Evidence map›Paper›PMID 34537046›Full record

ArticleBMC public health2021

Identifying socio-demographic risk factors for suicide using data on an individual level.

Guus Berkelmans, Rob van der Mei, Sandjai Bhulai, Renske Gilissen

Abstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Epidemiology of Suicide and Associated Factors in Bam: A Historical Cohort Study.Clinical practice and epidemiology in mental health : CP & EMH · 2025
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  18. Suicidal Ideation in Iraqi Medical Students Based on Research Using PHQ-9 and SSI-C.International journal of environmental research and public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Guus BerkelmansCentrum Wiskunde & Informatica, Science Park 123, 1098 XG, Amsterdam, Netherlands. g.a.berkelmans@cwi.nl.
Rob van der MeiCentrum Wiskunde & Informatica, Science Park 123, 1098 XG, Amsterdam, Netherlands.
Sandjai BhulaiVrije Universiteit Amsterdam, De Boelelaan 1111, 1081 HV, Amsterdam, Netherlands.
Renske Gilissen113 zelfmoordpreventie, Paasheuvelweg 25, 1105 BP, Amsterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuicide is a complex issue. Due to the relative rarity of the event, studies into risk factors are regularly limited by sample size or biased samples. The aims of the study were to find risk factors for suicide that are robust to intercorrelation, and which were based on a large and unbiased sample.

methodsUsing a training set of 5854 suicides and 596,416 control cases, we fit a logistic regression model and then evaluate the performance on a test set of 1425 suicides and 594,893 control cases. The data used was micro-data of Statistics Netherlands (CBS) with data on each inhabitant of the Netherlands.

resultsTaking the effect of possible correlating risk factors into account, those with a higher risk for suicide are men, middle-aged people, people with low income, those living alone, the unemployed, and those with mental or physical health problems. People with a lower risk are the highly educated, those with a non-western immigration background, and those living with a partner.

conclusionWe confirmed previously known risk factors such as male gender, middle-age, and low income and found that they are risk factors that are robust to intercorrelation. We found that debt and urbanicity were mostly insignificant and found that the regional differences found in raw frequencies are mostly explained away after correction of correlating risk factors, indicating that these differences were primarily caused due to the differences in the demographic makeup of the regions. We found an AUC of 0.77, which is high for a model predicting suicide death and comparable to the performance of deep learning models but with the benefit of remaining explainable.

Indexed as

SuicideEmigration and ImmigrationHumansLogistic ModelsMaleMiddle AgedPovertyRisk FactorsBig dataMachine learningRisk factorsSuicide

Identifiers

PMID34537046
PMCPMC8449910

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Registered trials

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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.