HEALTH AND SOCIOECONOMIC INDICATORS IN PSYCHIATRIC CATCHMENT AREAS WITH DIVERGENT SUICIDE RATES

1997 ◽  
Vol 81 (6) ◽  
pp. 611 ◽  
Author(s):  
MARCELLO FERRADA-NOLI
1997 ◽  
Vol 81 (2) ◽  
pp. 611-619 ◽  
Author(s):  
Marcello Ferrada-Noli

Differences found in the incidence of suicide between the psychiatric catchment areas of the Karolinska Hospital in Stockholm were investigated in relation to health and socioeconomic indicators during the study period 1990–1994. The hypothesis of the study was that negative socioeconomic indicators and psychosocial and health indicators denoting less favourable socioeconomic status may negatively influence the suicide rate of the demographic units in this cross-sectional study. The incidence of suicide between the areas was significantly different and increasingly divergent in the last year of the study period. The area with a higher proportion of suicides had also an increased proportion of individuals who retired early, lower life expectancy at birth, higher nonemployment, lesser income among the employed, less public expenditure for education, less proportion of home ownership, and a higher proportion of persons bound to one-room dwellings. Disregarding the influence of ethnicity (there were no statistically significant differences on immigrants' suicide between the areas) as well as in the availability of psychiatric care (assuming that similar quality of psychiatric care was provided by both sectors), or other demographic indices commonly shared by the areas, the possibility of strong effects of unfavourable health and socioeconomic indices appeared relevant for the explanation of an increased incidence of suicide. The findings provide new empirical contradiction to the socioeconomic hypothesis of the incidence of suicide, which postulated that populations with higher socioeconomic status may have increased suicide rates.


1991 ◽  
Vol 23 (2) ◽  
pp. 221-227 ◽  
Author(s):  
Y. Motohashi

SummaryThe effects of socioeconomic factors on secular trends in suicide rates in Japan for the periods 1953–72 and 1973–86 were investigated using twelve socioeconomic indicators. Multiple regression analysis showed that the socioeconomic indicators affecting suicide rates were not identical in the two periods. The rates in both sexes in 1953–72 were closely related to unemployment rate and the labour force but between 1973 and 1986, divorce rate and the proportion in tertiary industry were most influential. The changes reflect the socioeconomic changes in industrial structure in Japan in transition from an industrial to a service economy.


Crisis ◽  
2005 ◽  
Vol 26 (3) ◽  
pp. 104-111 ◽  
Author(s):  
Lakshmi Vijayakumar ◽  
K. Nagaraj ◽  
Jane Pirkis ◽  
Harvey Whiteford

Abstract. Objective. Suicide is a global public health problem, but relatively little epidemiological investigation of the phenomenon has occurred in developing countries. This paper aims to (1) examine the availability of rate data in developing countries, (2) provide a description of the frequency and distribution of suicide in those countries for which data are available, and (3) explore the relationship between country-level socioeconomic factors and suicide rates. It is accompanied by two companion papers that consider risk factors and preventive efforts associated with suicide in developing countries, respectively. Method. Using World Health Organization data, we calculated the average annual male, female, and total suicide rates during the 1990s for individual countries and regions (classified according to the Human Development Index [HDI]), and examined the association between a range of socioeconomic indicators and suicide rates. Results. For reasons of data availability, we concentrated on medium HDI countries. Suicide rates in these countries were variable. They were generally comparable with those in high HDI countries from the same region, with some exceptions. High education levels, high telephone density, and high per capita levels of cigarette consumption were associated with high suicide rates; high levels of inequality were associated with low suicide rates. Conclusion. Epidemiological investigations of this kind have the potential to inform suicide prevention efforts in developing countries, and should be encouraged.


Crisis ◽  
2005 ◽  
Vol 26 (2) ◽  
pp. 90-94 ◽  
Author(s):  
Siobhán Lucey ◽  
Paul Corcoran ◽  
Helen S Keeley ◽  
Justin Brophy ◽  
Ella Arensman ◽  
...  

Abstract. This ecological study examined the association between seven socioeconomic indicators (GDP, unemployment rate, female labor force participation rate, alcohol expenditure, marriage rate, percentage of births outside of marriage, and indictable crime rate) and total, male, and female rates of suicide and suicide plus undetermined death in Ireland during the period 1968-2000. Analysis of the data expressed as absolute values showed highly significant associations between the socioeconomic indicators and the total, male, and female suicide rates. However, these associations were explained by the strongly trended data. The trended nature of the data was removed by using year-to-year differences. Analysis of the first-differenced data showed that none of the socioeconomic indicators was associated with the total, male, or female suicide rates with the exception of indictable crime, which had a significant independent effect on the female suicide rate (coefficient = 2.0, p < .01) but not on suicide plus undetermined death. This study highlights the need to use econometric methods in time-trend analyses, the lack of age-sex specific exposure data in this area, and the challenge of understanding trends in suicide in their socioeconomic context.


Author(s):  
Tetsuya Matsubayashi ◽  
Michiko Ueda

Abstract Purpose The underreporting of suicides has been a serious global concern among scholars and policymakers. Several studies have sought to detect the prevalence of underreporting by examining whether suicide mortality rates are negatively correlated with those due to unknown intent or causes. This study adds to the literature by examining the potential underreporting of suicides in Japan, where suicide rates have greatly declined in the recent years. Methods We compiled subnational data from 47 prefectures between 1995 and 2016, obtained from Vital Statistics of Japan. We examined whether (1) mortality rates due to unknown intent or causes increased as suicide rates decreased; and (2) major socioeconomic causes of suicide (unemployment and divorce rates) had any relationship with the deaths due to unknown intent or causes. Results Our analysis indicates that mortality rates due to unknown intent or causes were uncorrelated with suicide rates and the above socioeconomic indicators. Conclusions In Japan, the frequency of suicides has no systematic relationship with deaths due to unknown intent or causes, suggesting the accuracy of suicide statistics.


