ArticleInternational journal of health geographics2017
Urban-rural inequalities in suicide mortality: a comparison of urbanicity indicators.
Article in International journal of health geographics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Pooled Prevalence of Attributed Factors of Suicide in Iran: A Systematic Review and Meta-analysis.Archives of Iranian medicine · 2025Pooled it
- Urbanicity, Neighborhood Conditions, and Dementia Mortality.JAMA network open · 2026Article
- Exploring the Challenges of Context in Accessing Mental Health Support in Rural New Zealand: A Case Study Approach.Journal of advanced nursing · 2025Article
- Fine particulate matter, suicide, and urbanicity in South Korea: A nationwide time-stratified cases-crossover study.iScience · 2025Article
- Testing rurality as a moderator of associations between masculinity constructs, help-seeking, and firearm storage practices.Suicide & life-threatening behavior · 2025Article
- Ambient temperature, suicide, and urbanicity: A nationwide time-stratified case-crossover study in South Korea.PloS one · 2025Article
- Analysis of the global trends and causes of self-harm due to high temperature: a global level ecological study.Environmental health and preventive medicine · 2025Article
- Spatially clustered patterns of suicide mortality rates in South Korea: a geographically weighted regression analysis.BMC public health · 2024Article
- The association between economic uncertainty and suicide in Japan by age, sex, employment status, and population density: an observational study.The Lancet regional health. Western Pacific · 2024Article
- Epidemiology of Suicide Mortality in Paraguay from 2005 to 2019: A Descriptive Study.International journal of environmental research and public health · 2024Observational
- Understanding Risk Factors for Suicide Among Older People in Rural China: A Systematic Review.Innovation in aging · 2024Review
- Urban-Rural Disparities in Deaths of Despair: A County-Level Analysis 2004-2016 in the U.S.American journal of preventive medicine · 2023Article
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- Predicting Suicide in Counties: Creating a Quantitative Measure of Suicide Risk.International journal of environmental research and public health · 2022Article
- Inequalities of Suicide Mortality across Urban and Rural Areas: A Literature Review.International journal of environmental research and public health · 2022Review
- Examining the Benefits of Greenness on Reducing Suicide Mortality Rate: A Global Ecological Study.Frontiers in public health · 2022Article
- Differences in depressive symptoms by rurality in Japan: a cross-sectional multilevel study using different aggregation units of municipalities and neighborhoods (JAGES).International journal of health geographics · 2021Article
- Factors Related to the Level of Depression and Suicidal Behavior Among Men With Diagnosed Depression, Physically Ill Men, and Healthy Men.Frontiers in psychiatry · 2021Article
- Rural-urban differences in suicide attempts and mortality among young people in northern Sweden, 1998-2017: A register-based study.Scandinavian journal of public health · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUrban-rural disparities in suicide mortality have received considerable attention. Varying conceptualizations of urbanity may contribute to the conflicting findings. This ecological study on Germany assessed how and to what extent urban-rural suicide associations are affected by 14 different urban-rural indicators.
methodsIndicators were based on continuous or k-means classified population data, land-use data, planning typologies, or represented population-based accessibility indicators. Agreements between indicators were tested with correlation analyses. Spatial Bayesian Poisson regressions were estimated to examine urban-rural suicide associations while adjusting for risk and protective factors.
resultsUrban-rural differences in suicide rates per 100,000 persons were found irrespective of the indicator. Strong and significant correlation was observed between different urban-rural indicators. Although the effect sign consistently referred to a reduced risk in urban areas, statistical significance was not universally confirmed by all regressions. Goodness-of-fit statistics suggested that the population potential score performs best, and that population density is the second best indicator of urbanicity. Numerical indicators are favored over classified ones. Regional planning typologies are not supported.
conclusionsThe strength of suicide urban-rural associations varies with respect to the applied indicator of urbanicity. Future studies that put urban-rural inequalities central are recommended to apply either unclassified population potentials or population density indicators, but sensitivity analyses are advised.
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