ArticleSocial psychiatry and psychiatric epidemiology2006
Divergent trends in suicide by socio-economic status in Australia.
Article in Social psychiatry and psychiatric epidemiology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Does Gender Explain the Relationship Between Occupation and Suicide? Findings from a Meta-Analytic Study.Community mental health journal · 2016Pooled it
- Article
- Rethinking Suicide in Rural Australia: A study Protocol for Examining and Applying Knowledge of the Social Determinants to Improve Prevention in Non-Indigenous Populations.International journal of environmental research and public health · 2019Article
- Widening socioeconomic inequalities in Australian suicide, despite recent declines in suicide rates.Social psychiatry and psychiatric epidemiology · 2018Article
- Confluence of suicide and drug overdose epidemics in young Australian males: common causality?BMC public health · 2018Article
- Suicide Risk among Immigrants and Ethnic Minorities: A Literature Overview.International journal of environmental research and public health · 2018Review
- Compositional, Contextual, and Collective Community Factors in Mental Health and Well-Being in Australian Rural Communities.Qualitative health research · 2017Article
- Suicide rates and income in São Paulo and Brazil: a temporal and spatial epidemiologic analysis from 1996 to 2008.BMC psychiatry · 2012Article
- Spatial clusters of suicide in Australia.BMC psychiatry · 2012Article
- Spatial distribution of suicide in Queensland, Australia.BMC psychiatry · 2010Article
- Trend of income-related inequality of child oral health in Australia.Journal of dental research · 2010Article
- Preliminary spatiotemporal analysis of the association between socio-environmental factors and suicide.Environmental health : a global access science source · 2009Article
- Rural-urban differences in Austrian suicides.Social psychiatry and psychiatric epidemiology · 2008Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study investigated secular trends in socio-economic status (SES) differentials in Australian suicide (1979-2003), which includes overall declines in male suicide from 1998.
methodSuicide rates were stratified by approximate equal-population quintiles of area-based SES for the period 1979-2003 and examined across five quinquennia, centred on each Australian Census from 1981 to 2001, to determine if (1) SES differentials in suicide have persisted over time, and (2) if SES differentials have widened or narrowed. Suicide rates (per 100,000) were adjusted for confounding by sex, age, country-of-birth, and urban-rural residence using Poisson regression models, and secular changes in SES differentials were assessed using trend tests on suicide rate ratios (low to high SES quintiles).
resultsSocio-economic status (SES) differentials persisted across the study period for both males and females after adjusting for the effects of age, migrant status, and urban-rural residence, with the largest differences between low and high SES groups evident in males, and especially young males (20-34 years). For males, suicide rates increased significantly in all SES groups until 1998, before diverging significantly in the most recent 5-year period, particularly in younger males (P<0.0001). In young males, suicide rates in the most recent period increased in the low SES group from 44.8 in 1994-1998 to 48.6 in 1999-2003 (an 8% increase). In contrast, suicide rates in the middle SES group decreased from a peak of 37.3 to 33.5 (a 10% decrease), and in the high SES group from a peak of 33.0 to 27.9 (a 15% decrease). A similar statistically significant divergence of a lesser magnitude was also evident in all age males and younger females (20-34 years).
conclusionThis study shows that SES differentials in suicide persisted in Australia for most of the period 1979-2004. The decline in suicide in young males in the most recent quinquennium was limited to middle and high SES groups, while the low SES group displayed a continued increase. The continued increase in suicide in low SES males has implications for social and economic intervention and suicide control programs.
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