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Area-level socioeconomic disadvantage and suicidal behaviour in Europe: A systematic review

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  • Cairns, Joanne-Marie
  • Graham, Eva
  • Bambra, Clare

Abstract

The relationship between adverse individual socio-economic circumstances and suicidal behaviour is well established. However, the impact of adverse collective circumstances – such as the socio-economic context where people live - is less well understood. This systematic review explores the extent to which area-level socioeconomic disadvantage is associated with inequalities in suicidal behaviour and self-harm in Europe. We performed a systematic review (in MEDLINE, Embase, PsycINFO, EconLit and Social Sciences Citation Index) from 2005 to 2015. Observational studies were included if they were based in Europe and had a primary suicidal behaviour and self-harm outcome, compared at least two areas, included an area-level measure of socio-economic disadvantage and were published in the English language. The review followed The Joanna Briggs Institute guidelines for quality appraisal. We identified 27 studies (30 papers) from 14 different European countries. There was a significant association (in 25/27 studies, all of which were rated as of medium or high quality) between socioeconomic disadvantage and suicidal behaviour (and self-harm), particularly for men, and this was a consistent finding across a variety of European countries. Socio-economic disadvantage was found to have an independent effect in several studies whilst others found evidence of mediating contextual and compositional factors. There is strong evidence of an association between suicidal behaviours (and self-harm) and area-level socio-economic disadvantage in Europe, particularly for men. Suicide prevention strategies should take this into account.

Suggested Citation

  • Cairns, Joanne-Marie & Graham, Eva & Bambra, Clare, 2017. "Area-level socioeconomic disadvantage and suicidal behaviour in Europe: A systematic review," Social Science & Medicine, Elsevier, vol. 192(C), pages 102-111.
    • Handle: RePEc:eee:socmed:v:192:y:2017:i:c:p:102-111
    DOI: 10.1016/j.socscimed.2017.09.034
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    References listed on IDEAS

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    2. Kanamori, Mariko & Kondo, Naoki & Juarez, Sol & Dunlavy, Andrea & Cederström, Agneta & Rostila, Mikael, 2020. "Rural life and suicide: Does the effect of the community context vary by country of birth? A Swedish registry-based multilevel cohort study," Social Science & Medicine, Elsevier, vol. 253(C).
    3. Namal N. Balasooriya & Jayatilleke S. Bandara & Nicholas Rohde, 2021. "The intergenerational effects of socioeconomic inequality on unhealthy bodyweight," Health Economics, John Wiley & Sons, Ltd., vol. 30(4), pages 729-747, April.
    4. Lin, Chien-Yu & Hsu, Chia-Yueh & Gunnell, David & Chen, Ying-Yeh & Chang, Shu-Sen, 2019. "Spatial patterning, correlates, and inequality in suicide across 432 neighborhoods in Taipei City, Taiwan," Social Science & Medicine, Elsevier, vol. 222(C), pages 20-34.
    5. Judith Casant & Marco Helbich, 2022. "Inequalities of Suicide Mortality across Urban and Rural Areas: A Literature Review," IJERPH, MDPI, vol. 19(5), pages 1-15, February.
    6. Takaaki Ikeda & Kemmyo Sugiyama & Jun Aida & Toru Tsuboya & Ken Osaka, 2019. "The Contextual Effect of Area-Level Unemployment Rate on Lower Back Pain: A Multilevel Analysis of Three Consecutive Surveys of 962,586 Workers in Japan," IJERPH, MDPI, vol. 16(20), pages 1-11, October.
    7. Seto, Christopher, 2022. "Saving Grace? Religious ecology and deaths of despair," Social Science & Medicine, Elsevier, vol. 293(C).
    8. Hagedoorn, Paulien & Helbich, Marco, 2022. "Longitudinal effects of physical and social neighbourhood change on suicide mortality: A full population cohort study among movers and non-movers in the Netherlands," Social Science & Medicine, Elsevier, vol. 294(C).
    9. Claudia Costa & Angela Freitas & Ricardo Almendra & Paula Santana, 2020. "The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal," IJERPH, MDPI, vol. 17(22), pages 1-16, November.

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