Observational studyInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2020
Unrecognised self-injury mortality (SIM) trends among racial/ethnic minorities and women in the USA.
Observational study in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2020. 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.
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.
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.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Alcohol Consumption and 15 Causes of Fatal Injuries: A Systematic Review and Meta-Analysis.American journal of preventive medicine · 2022Pooled it
- High-risk emergency department visits and risk of all-cause mortality, suicide, and fatal overdose among US military veterans.American journal of epidemiology · 2026Article
- Association of substance use with suicide mortality: An updated systematic review and meta-analysis.Drug and alcohol dependence reports · 2025Review
- Risk of Suicide-Related Outcomes After SARS-COV-2 Infection: Results from a Nationwide Observational Matched Cohort of US Veterans.Journal of general internal medicine · 2024Article
- Suicide-specific mortality among patients with treatment-resistant major depressive disorder, major depressive disorder with prior suicidal ideation or suicide attempts, or major depressive disorder alone.Brain and behavior · 2023Observational
- The Protective Effect of Clozapine on Suicide: A Population Mortality Study of Statewide Autopsy Records in Maryland.The Journal of clinical psychiatry · 2023Review
- Escalating costs of self-injury mortality in the 21st century United States: an interstate observational study.BMC public health · 2023Observational
- The Burden of Suicide Mortality in Poland: A 20-Year Register-Based Study (2000-2019).International journal of public health · 2023Article
- Job loss, financial strain, and housing problems as suicide precipitants: Associations with other life stressors.SSM - population health · 2022Article
- Achieving health equity in US suicides: a narrative review and commentary.BMC public health · 2022Review
- Impact of the COVID-19 pandemic on temporal patterns of mental health and substance abuse related mortality in Michigan: An interrupted time series analysis.Lancet regional health. Americas · 2022Article
- Fentanyl, Heroin, and Cocaine Overdose Fatalities are Shifting to the Black Community: An Analysis of the State of Connecticut.Journal of racial and ethnic health disparities · 2022Article
- Retrospective study of non-natural manners of death in Ontario: Effects of the COVID-19 pandemic and related public health measures.Lancet regional health. Americas · 2022Article
- Association of State Social and Environmental Factors With Rates of Self-injury Mortality and Suicide in the United States.JAMA network open · 2022Article
- Fatal self-injury in the United States, 1999-2018: Unmasking a national mental health crisis.EClinicalMedicine · 2021Article
- Feasibility and acceptability of safety screening among patients receiving addiction treatment.Journal of substance abuse treatment · 2020Article
- How to make adjustments of underreporting of suicide by place, gender, and age in China?Social psychiatry and psychiatric epidemiology · 2020Article
- Clinical Perspective on Opioids in the Context of Suicide Risk.Focus (American Psychiatric Publishing) · 2020Review
Corrections and comments
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Authors and funding
7 authors at 7 institutions in 1 country.
Funding
Abstract
aimTo assess whether an enhanced category combining suicides with nonsuicide drug self-intoxication fatalities more effectively captures the burden of self-injury mortality (SIM) in the USA among US non-Hispanic black and Hispanic populations and women irrespective of race/ethnicity.
methodsThis observational study used deidentified national mortality data for 2008-2017 from the CDC's
resultsWhile the suicide rate increased by 29% for blacks, 36% for Hispanics and 25% for non-Hispanic whites between 2008 and 2017, corresponding SIM rate increases were larger at 109%, 69% and 55% (p<0.0001). SIM:suicide rate ratio gaps were widest among blacks but similar for the other two groups. Gaps were wider for females than males, especially black females whose ratios measured ≥3.71 across the observation period versus <3.00 for white and Hispanic counterparts. Total lost years of life for Hispanic, white and black SIM decedents in 2017 were projected to be 42.6, 37.1 and 32.4, respectively.
conclusionApplication of SIM exposed substantial excess burdens from substance poisoning relative to suicide for minorities, particularly non-Hispanic blacks and for women generally. Results underscored the need to define, develop, implement and evaluate comprehensive strategies to address common antecedents of self-injurious behaviours.
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Registered trials
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.