appleby L (2009). Risk factors for suicide in Hungary: a case-controlled study. BMC Psychiatry. 9/45: 1-9. ISSN 1471-244X. Go to original source... Go to PubMed...
  2. Boyd J (2012). Slovaks Should Be Aware of Killer Alcohol Threat. The Daily Slovakia. Retrieved from: http://www.thedaily.sk/slovaks-should-be-aware-of-killer-alcohol-threat/
  3. Cummings JR, Lucas SM, Druss BG (2013). Addressing Public Stigma and Disparities Among Persons With Mental Illness: The Role of Federal Policy. American Journal of Public Health. 103/5: e1-e5. ISSN 1541-0048. Go to original source... Go to PubMed...
  4. Czech History (2012a). 1918-1945: The First Republic and World War II. My Czech Republic. Retrieved from: http://www.myczechrepublic.com/czech-history/first-republic.html
  5. Czech History (2012b). 1945-1989: The Communist Era. My Czech Republic. Retrieved from: http://www.myczechrepublic.com/czech-history/czech-communism.html
  6. European Monitoring Centre for Drugs and Drug Addiction (2012a). Country Overview: Hungary. Retrieved from: http://www.emcdda.europa.eu/publications/country-overviews/hu
  7. EMCDDA (2012b). Country Overview: Czech Republic. Retrieved from: http://www.emcdda.europa.eu/publications/country-overviews/cz
  8. EMCDDA (2012c). Country Overview: Slovakia. Retrieved from: http://www.emcdda.europa.eu/publications/country-overviews/sk#nlaws
  9. Gerevich J, Bácskai E (1995). Drug Use in Hungary: An Overview. International Journal of Addiction. 30/3: 291-303. ISSN 0020-773X. Go to original source... Go to PubMed...
  10. Groch M (2007). Slovakia says alcohol abuse constitutes its main drug problem. Radio Prague - Article. Retrieved from: http://www.radio.cz/en/section/ice_special/slovakia-says-alcohol-abuse-constitutes-its-main-drug-problem
  11. Hawton K, van Heeringen K (2009). Suicide. The Lancet. 373/9672: 1372-1381. ISSN 1474-547X. Go to original source... Go to PubMed...
  12. Henderson C, Evans-Lacko S, Thornicroft G (2013). Mental Illness Stigma, Help Seeking, and Public Health Programs. American Journal of Public Health. 103/5: e1-e4. ISSN 1541-0048. Go to original source... Go to PubMed...
  13. Hyun J, Nawka P, Hang SH, Hu T, Bloom J (2008). Recovery- and Community-Based Mental Health Services in the Slovak Republic: A Pilot Study on the Implications for Hospitalization and Inpatient Length-of-Stay for Individuals with Severe and Persistent Mental Illness. International Journal of Psychosocial Rehabilitation. 13/1: 67-80. ISSN 1475-7192.
  14. Konviser, Bruce I (2010). Czech Republic leads Europe in meth labs. Global Post. Retrieved from: http://www.globalpost.com/dispatch/czech-republic/100503/methamphetamines-meth-labs
  15. Murali V, Oyebode F (2004). Poverty, social inequality and mental health. Advances in Psychiatric Treatment. 10/3: 216-224. ISSN 1472-1481. Go to original source...
  16. Organization for Economic Cooperation and Development (2010a). Fig. 1.1.1: Life expectancy and healthy life years (HLY) at birth, by gender, 2005-07. Health at a Glance: Europe. OECD Publishing. Retrieved from: http://ec.europa.eu/health/reports/docs/health_glance_en.pdf
  17. OECD (2010b). Fig. 1.1.2: Healthy life years (HLY) at birth, 2005-07 and GDP per capita, 2007. Health at a Glance: Europe. OECD Publishing. Retrieved from: http://ec.europa.eu/health/reports/docs/health_glance_en.pdf
  18. OECD (2010c). Fig. 1.1.3: Healthy life years (HLY) at birth, 2005-07 and health spending per capita, 2007. Health at a Glance: Europe. OECD Publishing. Retrieved from: http://ec.europa.eu/health/reports/docs/health_glance_en.pdf
  19. OECD (2010d). Fig. 1.7.1: Suicide mortality rates, 2008. Health at a Glance: Europe. OECD Publishing. Retrieved from: http://ec.europa.eu/health/reports/docs/health_glance_en.pdf
  20. OECD (2010e). Fig. 4.1.2: Annual average growth rate in real health expenditure per capita, 1998-2008. Health at a Glance: Europe. OECD Publishing. Retrieved from: http://ec.europa.eu/health/reports/docs/health_glance_en.pdf
  21. OECD (2010f). Hospital Beds. Health at a Glance: Europe. OECD Publishing. p. 86. Retrieved from: http://ec.europa.eu/health/reports/docs/health_glance_en.pdf Go to original source...
