ArticleAmerican journal of preventive medicine2017
Economic Recession, Alcohol, and Suicide Rates: Comparative Effects of Poverty, Foreclosure, and Job Loss.
Article in American journal of preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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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.
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Who cites it
52 citing papers in PubMed, 1 synthesis or guideline pooled it, 139 citations in OpenAlex.
- Insecure employment and the social determinants of suicide: a narrative synthesis review.Globalization and health · 2026Pooled it
- County-level social determinants of health and suicide mortality trends among formerly incarcerated persons in North Carolina, 2010-2018.Health & justice · 2026Article
- The correlation between economic development and suicide rate - based on the global WHO and WB database.Frontiers in public health · 2025Article
- Vital Signs: Suicide Rates and Selected County-Level Factors - United States, 2022.MMWR. Morbidity and mortality weekly report · 2024Article
- "Deaths of despair" over the business cycle: New estimates from a shift-share instrumental variables approach.Economics and human biology · 2024Article
- Geographically specific associations between county-level socioeconomic and household distress and mortality from drug poisoning, suicide, alcohol, and homicide among working-age adults in the United States.SSM - population health · 2024Article
- Geographic Variation, Economic Activity, and Labor Market Characteristics in Trajectories of Suicide in the United States, 2008-2020.American journal of epidemiology · 2024Article
- Area-Level Social Determinants of Alcohol-Related Mortality: Knowledge Gaps and Implications for Community Health.Alcohol research : current reviews · 2024Review
- Mass probation: Temporal and geographic correlation of county-level probation rates & mental health in North Carolina.SSM. Mental health · 2023Article
- Narrative minireview of the spatial epidemiology of substance use disorder in the United States: Who is at risk and where?World journal of clinical cases · 2023Review
- Temporal Trends and Characteristics of Adult Patients in Emergency Department Related to Suicide Attempt or Self-Harm in Korea, 2016-2020.Journal of Korean medical science · 2023Article
- Macroeconomic fluctuations and individual use of psychotropic medications: evidence from Swedish administrative data.European journal of public health · 2023Article
- The Impact of the COVID-19 Pandemic and Lockdowns on Self-Poisoning and Suicide in Sri Lanka: An Interrupted Time Series Analysis.International journal of environmental research and public health · 2023Article
- Effects of the COVID-19 pandemic and previous pandemics, epidemics and economic crises on mental health: systematic review.BJPsych open · 2022Review
- Job loss, financial strain, and housing problems as suicide precipitants: Associations with other life stressors.SSM - population health · 2022Article
- Parentification in Polish Adolescents: a Prevalence Study.Journal of child & adolescent trauma · 2022Article
- Achieving health equity in US suicides: a narrative review and commentary.BMC public health · 2022Review
- The Recent Rise of Suicide Mortality in the United States.Annual review of public health · 2022Review
- State earned income tax credits and depression and alcohol misuse among women with children.Preventive medicine reports · 2022Article
- Examining the association between the COVID-19 pandemic and self-harm death counts in four Canadian provinces.Psychiatry research · 2022Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
introductionSuicide rates and the proportion of alcohol-involved suicides rose during the 2008-2009 recession. Associations between county-level poverty, foreclosures, and unemployment and suicide rates and proportion of alcohol-involved suicides were investigated.
methodsIn 2015, National Violent Death Reporting System data from 16 states in 2005-2011 were utilized to calculate suicide rates and a measure of alcohol involvement in suicides at the county level. Panel models with year and state fixed effects included county-level measures of unemployment, foreclosure, and poverty rates.
resultsPoverty rates were strongly associated with suicide rates for both genders and all age groups, were positively associated with alcohol involvement in suicides for men aged 45-64 years, and negatively associated for men aged 20-44 years. Foreclosure rates were negatively associated with suicide rates for women and those aged ≥65 years but positively related for those aged 45-64 years. Unemployment rate effects on suicide rates were mediated by poverty rates in all groups.
conclusionsPopulation risk of suicide was most clearly associated with county-level poverty rates, indicating that programs addressing area poverty should be targeted for reducing suicide risk. Poverty rates were also associated with increased alcohol involvement for men aged 45-64 years, indicating a role for alcohol in suicide for this working-aged group. However, negative associations between economic indicators and alcohol involvement were found for four groups, suggesting that non-economic factors or more general economic effects not captured by these indicators may have played a larger role in alcohol-related suicide increases.
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Registered trials
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