Evidence map›Paper›PMID 28794489›Full record

ArticleScientific reports2017

Spatiotemporal Suicide Risk in Germany: A Longitudinal Study 2007-11.

Marco Helbich, Paul L Plener, Sebastian Hartung, Victor Blüml

Abstract readHistorical Article
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Inequalities of Suicide Mortality across Urban and Rural Areas: A Literature Review.International journal of environmental research and public health · 2022
    Review
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  12. [Does the city make us ill? The effect of urban stress on emotions, behavior, and mental health].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2020
    Review
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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

4 authors.

Marco HelbichDepartment of Human Geography and Spatial Planning, Utrecht University, 3584, CS Utrecht, Netherlands. m.helbich@uu.nl.
Paul L PlenerDepartment of Child and Adolescent Psychiatry and Psychotherapy, University of Ulm, 89075, Ulm, Germany.
Sebastian HartungStatistical State Office of the Free State of Saxony, 01917, Kamenz, Germany.
Victor BlümlDepartment of Psychoanalysis and Psychotherapy, Medical University of Vienna, 1090, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite comprehensive prevention programs in Germany, suicide has been on the rise again since 2007. The underlying reasons and spatiotemporal risk patterns are poorly understood. We assessed the spatiotemporal risk of suicide per district attributable to multiple risk and protective factors longitudinally for the period 2007-11. Bayesian space-time regression models were fitted. The nationwide temporal trend showed an increase in relative risk (RR) of dying from suicide (RR 1.008, 95% credibility intervals (CI) 1.001-1.016), whereas district-specific deviations from the grand trend occurred. Striking patterns of amplified risk emerged in southern Germany. While the number of general practitioners was positively related (RR 1.003, 95% CI 1.000-1.006), income was negatively and non-linearly related with suicide risk, as was population density. Unemployment was associated and showed a marked nonlinearity. Neither depression prevalence nor mental health service supply were related. The findings are vital for the implementation of future suicide prevention programs. Concentrating preventive efforts on vulnerable areas of excess risk is recommended.

Indexed as

GermanyHistory, 21st CenturyHumansLongitudinal StudiesRisk AssessmentRisk FactorsSpatio-Temporal AnalysisSuicide

Identifiers

PMID28794489
PMCPMC5550498

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Registered trials

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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.