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Marital status integration and suicide: A meta-analysis and meta-regression

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  • Kyung-Sook, Woo
  • SangSoo, Shin
  • Sangjin, Shin
  • Young-Jeon, Shin

Abstract

Marital status is an index of the phenomenon of social integration within social structures and has long been identified as an important predictor suicide. However, previous meta-analyses have focused only on a particular marital status, or not sufficiently explored moderators. A meta-analysis of observational studies was conducted to explore the relationships between marital status and suicide and to understand the important moderating factors in this association. Electronic databases were searched to identify studies conducted between January 1, 2000 and June 30, 2016. We performed a meta-analysis, subgroup analysis, and meta-regression of 170 suicide risk estimates from 36 publications. Using random effects model with adjustment for covariates, the study found that the suicide risk for non-married versus married was OR = 1.92 (95% CI: 1.75–2.12). The suicide risk was higher for non-married individuals aged <65 years than for those aged ≥65 years, and higher for men than for women. According to the results of stratified analysis by gender, non-married men exhibited a greater risk of suicide than their married counterparts in all sub-analyses, but women aged 65 years or older showed no significant association between marital status and suicide. The suicide risk in divorced individuals was higher than for non-married individuals in both men and women. The meta-regression showed that gender, age, and sample size affected between-study variation. The results of the study indicated that non-married individuals have an aggregate higher suicide risk than married ones. In addition, gender and age were confirmed as important moderating factors in the relationship between marital status and suicide.

Suggested Citation

  • Kyung-Sook, Woo & SangSoo, Shin & Sangjin, Shin & Young-Jeon, Shin, 2018. "Marital status integration and suicide: A meta-analysis and meta-regression," Social Science & Medicine, Elsevier, vol. 197(C), pages 116-126.
    • Handle: RePEc:eee:socmed:v:197:y:2018:i:c:p:116-126
    DOI: 10.1016/j.socscimed.2017.11.053
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    1. Yip, Paul S.F. & Chen, Ying-Yeh & Yousuf, Saman & Lee, Carmen K.M. & Kawano, Kenji & Routley, Virginia & Ben Park, B.C. & Yamauchi, Takashi & Tachimori, Hisateru & Clapperton, Angela & Wu, Kevin Chien, 2012. "Towards a reassessment of the role of divorce in suicide outcomes: Evidence from five pacific rim populations," Social Science & Medicine, Elsevier, vol. 75(2), pages 358-366.
    2. Manzoli, Lamberto & Villari, Paolo & M Pirone, Giovanni & Boccia, Antonio, 2007. "Marital status and mortality in the elderly: A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 64(1), pages 77-94, January.
    3. Eran Shor & David Roelfs & Misty Curreli & Lynn Clemow & Matthew Burg & Joseph Schwartz, 2012. "Widowhood and Mortality: A Meta-Analysis and Meta-Regression," Demography, Springer;Population Association of America (PAA), vol. 49(2), pages 575-606, May.
    4. Yip, Paul S.F. & Yousuf, Saman & Chan, Chee Hon & Yung, Tiffany & Wu, Kevin C.-C., 2015. "The roles of culture and gender in the relationship between divorce and suicide risk: A meta-analysis," Social Science & Medicine, Elsevier, vol. 128(C), pages 87-94.
    5. Julianne Holt-Lunstad & Timothy B Smith & J Bradley Layton, 2010. "Social Relationships and Mortality Risk: A Meta-analytic Review," PLOS Medicine, Public Library of Science, vol. 7(7), pages 1-1, July.
    6. Kõlves, Kairi & Värnik, Airi & Schneider, Barbara & Fritze, Jürgen & Allik, Jüri, 2006. "Recent life events and suicide: A case-control study in Tallinn and Frankfurt," Social Science & Medicine, Elsevier, vol. 62(11), pages 2887-2896, June.
    7. Justin T. Denney & Richard G. Rogers & Patrick M. Krueger & Tim Wadsworth, 2009. "Adult Suicide Mortality in the United States: Marital Status, Family Size, Socioeconomic Status, and Differences by Sex," Social Science Quarterly, Southwestern Social Science Association, vol. 90(5), pages 1167-1185, December.
    8. Andrew Wu & Jing-Yu Wang & Cun-Xian Jia, 2015. "Religion and Completed Suicide: a Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-14, June.
    9. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    10. Joung, Inez M. A. & van de Mheen, H. Dike & Stronks, Karien & van Poppel, Frans W. A. & Mackenbach, Johan P., 1998. "A longitudinal study of health selection in marital transitions," Social Science & Medicine, Elsevier, vol. 46(3), pages 425-435, February.
    11. Shor, Eran & Roelfs, David J. & Bugyi, Paul & Schwartz, Joseph E., 2012. "Meta-analysis of marital dissolution and mortality: Reevaluating the intersection of gender and age," Social Science & Medicine, Elsevier, vol. 75(1), pages 46-59.
    12. Agerbo, Esben & Sterne, Jonathan A.C. & Gunnell, David J., 2007. "Combining individual and ecological data to determine compositional and contextual socio-economic risk factors for suicide," Social Science & Medicine, Elsevier, vol. 64(2), pages 451-461, January.
    13. Sue Duval & Richard Tweedie, 2000. "Trim and Fill: A Simple Funnel-Plot–Based Method of Testing and Adjusting for Publication Bias in Meta-Analysis," Biometrics, The International Biometric Society, vol. 56(2), pages 455-463, June.
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    1. Chris Holligan & Robert McLean, 2019. "A Durkheimian Theorization of Scottish Suicide Rates, 2011–2017," Social Sciences, MDPI, vol. 8(10), pages 1-12, September.
    2. Judit Pons-Baños & David Ballester-Ferrando & Lola Riesco-Miranda & Santiago Escoté-Llobet & Jordi Jiménez-Nuño & Concepció Fuentes-Pumarola & Montserrat Serra-Millàs, 2020. "Sociodemographic and Clinical Characteristics Associated with Suicidal Behaviour and Relationship with a Nurse-Led Suicide Prevention Programme," IJERPH, MDPI, vol. 17(23), pages 1-14, November.
    3. Timothy Gustavo Cavazzotto & Natã Gomes de Lima Stavinski & Marcos Roberto Queiroga & Michael Pereira da Silva & Edilson Serpeloni Cyrino & Helio Serassuelo Junior & Edgar Ramos Vieira, 2022. "Age and Sex-Related Associations between Marital Status, Physical Activity and TV Time," IJERPH, MDPI, vol. 19(1), pages 1-11, January.
    4. Daniel Hideki Bando & Ligia Vizeu Barrozo & Fernando Madalena Volpe, 2020. "Geographical clusters and social risk factors for suicide in the city of São Paulo, 2006–2015: An ecologic study," International Journal of Social Psychiatry, , vol. 66(5), pages 460-468, August.
    5. Witold Śmigielski & Karolina Małek & Tomasz Jurczyk & Karol Korczak & Robert Gajda & Alicja Cicha-Mikołajczyk & Jerzy Piwoński & Joanna Śmigielska-Kolańska & Janusz Śmigielski & Wojciech Drygas & Piot, 2021. "Suicide Risk Factors among Polish Adults Aged 65 or Older in 2000–2018 Compared with Selected Countries Worldwide," IJERPH, MDPI, vol. 18(18), pages 1-14, September.

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