Evidence map›Paper›PMID 35840968›Full record

ReviewBMC public health2022

Achieving health equity in US suicides: a narrative review and commentary.

Seth W Perry, Jacob C Rainey, Stephen Allison, Tarun Bastiampillai, Ma-Li Wong, Julio Licinio, Steven S Sharfstein, Holly C Wilcox

Open access · goldAbstract readReview
In one paragraph

Review in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.0field-weighted citation impact, top 6% of its field
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

19 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Surveillance for Violent Deaths - National Violent Death Reporting System, 50 States, the District of Columbia, and Puerto Rico, 2022.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Factors associated with multiple-death suicides among rural US decedents.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  13. Are veterans willing to assist with firearm safety for suicide prevention?Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025
    Article
  14. Surveillance for Violent Deaths - National Violent Death Reporting System, 48 States, the District of Columbia, and Puerto Rico, 2021.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
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

8 authors at 5 institutions in 2 countries.

Seth W Perry *Department of Psychiatry and Behavioral Sciences, College of Medicine, State University of New York (SUNY, Upstate Medical University, Syracuse, NY, USA. perryse@upstate.edu.
Jacob C RaineyDepartment of Mental Health, Johns Hopkins School of Public Health, Baltimore, MD, USA.
Stephen AllisonDepartment of Psychiatry, College of Medicine and Public Health, Flinders University, Adelaide, Australia.
Tarun BastiampillaiDepartment of Psychiatry, College of Medicine and Public Health, Flinders University, Adelaide, Australia.
Ma-Li WongDepartment of Psychiatry and Behavioral Sciences, College of Medicine, State University of New York (SUNY, Upstate Medical University, Syracuse, NY, USA.
Julio LicinioDepartment of Psychiatry and Behavioral Sciences, College of Medicine, State University of New York (SUNY, Upstate Medical University, Syracuse, NY, USA.
Steven S SharfsteinSheppard Pratt Health System, Baltimore, MD, USA.
Holly C Wilcox *Department of Mental Health, Johns Hopkins School of Public Health, Baltimore, MD, USA.
Flinders University · AUJohns Hopkins Medicine · USJohns Hopkins University · USSheppard Pratt Health System · USSUNY Upstate Medical University · US

Funding

Integrating data for causal inference in behavioral healthT32MH122357 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Rashelle Jean Musci, Elizabeth A. Stuart · 2020 to 2026
$1.8M
NIMH NIH HHS T32 MH122357
6 · The paper itself

Abstract

Suicide rates in the United States (US) reached a peak in 2018 and declined in 2019 and 2020, with substantial and often growing disparities by age, sex, race/ethnicity, geography, veteran status, sexual minority status, socioeconomic status, and method employed (means disparity). In this narrative review and commentary, we highlight these many disparities in US suicide deaths, then examine the possible causes and potential solutions, with the overarching goal of reducing suicide death disparities to achieve health equity.The data implicate untreated, undertreated, or unidentified depression or other mental illness, and access to firearms, as two modifiable risk factors for suicide across all groups. The data also reveal firearm suicides increasing sharply and linearly with increasing county rurality, while suicide rates by falls (e.g., from tall structures) decrease linearly by increasing rurality, and suicide rates by other means remain fairly constant regardless of relative county urbanization. In addition, for all geographies, gun suicides are significantly higher in males than females, and highest in ages 51-85 + years old for both sexes. Of all US suicides from 1999-2019, 55% of male suicides and 29% of female suicides were by gun in metropolitan (metro) areas, versus 65% (Male) and 42% (Female) suicides by gun in non-metro areas. Guns accounted for 89% of suicides in non-metro males aged 71-85 + years old. Guns (i.e., employment of more lethal means) are also thought to be a major reason why males have, on average, 2-4 times higher suicide rates than women, despite having only 1/4-1/2 as many suicide attempts as women. Overall the literature and data strongly implicate firearm access as a risk factor for suicide across all populations, and even more so for male, rural, and older populations.To achieve the most significant results in suicide prevention across all groups, we need 1) more emphasis on policies and universal programs to reduce suicidal behaviors, and 2) enhanced population-based strategies for ameliorating the two most prominent modifiable targets for suicide prevention: depression and firearms.

Indexed as

FirearmsHealth EquityAgedAged, 80 and overEthnicityFemaleHomicideHumansMaleMiddle AgedRural PopulationUnited StatesUrbanizationDepressionDisparityFirearmsGeographyGunsHealth disparitiesHealth equityLethal meansPublic healthRuralSuicideUrban

Identifiers

PMID35840968
PMCPMC9284959
OpenAlexW4285493702

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.