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Suicide acts in 8 states: Incidence and case fatality rates by demographics and method

Author

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  • Spicer, R.S.
  • Miller, T.R.

Abstract

Objectives. This study examined incidence rates of medically identified suicide acts (self-inflicted injuries, either fatal or nonfatal) and case fatality rates by age, sex, race, and method used. Methods. The authors analyzed data on 10892 suicides and 57439 attempted suicides among hospital-admitted individuals in 8 states, along with 6219 attempted suicides among individuals released from emergency departments in 2 states. Results. The 8 states experienced a mean of 11 suicides and 119 attempted suicides per 100 000 residents each year. Groups with high suicide rates were men, the elderly, and Whites; groups with high attempted suicide rates were teenagers, young adults, women, and Blacks and Whites aged 25 to 44 years. Blacks aged 15 to 44 years evidenced high attempted suicide rates undocumented in previous studies. Poisoning and firearm were the most common methods used among those attempting suicide and those completing suicide acts, respectively. The most lethal method was firearm. Conclusions. The characteristics of suicides and attempted suicides differ dramatically. Method used is important in the lethality of the act.

Suggested Citation

  • Spicer, R.S. & Miller, T.R., 2000. "Suicide acts in 8 states: Incidence and case fatality rates by demographics and method," American Journal of Public Health, American Public Health Association, vol. 90(12), pages 1885-1891.
    • Handle: RePEc:aph:ajpbhl:2000:90:12:1885-1891_9
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    Cited by:

    1. Michael D. Anestis & Allison E. Bond & Shelby L. Bandel, 2022. "Understanding Risk and Implementing Data-Driven Solutions for Firearm Suicide," The ANNALS of the American Academy of Political and Social Science, , vol. 704(1), pages 204-222, November.
    2. Kristin Snopkowski & Hallie Turner, 2023. "The Association of Sex Ratio on Suicide Rates in United States Counties: An Exploration of Mechanisms," Social Sciences, MDPI, vol. 12(7), pages 1-18, June.
    3. Lord, Vivian B. & Sloop, Michael W., 2010. "Suicide by Cop: Police shooting as a method of self-harming," Journal of Criminal Justice, Elsevier, vol. 38(5), pages 889-895, September.
    4. Osborne, Melissa C. & Self-Brown, Shannon & Culbreth, Rachel E. & Lai, Betty S. & Gilmore, Amanda K., 2021. "Adolescent firearm suicide risk patterns: A latent class analysis using U.S. National Violent Death Reporting System surveillance data, 2007–2017," Children and Youth Services Review, Elsevier, vol. 127(C).
    5. Roland Mergl & Nicole Koburger & Katherina Heinrichs & András Székely & Mónika Ditta Tóth & James Coyne & Sónia Quintão & Ella Arensman & Claire Coffey & Margaret Maxwell & Airi Värnik & Chantal van A, 2015. "What Are Reasons for the Large Gender Differences in the Lethality of Suicidal Acts? An Epidemiological Analysis in Four European Countries," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-18, July.
    6. Evans, William N. & Kotowski, Maciej H., 2024. "The demand for protection and the persistently high rates of gun violence among young black males," Journal of Public Economics, Elsevier, vol. 234(C).
    7. Florentine, Julia Buus & Crane, Catherine, 2010. "Suicide prevention by limiting access to methods: A review of theory and practice," Social Science & Medicine, Elsevier, vol. 70(10), pages 1626-1632, May.
    8. Chris Hanuscin & Golara Zahmatkesh & Anaheed Shirazi & Deyu Pan & Senait Teklehaimanot & Shahrzad Bazargan-Hejazi, 2018. "Socio-Demographic and Mental Health Profile of Admitted Cases of Self-Inflicted Harm in the US Population," IJERPH, MDPI, vol. 15(1), pages 1-11, January.
    9. Wolsko, Christopher & Marino, Elizabeth & Keys, Susan, 2020. "Affirming cultural values for health: The case of firearm restriction in suicide prevention," Social Science & Medicine, Elsevier, vol. 248(C).
    10. Perry, Seth W & Allison, Stephen & Bastiampillai, Tarun & Wong, Ma-Li & Licinio, Julio & Sharfstein, Steven S. & Wilcox, Holly C., 2019. "Rising US Suicides: Achieving Health Equity," OSF Preprints m5q64, Center for Open Science.
    11. Evans, William N. & Garthwaite, Craig & Moore, Timothy J., 2022. "Guns and violence: The enduring impact of crack cocaine markets on young black males," Journal of Public Economics, Elsevier, vol. 206(C).
    12. Silke Bachmann, 2018. "Epidemiology of Suicide and the Psychiatric Perspective," IJERPH, MDPI, vol. 15(7), pages 1-23, July.

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