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International Journal of Public Health

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01-06-2019 | Suicide | Original article

Worldwide trends in suicide mortality from 1990 to 2015 with a focus on the global recession time frame

Authors: Gianfranco Alicandro, Matteo Malvezzi, Silvano Gallus, Carlo La Vecchia, Eva Negri, Paola Bertuccio

Published in: International Journal of Public Health | Issue 5/2019

Abstract

Objectives

To report worldwide trends in suicide mortality during a period that covers 7 years after the 2008 global crisis.

Methods

We performed a time trend analysis with joinpoint regression.

Results

Over the 2000s, suicide mortality decreased with the largest declines observed in some Eastern European countries. The downward trends were followed by an increase in concomitance with the 2008 global crisis in some countries, including Greece (annual percentage change = + 6 in men and + 11.8 in women), the Netherlands (+ 4.2 in men and + 4.0 in women), and the UK (+ 1.6 in men), while the pre-crisis downward trends stopped in Germany, Italy, and Spain. The joinpoint analysis also revealed long-term rises in Brazil (+ 0.8 since 1990 in men and + 1.8 since 1999 in women), Mexico (+ 1.3 since 1995 in men and + 3.6 since 1990 in women), the USA (+ 1.7 since 2005 in men and + 4.2 since 2010 in women), and Australia (+ 1.8 in men and + 3.7 in women, since 2006 in both sexes).

Conclusions

Despite downward trends in several areas of the world, in some countries suicide rates increased since the 2008 global crisis.

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Alexopoulos EC, Kavalidou K, Messolora F (2016) Suicide mortality across broad occupational groups in Greece: a descriptive study. Saf Health Work 7:1–5. https://doi.org/10.1016/j.shaw.2015.09.004 CrossRefPubMed

Antonakakis N, Collins A (2015) The impact of fiscal austerity on suicide mortality: evidence across the ‘Eurozone periphery’. Soc Sci Med 145:63–78. https://doi.org/10.1016/j.socscimed.2015.09.033 CrossRefPubMed

Bando DH, Brunoni AR, Benseñor IM, Lotufo PA (2012) Suicide rates and income in São Paulo and Brazil: a temporal and spatial epidemiologic analysis from 1996 to 2008. BMC Psychiatry 12:127. https://doi.org/10.1186/1471-244x-12-127 CrossRefPubMedPubMedCentral

Barr B, Taylor-Robinson D, Scott-Samuel A et al (2012) Suicides associated with the 2008-10 economic recession in England: time trend analysis. BMJ 345:e5142. https://doi.org/10.1136/bmj.e5142 CrossRefPubMedPubMedCentral

Borges G, Nock MK, Medina-Mora ME et al (2010) Psychiatric disorders, comorbidity, and suicidality in Mexico. J Affect Disord 124:98–107. https://doi.org/10.1016/j.jad.2009.10.022 CrossRefPubMed

Breuer C (2015) Unemployment and suicide mortality: evidence from regional panel data in Europe. Health Econ 24:936–950. https://doi.org/10.1002/hec.3073 CrossRefPubMed

Sen Chang S, Stuckler D, Yip P, Gunnell D (2013) Impact of 2008 global economic crisis on suicide: time trend study in 54 countries. BMJ 347:f5239. https://doi.org/10.1136/bmj.f5239 CrossRef

Chesney E, Goodwin GM, Fazel S (2014) Risks of all-cause and suicide mortality in mental disorders: a meta-review. World Psychiatry 13:153–160. https://doi.org/10.1002/wps.20128 CrossRefPubMedPubMedCentral

Chisholm D, Flisher A, Lund C et al (2007) Scale up services for mental disorders: a call for action. Lancet 370:1241–1252CrossRefPubMed

Economou M, Angelopoulos E, Peppou LE et al (2016) Enduring financial crisis in Greece: prevalence and correlates of major depression and suicidality. Soc Psychiatry Psychiatr Epidemiol 51:1015–1024. https://doi.org/10.1007/s00127-016-1238-z CrossRefPubMed

Estève J, Benhamou E, Raymond L (1994) Space-time variations and group correlations. Statistical methods in cancer research. Volume IV Descriptive epidemiology, vol IV. IARC Scientific Publications, Lyon, pp 49–60

Harper S, Charters TJ, Strumpf EC et al (2015) Economic downturns and suicide mortality in the USA, 1980-2010: observational study. Int J Epidemiol 44:956–966. https://doi.org/10.1093/ije/dyv009 CrossRefPubMedPubMedCentral

Hassett AL, Aquino JK, Ilgen MA (2014) The risk of suicide mortality in chronic pain patients. Curr Pain Headache Rep 18:436CrossRefPubMed

International Labour Organization (ILO) (2018) Unemployment rate—ILOSTAT database. https://www.ilo.org/global/statistics-and-databases/lang–en/index.htm. Accessed 15 Apr 2018

Jeon SY, Reither EN, Masters RK (2016) A population-based analysis of increasing rates of suicide mortality in Japan and South Korea, 1985–2010. BMC Public Health 16:356. https://doi.org/10.1186/s12889-016-3020-2 CrossRefPubMedPubMedCentral

Jukkala T, Stickley A, Mäkinen IH et al (2017) Age, period and cohort effects on suicide mortality in Russia, 1956-2005. BMC Public Health 17:235. https://doi.org/10.1186/s12889-017-4158-2 CrossRefPubMedPubMedCentral

Katikireddi SV, Niedzwiedz CL, Popham F (2012) Trends in population mental health before and after the 2008 recession: a repeat cross-sectional analysis of the 1991–2010 Health Surveys of England. BMJ Open 2:e001790. https://doi.org/10.1136/bmjopen-2012-001790 CrossRefPubMedPubMedCentral

