Evidence map›Paper›PMID 25536938›Full record

ArticleCommunity mental health journal2015

Examining undetermined and accidental deaths as source of 'under-reported-suicide' by age and sex in twenty Western countries.

Colin Pritchard, Lars Hansen

Abstract read
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In one paragraph

Article in Community mental health journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Systematic Review and Meta-analysis: International Prevalence of Suicidal Ideation and Attempt in Youth.Journal of the American Academy of Child and Adolescent Psychiatry · 2023
    Pooled it
  3. Article
  4. Article
  5. Hidden suicides: focus on England and Wales - comparison with other nations.The British journal of psychiatry : the journal of mental science · 2025
    Article
  6. Accident or intentional death? A case of certain uncertainty.Aging clinical and experimental research · 2024
    Article
  7. Article
  8. Suicide and coronial problems.The Medico-legal journal · 2022
    Article
  9. Article
  10. Mortality in the USA, the UK and Other Western Countries, 1989-2015: What Is Wrong With the US?International journal of health services : planning, administration, evaluation · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. The influence of undetermined deaths on suicides in Shanghai, China.Social psychiatry and psychiatric epidemiology · 2019
    Article
  15. Article
  16. Observational
  17. Observational
  18. Suicide methods in children and adolescents.European child & adolescent psychiatry · 2017
    Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Colin PritchardResearch Professor in Psyhciatric Social Work, School of Health and Social Care, Bournemouth University, Room 401b Royal London House, Christchurch Rd, Bournemouth, BH1 3 LT, UK, cp1@soton.ac.uk.
Lars Hansen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectives'Undetermined' (UnD) and accidental deaths (AccD) are explored as possible sources of 'under-reported-suicides' (URS) in 20 Western countries.

methodsWHO mortality rates per million of AccD, UnD and suicides analysed. UnD:suicides ratios of <1:5 calculated as likely URS versus ratios >1:10 unlikely URS and all correlated by sex and age.

resultsMale URS likely in 7 countries and in 11 for females. URS in AccD likely in 5 countries for both sexes only UnD and suicide rates the elderly (75+) significantly correlated.

conclusionStrong indication of URS in the UK, Portugal, Switzerland, Sweden, Denmark and Germany with likely URS in AccD in Greece, Portugal, Switzerland and USA. These findings have important implications, indicating that, with the exception of France and Japan, official reported suicide rates contain a degree of under-reporting, and especially for women yet it is essential to have accurate suicide data to ensure adequate service provision.

Indexed as

Cause of DeathAdultAgedEuropeFemaleHumansJapanMaleSex DistributionSex FactorsSuicide

Identifiers

What OpenQuestion holds

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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.