ArticleAmerican journal of public health2017
Urban-Rural Differences in Suicide in the State of Maryland: The Role of Firearms.
Article in American journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.
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Who cites it
39 citing papers in PubMed, 85 citations in OpenAlex.
- Geospatial suicide risk prediction in the State of Maryland and the limits of discernible intent.Research square · 2026Article
- Evaluating the role of cost and fairness in machine learning models of suicide risk.Scientific reports · 2026Article
- Conceptualization and development of the Maryland suicide data warehouse to improve mortality prediction.JAMIA open · 2026Article
- Use of Vital Records to Improve Identification of Suicide as Manner of Death for Opioid-Related Fatalities.Crisis · 2026Article
- Rural-Urban Suicide Mortality Disparities in High-Burden U.S. States: An Intersectional Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Considerations for evaluating the practical utility of machine learning in suicide risk estimation: the role of cost and equity.Research square · 2025Article
- Firearm Violence and Health in Policymaker Discourse: Mixed Methods Social Media Analysis.JMIR formative research · 2025Article
- Familial firearm culture among the families of youth who died by firearm suicide in Maryland: a qualitative analysis of psychological autopsy interviews.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Risk factors for unnatural mortality in persons with serious mental illness.Scientific reports · 2025Article
- Identifying and characterizing suicide decedent subtypes using deep embedded clustering.Scientific reports · 2025Article
- National Study of Firearm Presence and Storage Practices in Homes of Rural Adolescents.The western journal of emergency medicine · 2025Article
- Rural Suicide: Demographics, Causes, and Treatment Implications.Community mental health journal · 2025Article
- Adolescent firearm suicides in the United States: exploring racial and ethnic differences, 2004-2020.Youth & society · 2024Article
- A national study of firearm exposure and safety training among rural youth.Injury epidemiology · 2024Article
- Utah Latina/o/x suicide decedents less likely to die by firearm, even in rural areas: examining population-wide data from the Utah Office of the Medical Examiner.Frontiers in public health · 2024Article
- Firearm-Related Traumatic Brain Injury Homicides in the United States, 2000-2019.Neurosurgery · 2023Article
- Challenges, Successes, and the Future of Firearm Injury Prevention.The Milbank quarterly · 2023Article
- Changes in suicide in California from 2017 to 2021: a population-based study.Injury epidemiology · 2023Article
- Long gun suicides in the state of Maryland following the firearm safety act of 2013.Suicide & life-threatening behavior · 2023Article
- Detection of Suicide Clusters using Small-Area Geographic Data from the Virginia Violent Death Reporting System, 2010 - 2015.Virginia journal of public health · 2023Article
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4 authors at 1 institution in 1 country.
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Abstract
objectivesTo assess whether the use of firearms explains rural-urban differences in suicide rates.
methodsWe performed a retrospective analysis on all 6196 well-characterized adult suicides in Maryland from 2003 through 2015. We computed rate ratios by using census data and then stratified by sex, with adjustment for age and race.
resultsSuicide rates were higher in rural compared with urban counties. However, the higher rural suicide rates were limited to firearm suicides (incident rate ratio [IRR] = 1.66; 95% confidence interval [CI] = 1.20, 2.31). Nonfirearm suicide rates were not significantly higher in rural settings. Furthermore, 89% of firearm suicides occurred in men and the higher rural firearm suicide rate was limited to men (IRR = 1.36; 95% CI = 1.09, 1.69). Women were significantly less likely to complete suicide in rural areas (IRR = 0.63; 95% CI = 0.43, 0.94), regardless of method.
conclusionsMale firearm use drives the increased rate of suicide in rural areas. The opposite associations between urbanicity and suicide in men and women may be driven by the male preference for firearms as a method for committing suicide.
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