  22. OECD (2010g). Life Expectancy. Health at a Glance: Europe. OECD Publishing, p. 26. Retrieved from: http://ec.europa.eu/health/reports/docs/health_glance_en.pdf
  23. OECD (2010h). Practicing Physicians. Health at a Glance: Europe. OECD Publishing, p. 76. Retrieved from: http://ec.europa.eu/health/reports/docs/health_glance_en.pdf
  24. OECD (2010i). Suicides. OECD Factbook 2010. Retrieved from: http://www.oecd-ilibrary.org/docserver/download/fulltext/3010061ec090.pdf
  25. OECD (2012a). Better life index. Retrieved from: http://better-life-index.findthedata.org/l/29/Slovakia
  26. OECD (2012b). Health Determinants. Health at a Glance: Europe. OECD Publishing, p. 50. Retrieved from: http://ec.europa.eu/health/reports/docs/health_glance_2012_en.pdf
  27. Radio Prague (1997a). The Czech Republic Today. Radio Prague's History Online. Retrieved from: http://archiv.radio.cz/history/history16.html
  28. Radio Prague (1997b). The Velvet Revolution. Radio Prague's History Online. Retrieved from: http://archiv.radio.cz/history/history15.html
  29. Szalay T, Pazitny P et al. (2011). Slovakia: Health System Review. Health Systems in Transition. European Observatory on Health Systems and Policy. 13/2. Retrieved from: http://www.euro.who.int/__data/assets/pdf_file/0004/140593/e94972.pdf
  30. The Economist (2010). High Contrast: Why are the Czechs more lenient on narcotic use than the Slovaks? Drugs in the Czech Republic and Slovakia. Retrieved from: http://www.economist.com/node/16891809
  31. World Health Organization (2000). Health for All in the 21st Century. No. 5. Retrieved from: http://www.euro.who.int/__data/assets/pdf_file/0003/88590/EHFA5-E.pdf
  32. WHO (2003). Advocacy for Mental Health. World Health Organization. Retrieved from: http://www.who.int/mental_health/resources/en/Advocacy.pdf
  33. WHO (2005). Mental Health Action Plan for Europe: Facing the Challenges, Building Solutions. WHO European Ministerial Conference on Mental Health. Retrieved from: http://www.euro.who.int/__data/assets/pdf_file/0006/99735/edoc07.pdf
  34. WHO (2008a). Mental Health Services. Policies and practices for mental health in Europe: meeting the challenges. Retrieved from: http://www.euro.who.int/__data/assets/pdf_file/0006/96450/E91732.pdf
  35. WHO (2008b). Policy and Legislation on Mental Health. Policies and practices for mental health in Europe: meeting the challenges. Retrieved from: http://www.euro.who.int/__data/assets/pdf_file/0006/96450/E91732.pdf
  36. WHO (2008c). Promoting Mental Health and Preventing Mental Disorders. Policies and practices for mental health in Europe: meeting the challenges. Retrieved: http://www.euro.who.int/__data/assets/pdf_file/0006/96450/E91732.pdf
  37. WHO (2010). Summary of Country Assessment - Slovakia. Progress in the Prevention of Injuries in the WHO European Region. Retrieved from: http://www.euro.who.int/__data/assets/pdf_file/0005/98735/Slovakia.pdf
  38. WHO (2012a). Facts & Figures: Mental Health. WHO Europe. Retrieved from: http://www.euro.who.int/en/what-we-do/health-topics/noncommunicable-diseases/mental-health/facts-and-figures
  39. WHO (2012b). National Health Accounts - estimates of national health expenditures. WHO Europe: Activities. Retrieved from: http://www.euro.who.int/en/what-we-do/health-topics/Health-systems/health-systems-financing/activities/national-health-accounts-estimates-of-national-health-expenditures
  40. WHO (2012c). Hungary: Facts and Figures. WHO Europe: Where We Work. Retrieved from: http://www.euro.who.int/en/where-we-work/member-states/hungary/selected-basic-statistics
  41. WHO (2012d). Slovakia: Facts and Figures. WHO Europe: Where We Work. Retrieved from: http://www.euro.who.int/en/where-we-work/member-states/slovakia/selected-basic-statistics
  42. World Bank (2011a). Table: Health expenditure, per capita (current US). World Bank Databank. Retrieved from: http://data.worldbank.org/indicator/SH.XPD.TOTL.ZS
  43. World Bank (2011b). Table: Health expenditure, total (of GDP). World Bank Databank. Retrieved from: http://data.worldbank.org/indicator/SH.XPD.TOTL.ZS

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