Evidence map›Paper›PMID 22893569›Full record

ArticleBMJ (Clinical research ed.)2012

Suicides associated with the 2008-10 economic recession in England: time trend analysis.

Ben Barr, David Taylor-Robinson, Alex Scott-Samuel, Martin McKee, David Stuckler

Open access · hybridAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 135 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
135citing papers in PubMed, 5 pooled it
105.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

135 citing papers in PubMed, 5 syntheses or guidelines pooled it, 452 citations in OpenAlex.

  1. Work-Related Stress, Physio-Pathological Mechanisms, and the Influence of Environmental Genetic Factors.International journal of environmental research and public health · 2019
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  10. The Global Polycrisis and Health Inequalities.International journal of social determinants of health and health services · 2025
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75 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Ben BarrDepartment of Public Health and Policy, University of Liverpool, Liverpool L69 3GB UK. b.barr@liverpool.ac.uk
David Taylor-Robinson
Alex Scott-Samuel
Martin McKee
David Stuckler
University of Liverpool · GBLondon School of Hygiene & Tropical Medicine · GB

Funding

Department of Health DRF-2009-02-12Medical Research Council G0802448
6 · The paper itself

Abstract

objectiveTo determine whether English regions worst affected by the economic recession in the United Kingdom in 2008-10 have had the greatest increases in suicides.

designTime trend analysis comparing the actual number of suicides with those that would be expected if pre-recession trends had continued. Multivariate regression models quantified the association between changes in unemployment (based on claimant data) and suicides (based on data from the National Clinical Health Outcomes Database).

setting93 English regions, based on the Nomenclature of Territorial Units Statistics level 3 groupings of local authorities at county level and groups of unitary local authorities.

participantsMen and women with a record of death from suicide or injury of undetermined cause in 2000-10.

main outcome measureNumber of excess suicides during the economic recession (2008-10).

resultsBetween 2008 and 2010, we found 846 (95% confidence interval 818 to 877) more suicides among men than would have been expected based on historical trends, and 155 (121 to 189) more suicides among women. Historically, short term yearly fluctuations in unemployment have been associated with annual changes in suicides among men but not among women. We estimated that each 10% increase in the number of unemployed men was significantly associated with a 1.4% (0.5% to 2.3%) increase in male suicides. These findings suggest that about two fifths of the recent increase in suicides among men (increase of 329 suicides, 126 to 532) during the 2008-10 recession can be attributed to rising unemployment.

conclusionThe study provides evidence linking the recent increase in suicides in England with the financial crisis that began in 2008. English regions with the largest rises in unemployment have had the largest increases in suicides, particularly among men.

Indexed as

Confidence IntervalsEconomic RecessionEnglandFemaleHumansMaleSex DistributionSuicideUnemployment

Identifiers

PMID22893569
PMCPMC3419273
OpenAlexW2157637899

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.