ArticleAmerican journal of public health2019
Does Despair Really Kill? A Roadmap for an Evidence-Based Answer.
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Article in American journal of public health, 2019. 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.
0numbers the graph read from it
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52citing papers in PubMed, 1 pooled it
14.3field-weighted citation impact, top 1% of its field
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Who cites it
52 citing papers in PubMed, 1 synthesis or guideline pooled it, 121 citations in OpenAlex.
- Have Deaths of Despair Risen during the COVID-19 Pandemic? A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- The Fast Track intervention's impact on behaviors of despair in adolescence and young adulthood.Proceedings of the National Academy of Sciences of the United States of America · 2020Trial
- Long-term negative divergence in mortality at ages 25-49 years between the United Kingdom and 21 peer countries between 1990 and 2019.European journal of epidemiology · 2026Article
- Deaths of despair in England, 2014-2022: trends by sex and socioeconomic deprivation before and after COVID-19.International journal of public health · 2026Article
- Mediating role of psychological distress and alcohol use in socioeconomic disparities in deaths of despair: a causal mediation analysis using record linkage data.Journal of epidemiology and community health · 2025Article
- Self- and other-harm in mass shooters: A dual-harm analysis.Psychiatry research · 2025Article
- The Role of Race in Deaths of Despair in Brazil: Is it a White People Problem?Journal of racial and ethnic health disparities · 2025Article
- The Gender Gap in Life Expectancy in the United States and Deaths of Despair: Trends from 1979 to 2022.Population and development review · 2025Article
- Article
- Trends in educational inequalities in all-course mortality and deaths of despair in Swedish youths 1990-2018.SSM - population health · 2025Article
- Suicides and Overdoses at Work: Census of Fatal Occupational Injuries, 2011-2022.American journal of preventive medicine · 2025Article
- Educational inequalities in deaths of despair in 14 OECD countries: a cross-sectional observational study.Journal of epidemiology and community health · 2025Observational
- The Role of Despair in Predicting Self-Destructive Behaviors.Population research and policy review · 2025Article
- Are employment and social integration more strongly associated with deaths of despair than psychological or economic distress?Social science & medicine (1982) · 2024Article
- Vulnerable conditions syndemic, depression, and suicidal ideation among school children in China: cross-sectional census findings.Child and adolescent psychiatry and mental health · 2024Article
- Identifying at-risk individuals for diseases of despair through integration of clinical practice and social service systems.Journal of clinical and translational science · 2024Article
- The effect of economic crisis and austerity measures on deaths of despair in Brazil: An interrupted time series analysis.PloS one · 2024Article
- Suicide methods among Brazilian women from 1980 to 2019: Influence of age, period, and cohort.PloS one · 2024Article
- Child and Adolescent Psychopathology and Subsequent Harmful Behaviors Associated with Premature Mortality: A Selective Review and Future Directions.Clinical child and family psychology review · 2023Review
- Pro-Environmental Behavior and Climate Change Anxiety, Perception, Hope, and Despair According to Political Orientation.Behavioral sciences (Basel, Switzerland) · 2023Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Lilly ShanahanLilly Shanahan and Annekatrin Steinhoff are with the Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland. Sherika N. Hill and E. Jane Costello are with the Department of Psychiatry, Duke University Medical Center, Durham, NC. Lauren M. Gaydosh is with the Center for Medicine, Health, and Society, Vanderbilt University, Nashville, TN. Kenneth A. Dodge is with the Center for Child and Family Policy, Duke University, Durham. Kathleen Mullan Harris is with the Carolina Population Center, University of North Carolina at Chapel Hill. William E. Copeland is with the Vermont Center for Children, Youth and Families, University of Vermont Medical Center, Burlington.
Sherika N HillLilly Shanahan and Annekatrin Steinhoff are with the Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland. Sherika N. Hill and E. Jane Costello are with the Department of Psychiatry, Duke University Medical Center, Durham, NC. Lauren M. Gaydosh is with the Center for Medicine, Health, and Society, Vanderbilt University, Nashville, TN. Kenneth A. Dodge is with the Center for Child and Family Policy, Duke University, Durham. Kathleen Mullan Harris is with the Carolina Population Center, University of North Carolina at Chapel Hill. William E. Copeland is with the Vermont Center for Children, Youth and Families, University of Vermont Medical Center, Burlington.
Lauren M GaydoshLilly Shanahan and Annekatrin Steinhoff are with the Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland. Sherika N. Hill and E. Jane Costello are with the Department of Psychiatry, Duke University Medical Center, Durham, NC. Lauren M. Gaydosh is with the Center for Medicine, Health, and Society, Vanderbilt University, Nashville, TN. Kenneth A. Dodge is with the Center for Child and Family Policy, Duke University, Durham. Kathleen Mullan Harris is with the Carolina Population Center, University of North Carolina at Chapel Hill. William E. Copeland is with the Vermont Center for Children, Youth and Families, University of Vermont Medical Center, Burlington.
Annekatrin SteinhoffLilly Shanahan and Annekatrin Steinhoff are with the Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland. Sherika N. Hill and E. Jane Costello are with the Department of Psychiatry, Duke University Medical Center, Durham, NC. Lauren M. Gaydosh is with the Center for Medicine, Health, and Society, Vanderbilt University, Nashville, TN. Kenneth A. Dodge is with the Center for Child and Family Policy, Duke University, Durham. Kathleen Mullan Harris is with the Carolina Population Center, University of North Carolina at Chapel Hill. William E. Copeland is with the Vermont Center for Children, Youth and Families, University of Vermont Medical Center, Burlington.
