ArticleJAMA network open2023
Social Vulnerability and Risk of Suicide in US Adults, 2016-2020.
Article in JAMA network open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed, 34 citations in OpenAlex.
- Risk and Protective Factors for Suicidal Ideation and Attempts Among Older Adults in California, 2021-2024 Pooled Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Suicide risk and REDCap: facilitating clinical trial inclusion.BMC psychiatry · 2026Article
- Mental Health and Individual Resilience in Contexts of Social Vulnerability: Evidence from Rural Texas.Community mental health journal · 2026Article
- A Descriptive Analysis of Suicide Trends by Race/Ethnicity, Sex, and Age Categories in Santa Clara County, California From 2018 to 2023.AJPM focus · 2026Article
- Suicide prevention in primary health care among socially vulnerable populations: a narrative review.Frontiers in public health · 2026Review
- Association between walkability and diverse health metrics: moderating role of social vulnerability.Journal of healthy eating and active living · 2026Article
- Characteristics of civilian head gunshot injuries in a country with low firearm related violence.Scientific reports · 2025Article
- Exploring social, economic, and environmental correlates of suicide in Puerto Rico, 2017-2022: an ecological cross-sectional study.Injury epidemiology · 2025Article
- Predicting suicide death among veterans after psychiatric hospitalization using transformer based models with social determinants and NLP.Scientific reports · 2025Article
- A multi-stage large language model framework for extracting suicide-related social determinants of health.Communications medicine · 2025Article
- Medicaid Primary Care Utilization and Area-Level Social Vulnerability.JAMA health forum · 2025Article
- Evaluating Generative Pretrained Transformer (GPT) models for suicide risk assessment in synthetic patient journal entries.BMC psychiatry · 2025Article
- The relationship between gender identity, economic stressors, social support, concurrent substance use and suicidal ideation.Social psychiatry and psychiatric epidemiology · 2025Article
- Article
- Associations between gun violence exposure and suicide mortality rates in US counties.Social psychiatry and psychiatric epidemiology · 2025Article
- Investigating Suicide Risk Factors Among Appalachian West Virginian Adults.Journal of Appalachian health · 2025Article
- Validating the Social Vulnerability Index for alternative geographies in the United States to explore trends in social determinants of health over time and geographic location.Frontiers in public health · 2025Article
- Recovery-based suicide prevention.Frontiers in psychiatry · 2025Article
- Article
- Social Vulnerability and Mental Health Among People with HIV and Substance Use: The Role of Race.AIDS and behavior · 2024Article
Corrections and comments
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Authors and funding
18 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Importance: There were over 45 000 suicides in the US in 2020, making suicide the 12th leading cause of death. If social vulnerability is associated with suicide rates, targeted interventions for at-risk segments of the population may reduce US suicide rates. Objective: To determine the association between social vulnerability and suicide in adults. Design, Setting, and Participants: This cohort study analyzed 2 county-level social vulnerability measures (the Social Vulnerability Index [SVI] and the Social Vulnerability Metric [SVM]) and US Centers for Disease Control and Prevention-reported county-level suicides from 2016 to 2020. Data were analyzed November and December 2022. Exposures: County-level variability in social vulnerability. Main Outcomes and Measures: The primary outcome measure was number of county-level adult suicides from 2016 to 2020, offset by county adult population during those years. The association between social vulnerability (measured using the SVI and the newly created SVM for 2018) and suicide was modeled using a bayesian-censored Poisson regression model to account for the CDC's suppression of county-level suicide counts of less than 10, adjusted for age, racial and ethnic minority, and urban-rural county characteristics. Results: From 2016 to 2020, there were a total of 222 018 suicides in 3141 counties. Comparing the least socially vulnerable (0% to 10%) to the most socially vulnerable (90% to 100%) counties, there was a 56% increase in suicide rate (17.3 per 100 000 persons to 27.0 per 100 000 persons) as measured by the SVI (incidence rate ratio, 1.56; 95% credible interval, 1.51-1.60) and an 82% increase in suicide rate (13.8 per 100 000 persons to 25.1 per 100 000 persons) as measured by the SVM (incidence rate ratio, 1.82; 95% credible interval, 1.72-1.92). Conclusions and Relevance: This cohort study found that social vulnerability had a direct association with risk for adult suicide. Reducing social vulnerability may lead to life-saving reduction in the rate of suicide.
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