ReviewCanadian journal of psychiatry. Revue canadienne de psychiatrie2021
Rural-Urban Differences in Suicide Mortality: An Observational Study in Newfoundland and Labrador, Canada: Différences de la Mortalité Par Suicide en Milieu Rural-Urbain: Une Étude Observationnelle à Terre-Neuve et Labrador, Canada.
Review in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- A systematic review of the association between alcohol-related deaths and area-level socioeconomic deprivation and other geographic characteristics in high-income countries.BMC public health · 2026Pooled it
- Gambling, suicide and mental health treatment utilisation in Wales: case-control, whole-population-based study.BJPsych open · 2025Article
- A scoping review of routinely collected linked data in research on gambling harm.NPJ digital medicine · 2025Article
- Fine particulate matter, suicide, and urbanicity in South Korea: A nationwide time-stratified cases-crossover study.iScience · 2025Article
- Repeat self-harm hospitalizations in Canada: a survival analysis.Injury epidemiology · 2025Article
- Unravelling Suicide and Related Behaviours in Indigenous Youth and Young Adults in the Canadian Context.Neuropsychiatric disease and treatment · 2024Review
- Rural suicide in Newfoundland and Labrador: A qualitative exploration of health care providers' perspectives.PloS one · 2024Article
- Self-harm and rurality in Canada: an analysis of hospitalization data from 2015 to 2019.Social psychiatry and psychiatric epidemiology · 2023Article
- Frozen in Time, a Focused Review of Autism Prevalence in Canadian Indigenous Communities.Neuropsychiatric disease and treatment · 2023Review
- Suicide deaths and substance use in the Galician provinces between 2006 and 2020.Frontiers in psychiatry · 2023Article
- Suicide and Suicide Attempts Among Patients Attending Primary Health Care Facilities in Uganda: A Medical Records Review.Risk management and healthcare policy · 2022Article
- Suicide in Newfoundland and Labrador, Canada: a time trend analysis from 1981 to 2018.BMC public health · 2021Article
- Association of Suicidal Ideation With Physical Health Conditions, Mental Health Conditions, and Multimorbidity and the Modifying Role of Emotional Social Support: A Cross-Sectional Study in Japan.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSuicide rates are higher in rural compared to urban areas. Although this pattern appears to be driven by higher rates among men, there is limited evidence about the characteristics of rural people who die by suicide in Canada. The objective of this study was to examine the demographics, manner of death, and social and clinical antecedents of people who died by suicide in rural areas compared to urban areas.
methodsWe conducted an observational study of all suicide deaths that occurred among Newfoundland and Labrador residents between 1997 and 2016 using a linked data set derived from a comprehensive review of provincial medical examiner records. We used
resultsRural people who died by suicide accounted for 54.8% of all deaths over a 20-year period. Overall, 81.6% of people who died were male. Compared to urban, rural people who died by suicide were younger, more likely to use firearms or hanging, and had a higher mean blood alcohol content at the time of death (27.69 vs. 22.95 mmol/L). Rural people were also less likely to have had a known history of a prior suicide attempt, psychiatric disorder, alcohol or substance abuse, or chronic pain. DISCUSSION: The demographic and clinical differences between rural and urban people who died by suicide underscore the need for suicide prevention approaches that account for place-based differences. A key challenge for suicide prevention in rural communities is to ensure that interventions are developed and implemented in a manner that fits local contexts.
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