Regional Deprivation and Suicide—an Ecological Study
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Regional Deprivation and Suicide—an Ecological Study. / Belau, Matthias Hans.
in: DTSCH ARZTEBL INT, Jahrgang 121, Nr. 14, 12.07.2024, S. 449-453.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Regional Deprivation and Suicide—an Ecological Study
AU - Belau, Matthias Hans
PY - 2024/7/12
Y1 - 2024/7/12
N2 - BACKGROUND: Regional deprivation due to regional economic and social differences can increase the risk of suicide. This study investigated whether regional structural deprivation in Germany is associated with a higher rate of suicide.METHODS: Data from cause-of-death statistics for the years 2015-2021 were analyzed. A regression analysis for data with a negative binomial distribution was used to study the association between suicide mortality and the German Index of Multiple Deprivation (GIMD), which is based on data from 2015 and includes 401 districts and independent cities in Germany.RESULTS: Among the districts and independent cities covered by the GIMD, the quintile with the highest deprivation had higher suicide rates than the quintile with the lowest deprivation (relative risk [RR]: 1.85; 95% confidence interval [1.72; 2.00]). A sensitivity analysis revealed similar associations when the analysis was restricted to men (RR = 1.99 [1.80; 2.18]) or women (RR = 1.69 [1.49; 1.92]). A stronger association, however, was found in a comparison of rural (RR = 2.29 [2.04; 2.57]) with urban areas (RR = 1.51 [1.36; 1.68]).CONCLUSION: These findings document an association between regional deprivation and suicide. They highlight the need for a more targeted approach to suicide prevention in deprived regions. At the same time, more research is needed into the mechanisms and effects of regional deprivation on mortality due to suicide.
AB - BACKGROUND: Regional deprivation due to regional economic and social differences can increase the risk of suicide. This study investigated whether regional structural deprivation in Germany is associated with a higher rate of suicide.METHODS: Data from cause-of-death statistics for the years 2015-2021 were analyzed. A regression analysis for data with a negative binomial distribution was used to study the association between suicide mortality and the German Index of Multiple Deprivation (GIMD), which is based on data from 2015 and includes 401 districts and independent cities in Germany.RESULTS: Among the districts and independent cities covered by the GIMD, the quintile with the highest deprivation had higher suicide rates than the quintile with the lowest deprivation (relative risk [RR]: 1.85; 95% confidence interval [1.72; 2.00]). A sensitivity analysis revealed similar associations when the analysis was restricted to men (RR = 1.99 [1.80; 2.18]) or women (RR = 1.69 [1.49; 1.92]). A stronger association, however, was found in a comparison of rural (RR = 2.29 [2.04; 2.57]) with urban areas (RR = 1.51 [1.36; 1.68]).CONCLUSION: These findings document an association between regional deprivation and suicide. They highlight the need for a more targeted approach to suicide prevention in deprived regions. At the same time, more research is needed into the mechanisms and effects of regional deprivation on mortality due to suicide.
KW - Adult
KW - Cause of Death
KW - Female
KW - Germany/epidemiology
KW - Humans
KW - Male
KW - Middle Aged
KW - Risk Factors
KW - Rural Population/statistics & numerical data
KW - Socioeconomic Factors
KW - Suicide/statistics & numerical data
KW - Urban Population/statistics & numerical data
U2 - 10.3238/arztebl.m2024.0069
DO - 10.3238/arztebl.m2024.0069
M3 - SCORING: Journal article
C2 - 38717465
VL - 121
SP - 449
EP - 453
JO - DTSCH ARZTEBL INT
JF - DTSCH ARZTEBL INT
SN - 1866-0452
IS - 14
ER -