2019 ◽  
Vol 41 (5) ◽  
pp. 389-395 ◽  
Author(s):  
Denisse Jaen-Varas ◽  
Jair J. Mari ◽  
Elson Asevedo ◽  
Rohan Borschmann ◽  
Elton Diniz ◽  
...  

2018 ◽  
Vol 52 ◽  
pp. 56 ◽  
Author(s):  
Thomas Adriano Lazzarini ◽  
Crhistinne Cavalheiro Maymone Gonçalves ◽  
Walter Martins Benites ◽  
Liliane Ferreira da Silva ◽  
Daniel Henrique Tsuha ◽  
...  

OBJECTIVE: To estimate age and sex-specific suicide rates, compare suicide rates between indigenous communities, and quantify the frequency of intrafamilial suicide clustering. METHODS: We performed a retrospective cohort study involving 14,666 indigenous individuals in reservations in Dourados, state of Mato Grosso do Sul, Brazil, from 2003 through 2013 using national and local census. RESULTS: The overall suicide rate was 73.4 per 100,000 person-years. Adolescent males aged 15–19 and girls aged 10–14 had the highest rates for each sex at 289.3 (95%CI 187.5–391.2) and 85.3 (95%CI 34.9–135.7), respectively. Comparing the largest reservations, Bororo had a higher suicide rate than Jaguapiru (RR = 4.83, 95%CI 2.85–8.16) and had significantly lower socioeconomic indicators including income and access to electricity. Nine of 19 suicides among children under 15 occurred in household clusters. Compared with adult suicides, a greater proportion of child (OR = 5.12, 95%CI 1.89–13.86, p = 0.001) and adolescent (OR = 3.48, 95%CI 1.29–9.44, p = 0.017) suicides occurred within household clusters. CONCLUSIONS: High rates of suicide occur among children and adolescents in these indigenous reservations, particularly in poor communities. Nearly half of child suicides occur within household clusters. These findings underscore the need for broad public health interventions and focused mental health interventions in households following a suicide.


Crisis ◽  
1999 ◽  
Vol 20 (2) ◽  
pp. 59-63 ◽  
Author(s):  
Antoon A. Leenaars ◽  
David Lester

Canada's rate of suicide varies from province to province. The classical theory of suicide, which attempts to explain the social suicide rate, stems from Durkheim, who argued that low levels of social integration and regulation are associated with high rates of suicide. The present study explored whether social factors (divorce, marriage, and birth rates) do in fact predict suicide rates over time for each province (period studied: 1950-1990). The results showed a positive association between divorce rates and suicide rates, and a negative association between birth rates and suicide rates. Marriage rates showed no consistent association, an anomaly as compared to research from other nations.


Crisis ◽  
2011 ◽  
Vol 32 (4) ◽  
pp. 178-185 ◽  
Author(s):  
Maurizio Pompili ◽  
Marco Innamorati ◽  
Monica Vichi ◽  
Maria Masocco ◽  
Nicola Vanacore ◽  
...  

Background: Suicide is a major cause of premature death in Italy and occurs at different rates in the various regions. Aims: The aim of the present study was to provide a comprehensive overview of suicide in the Italian population aged 15 years and older for the years 1980–2006. Methods: Mortality data were extracted from the Italian Mortality Database. Results: Mortality rates for suicide in Italy reached a peak in 1985 and declined thereafter. The different patterns observed by age and sex indicated that the decrease in the suicide rate in Italy was initially the result of declining rates in those aged 45+ while, from 1997 on, the decrease was attributable principally to a reduction in suicide rates among the younger age groups. It was found that socioeconomic factors underlined major differences in the suicide rate across regions. Conclusions: The present study confirmed that suicide is a multifaceted phenomenon that may be determined by an array of factors. Suicide prevention should, therefore, be targeted to identifiable high-risk sociocultural groups in each country.


Crisis ◽  
2010 ◽  
Vol 31 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Sudath Samaraweera ◽  
Athula Sumathipala ◽  
Sisira Siribaddana ◽  
S. Sivayogan ◽  
Dinesh Bhugra

Background: Suicidal ideation can often lead to suicide attempts and completed suicide. Studies have shown that Sri Lanka has one of the highest rates of suicide in the world but so far no studies have looked at prevalence of suicidal ideation in a general population in Sri Lanka. Aims: We wanted to determine the prevalence of suicidal ideation by randomly selecting six Divisional Secretariats (Dss) out of 17 in one district. This district is known to have higher than national average rates of suicide. Methods: 808 participants were interviewed using Sinhala versions of GHQ-30 and Beck’s Scale for Suicidal Ideation. Of these, 387 (48%) were males, and 421 (52%) were female. Results: On Beck’s Scale for Suicidal Ideation, 29 individuals (4%) had active suicidal ideation and 23 (3%) had passive suicidal ideation. The active suicidal ideators were young, physically ill and had higher levels of helplessness and hopelessness. Conclusions: The prevalence of suicidal ideation in Sri Lanka is lower than reported from the West and yet suicide rates are higher. Further work must explore cultural and religious factors.


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