Kerr WC, Subbaraman M, Ye Y (2011) Per capita alcohol consumption and suicide mortality in a panel of US states from 1950 to 2002. Drug Alcohol Rev 30:473–480. https://doi.org/10.1111/j.1465-3362.2011.00306.x CrossRefPubMedPubMedCentral

Kim HJ, Fay MP, Feuer EJ, Midthune DN (2000) Permutation tests for joinpoint regression with applications to cancer rates (Erratum in: Stat Med 2001;20: 655). Stat Med 19:335–351CrossRefPubMed

Laanani M, Ghosn W, Jougla E, Rey G (2015) Impact of unemployment variations on suicide mortality in Western European countries (2000–2010). J Epidemiol Community Health 69:103–109. https://doi.org/10.1136/jech-2013-203624 CrossRefPubMed

Levi F, La Vecchia C, Lucchini F et al (2003) Trends in mortality from suicide, 1965-99. Acta Psychiatr Scand 108:341–349. https://doi.org/10.1034/j.1600-0447.2003.00147.x CrossRefPubMed

National Cancer Institute Joinpoint Regression Program, version 4.1. http://srab.cancer.gov/joinpoint/. Accessed 23 Mar 2015

Nordt C, Warnke I, Seifritz E, Kawohl W (2015) Modelling suicide and unemployment: a longitudinal analysis covering 63 countries, 2000-11. The Lancet Psychiatry 2:239–245. https://doi.org/10.1016/s2215-0366(14)00118-7 CrossRefPubMed

Pan American Health Organization (PAHO) Health Information Platform for the Americas. http://www.paho.org/data/index.php/en/indicators/demographics-core/308-poblacion-nac-en.html. Accessed 15 Oct 2017

Pridemore WA, Chamlin MB, Andreev E (2013) Reduction in male suicide mortality following the 2006 Russian alcohol policy: an interrupted time series analysis. Am J Public Health 103:2021–2026. https://doi.org/10.2105/ajph.2013.301405 CrossRefPubMedPubMedCentral

Reeves A, McKee M, Stuckler D (2014) Economic suicides in the Great Recession in Europe and North America. Br J Psychiatry 205:246–247. https://doi.org/10.1192/bjp.bp.114.144766 CrossRefPubMed

Roca M, Gili M, Garcia-Campayo J, García-Toro M (2013) Economic crisis and mental health in Spain. Lancet 382:1977–1978. https://doi.org/10.1016/s0140-6736(13)62650-1 CrossRefPubMed

Stein EM, Gennuso KP, Ugboaja DC, Remington PL (2017) The epidemic of despair among white Americans: trends in the leading causes of premature death, 1999–2015. Am J Public Health 107:1541–1547. https://doi.org/10.2105/ajph.2017.303941 CrossRefPubMedPubMedCentral

Stuckler D, Basu S, Suhrcke M et al (2011) Effects of the 2008 recession on health: a first look at European data. Lancet 378:124–125. https://doi.org/10.1016/s0140-6736(11)61079-9 CrossRefPubMed

Wada K, Kondo N, Gilmour S et al (2012) Trends in cause specific mortality across occupations in Japanese men of working age during period of economic stagnation, 1980–2005: retrospective cohort study. BMJ 344:e1191. https://doi.org/10.1136/bmj.e1191 CrossRefPubMedPubMedCentral

Walker ER, Pratt LA, Schoenborn CA, Druss BG (2017) Excess mortality among people who report lifetime use of illegal drugs in the United States: a 20-year follow-up of a nationally representative survey. Drug Alcohol Depend 171:31–38. https://doi.org/10.1016/j.drugalcdep.2016.11.026 CrossRefPubMed

WHO (2017) Top 10 causes of death. Data, Global Health Observatory (GHO). In: World Heal. Organ. http://www.who.int/gho/mortality_burden_disease/causes_death/top_10/en/. Accessed 15 Jan 2018

WHO Statistical Information System WHO mortality database. Geneva: World Health Organization, 2014. http://www.who.int/healthinfo/statistics/mortality_rawdata/en/index.html. Accessed 11 Apr 2018

Woolf S, Aron L (2018) Failing health of the United States. BMJ 360:k496. https://doi.org/10.1136/bmj.k496 CrossRefPubMed

Yur’yev A, Leppik L, Tooding LM et al (2010) Social inclusion affects elderly suicide mortality. Int Psychogeriatr 22:1337–1343. https://doi.org/10.1017/s1041610210001614 CrossRefPubMed

Yur’yev A, Varnik P, Sisask M et al (2013) Some aspects of social exclusion: do they influence suicide mortality? Int J Soc Psychiatry 59:232–238. https://doi.org/10.1177/0020764011431792 CrossRefPubMed

Zaridze D, Lewington S, Boroda A et al (2014) Alcohol and mortality in Russia: prospective observational study of 151 000 adults. Lancet 383:1465–1473. https://doi.org/10.1016/s0140-6736(13)62247-3 CrossRefPubMedPubMedCentral

Title: Worldwide trends in suicide mortality from 1990 to 2015 with a focus on the global recession time frame
Authors: Gianfranco Alicandro
Matteo Malvezzi
Silvano Gallus
Carlo La Vecchia
Eva Negri
Paola Bertuccio
Publication date: 01-06-2019
Publisher: Springer International Publishing
Keywords: Suicide
Suicide
Published in: International Journal of Public Health / Issue 5/2019
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-019-01219-y

At a glance: The STEP trials

Springer Medicine

Worldwide trends in suicide mortality from 1990 to 2015 with a focus on the global recession time frame

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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