Cardiovascular Diseases among Suiciders: A Population-Based Study in Northern Finland Population

Objective. Depression has been found to be an independent risk factor with cardiovascular diseases (CVDs) and also associated with increased mortality among these patients. Method. We used a comprehensive database of all suicides (n = 2, 283) committed in Northern Finland with information on all hospital-treated cardiovascular diseases and psychiatric disorders. Results. Coronary artery disease (CAD) had been present in 7.7% and other cardiovascular diseases (CVDs) in 11.6% of the suiciders. The likelihood of suicide for patients with hospital-treated CAD was estimated to be two-fold compared to the general population while likelihood for suicide was not elevated among those with other CVDs. Males with CAD and females with CAD or any CVD had been hospitalized significantly more often with depression compared to reference group. Conclusions. Suicidality among patients with cardiovascular diseases has been suggested to associate with depression. Psychiatric consultation is highly recommended in clinical practice for cardiac patients with depression or alcohol-related disorders

Influence of EU policy on agricultural nutrient losses and the state of receiving surface waters in Finland

In Finland, the first large-scale efforts to control nutrient loading from agriculture got under way with the introduction of the EU Agri-Environmental Program in 1995. We examined whether these efforts have decreased agricultural nutrient losses and improved the quality of receiving waters. To do so we used monitoring data on fluxes of nutrients and total suspended solids in agricultural catchments in 1990–2004 and on the water quality of agriculturally loaded rivers, lakes and estuaries in 1990–2005. No clear reduction in loading or improvement in water quality was detected. Hydrological fluctuations do not seem to have eclipsed the effects of the measures taken, since there was no systematic pattern in runoff in the period studied. The apparent inefficiency of the measures taken may be due to the large nutrient reserves of the soil, which slowed down nutrient reductions within the period studied. Simultaneous changes in agricultural production (e.g. regional specialisation) and in climate may also have counteracted the effects of agri-environmental measures. The actions to reduce agricultural loading might have been more successful had they focused specifically on the areas and actions that contribute most to the current loading

Undocumented Latino immigrants\u27 opinions on seeking counseling from non-Latino clinicians and their views of what would constitute culturally competent services

This study was undertaken to allow Latino immigrants who have lived undocumented in the U.S. and never received mental health services, describe their experiences in the U.S. and views of mental health services to an audience of mental health providers. Six men were interviewed individually. In addition to demographic questions, they were asked about their daily experience of being undocumented, how they related to non-Latinos, where they normally turned for emotional support, whether they would seek mental health services from a Latino or non-Latino clinician and what advice they would give the clinician regarding how to best help them. The findings were compared to guidelines for multi-cultural competency with Latinos, and the cultural concepts of familismo, personalismo and respeto emerged as important themes. The findings showed that the participants perceived life difficulties related to their immigration status, experienced both positive and negative relationships with non-Latinos, and tended to rely on community supports during difficult times. Most would seek counseling as a last resort and believed that a Spanish-speaking therapist, Latino or not, by virtue of being a trained professional, would be automatically helpful to them and interested in learning from them about their life circumstances as an immigrant

Smoking and suicidality among adolescent psychiatric patients

Purpose: To investigate the relationship between smoking and suicidality among adolescent psychiatric patients in Finland. Methods: Data from 157 patients (aged 12-17 years) admitted to inpatient psychiatric hospitalization between April 2001 and July 2002 were collected. Logistic regression analyses were used to examine the association between regular daily smoking and suicidality. The data were adjusted for several sociodemographic and clinical characteristics. Results: The results showed over four-fold risk for definite and/or life-threatening suicide attempts among smoking adolescents in inpatient psychiatric facility compared with nonsmoking ones (OR 4.33, 95% CI 1.23-15.20). Also, the smoking adolescents had three times greater risk for occasional (OR 3.32, 95% CI 1.09-10.10) or frequent (OR 3.00, 95% CI 1.08-10.10) self-mutilation. Suicidality was more common among girls than boys and among those adolescents who suffered from depression. Conclusions: Among teens hospitalized for psychiatric illnesses, daily smoking was significantly related to suicide attempts and self-mutilation, even after controlling for several confounding factors, including psychiatric diagnosis. (C) Society for Adolescent Medicine, 2004.Peer reviewe

Sequence variation and linkage disequilibrium in the GABA transporter-1 gene (SLC6A1) in five populations: implications for pharmacogenetic research

<p>Abstract</p> <p>Background</p> <p>GABA transporter-1 (GAT-1; genetic locus <it>SLC6A1</it>) is emerging as a novel target for treatment of neuropsychiatric disorders. To understand how population differences might influence strategies for pharmacogenetic studies, we identified patterns of genetic variation and linkage disequilibrium (LD) in <it>SLC6A1 </it>in five populations representing three continental groups.</p> <p>Results</p> <p>We resequenced 12.4 kb of <it>SLC6A1</it>, including the promoters, exons and flanking intronic regions in African-American, Thai, Hmong, Finnish, and European-American subjects (total n = 40). LD in <it>SLC6A1 </it>was examined by genotyping 16 SNPs in larger samples. Sixty-three variants were identified through resequencing. Common population-specific variants were found in African-Americans, including a novel 21-bp promoter region variable number tandem repeat (VNTR), but no such variants were found in any of the other populations studied. Low levels of LD and the absence of major LD blocks were characteristic of all five populations. African-Americans had the highest genetic diversity. European-Americans and Finns did not differ in genetic diversity or LD patterns. Although the Hmong had the highest level of LD, our results suggest that a strategy based on the use of tag SNPs would not translate to a major improvement in genotyping efficiency.</p> <p>Conclusion</p> <p>Owing to the low level of LD and presence of recombination hotspots, <it>SLC6A1 </it>may be an example of a problematic gene for association and haplotype tagging-based genetic studies. The 21-bp promoter region VNTR polymorphism is a putatively functional candidate allele for studies focusing on variation in GAT-1 function in the African-American population.</p

Increasing homicide rate in Finland accompanied by decreasing seasonality over the period 1957-95

Homicide is recognized as a global public health problem. Finland has the highest overall homicide rate of the Nordic countries in comparisons over short time periods. Using the 39-year time series of homicide incidents in Finland from 1957-95, we analyzed the trend in homicide rate. In addition, we explored for the first time over the time trend in the seasonal variation of homicide and compared seasonal statistics over eight successive time periods. The present study revealed that there has been steadily increasing trend in homicides in Finland since 1950s. At the same time, the seasonality of homicide has decreased markedly. The peaks in homicide rates occurred commonly during summer and the troughs during winter.homicide seasonality trend