ArticlePloS one2021
Structural determinants of suicide during the global financial crisis in Spain: Integrating explanations to understand a complex public health problem.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Insecure employment and the social determinants of suicide: a narrative synthesis review.Globalization and health · 2026Pooled it
- The role of forensic and legal systems in suicide prevention: Implications for Israeli healthcare policy.Israel journal of health policy research · 2026Article
- The Role of Race in Deaths of Despair in Brazil: Is it a White People Problem?Journal of racial and ethnic health disparities · 2025Article
- Suicide Reattempt Risk Factors: A Cross-Sectional Study Using Mashhad's Population-Based Registry, 2019-2022.Iranian journal of public health · 2025Article
- The challenge of estimating the direct and indirect effects of COVID-19 interventions - Toward an integrated economic and epidemiological approach.Economics and human biology · 2023Review
- The associations between suicides, economic conditions and social isolation: Insights from Spain.PloS one · 2023Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSuicide is a complex public health problem in contemporary societies. Macroeconomic downturns derived from the economic crisis have been found to be associated with growing suicide mortality in the United States and in Europe. The present work is aimed to assess the association between the recent economic downturns and suicide patterns using interrupted time series analysis and, particularly, adjusting this relationship by indicators of social cohesion and community values that might provide additional insights on the complex explanation of suicidal trends.
methodsWe combined suicide, social and economic data extracted from the National Statistics Institute (INE), the Eurostat database, and the World Values Survey to assess the association between the socio-economic factors and trends in suicide rates. To study the association between the financial crisis and changes in suicide rates in Spain, we used interrupted time series analysis (ITSA).
resultsOur findings confirm that suicides increased after the 2011 recession, but remained moderately constant after the 2008 economic downturn. Suicides particularly increased after the 2011 recession in the 10-14, and 45-64 years old intervals between males and females, and apparently in older groups. However, during the 2008-2011 time period suicide rates decreased during working years (specifically among 40-44, 45-49, and 55-59 years old groups). Our results highlight the importance of social protection against unemployment and, to a lesser extent, social protection in disability and family, in reducing suicides, as well as the economic prosperity of the country.
conclusionThis result corroborates that the economic crisis has possibly impacted the growing suicide rates of the most vulnerable groups, but exclusively during the period characterised by economic cuts after the 2011 recession. This study highlights the need to implement tailored policies that protect these collectives against suicide.
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