E Jane CostelloLilly Shanahan and Annekatrin Steinhoff are with the Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland. Sherika N. Hill and E. Jane Costello are with the Department of Psychiatry, Duke University Medical Center, Durham, NC. Lauren M. Gaydosh is with the Center for Medicine, Health, and Society, Vanderbilt University, Nashville, TN. Kenneth A. Dodge is with the Center for Child and Family Policy, Duke University, Durham. Kathleen Mullan Harris is with the Carolina Population Center, University of North Carolina at Chapel Hill. William E. Copeland is with the Vermont Center for Children, Youth and Families, University of Vermont Medical Center, Burlington.
Kenneth A DodgeLilly Shanahan and Annekatrin Steinhoff are with the Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland. Sherika N. Hill and E. Jane Costello are with the Department of Psychiatry, Duke University Medical Center, Durham, NC. Lauren M. Gaydosh is with the Center for Medicine, Health, and Society, Vanderbilt University, Nashville, TN. Kenneth A. Dodge is with the Center for Child and Family Policy, Duke University, Durham. Kathleen Mullan Harris is with the Carolina Population Center, University of North Carolina at Chapel Hill. William E. Copeland is with the Vermont Center for Children, Youth and Families, University of Vermont Medical Center, Burlington.
Kathleen Mullan HarrisLilly Shanahan and Annekatrin Steinhoff are with the Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland. Sherika N. Hill and E. Jane Costello are with the Department of Psychiatry, Duke University Medical Center, Durham, NC. Lauren M. Gaydosh is with the Center for Medicine, Health, and Society, Vanderbilt University, Nashville, TN. Kenneth A. Dodge is with the Center for Child and Family Policy, Duke University, Durham. Kathleen Mullan Harris is with the Carolina Population Center, University of North Carolina at Chapel Hill. William E. Copeland is with the Vermont Center for Children, Youth and Families, University of Vermont Medical Center, Burlington.
William E CopelandLilly Shanahan and Annekatrin Steinhoff are with the Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland. Sherika N. Hill and E. Jane Costello are with the Department of Psychiatry, Duke University Medical Center, Durham, NC. Lauren M. Gaydosh is with the Center for Medicine, Health, and Society, Vanderbilt University, Nashville, TN. Kenneth A. Dodge is with the Center for Child and Family Policy, Duke University, Durham. Kathleen Mullan Harris is with the Carolina Population Center, University of North Carolina at Chapel Hill. William E. Copeland is with the Vermont Center for Children, Youth and Families, University of Vermont Medical Center, Burlington.
Center for Child and Family Health · US
Funding
STALLARD Admin Supp: Predicting Future Care Needs and Costs for Individual Medicare Enrollees with Incident Suspected Alzheimer's DiseaseP30AG034424 · NIA · DUKE UNIVERSITY · PI SCOTT M. LYNCH · 2009 to 2026
$12.2MResearch Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6MIntervention Impacts on Child Wellbeing and Parenting across GenerationsR01HD093651 · NICHD · DUKE UNIVERSITY · PI KENNETH A DODGE, Jennifer E Lansford · 2017 to 2026
$6.1MScience CoreP2CHD065563 · NICHD · DUKE UNIVERSITY · PI James Moody · 2015 to 2026
$5.7MDiseases of Despair in Young Adulthood: Risk, Resilience, and PreventionR01MH117559 · NIMH · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI COPELAND, WILLIAM · 2018 to 2021
$1.6MEarly Substance Use in Rural American Indian and White/Anglo YouthR01DA036523 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SHANAHAN, LILLY · 2014 to 2016
$700kExplanations of Racial Disparities in Active LifeR03HD050374 · NICHD · PRINCETON UNIVERSITY · PI LYNCH, SCOTT M · 2005 to 2006
$156kNIA NIH HHS P30 AG034424NICHD NIH HHS P2C HD050924NICHD NIH HHS P2C HD065563NICHD NIH HHS R01 HD093651NICHD NIH HHS R03 HD050374NIDA NIH HHS R01 DA036523NIMH NIH HHS R01 MH117559
Abstract
Two seemingly associated demographic trends have generated considerable interest: income stagnation and rising premature mortality from suicides, drug poisoning, and alcoholic liver disease among US non-Hispanic Whites with low education. Economists interpret these population-level trends to indicate that despair induced by financial stressors is a shared pathway to these causes of death. Although we now have the catchy term "deaths of despair," we have yet to study its central empirical claim: that conceptually defined and empirically assessed "despair" is indeed a common pathway to several causes of death. At the level of the person, despair consists of cognitive, emotional, behavioral, and biological domains. Despair can also permeate social relationships, networks, institutions, and communities. Extant longitudinal data sets feature repeated measures of despair-before, during, and after the Great Recession-offering resources to test the role that despair induced by economic decline plays in premature morbidity and mortality. Such tests must also focus on protective factors that could shield individuals.
Indexed as
MortalityPsychological DistressCause of DeathHumansIncomeLiver Diseases, AlcoholicPoisoningSuicideUnited States
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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.