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Suicide in urban New South Wales, Australia 1985-1994: socio-economic and migrant interactions

Author

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  • Taylor, Richard
  • Morrell, Stephen
  • Slaytor, Emma
  • Ford, Paul

Abstract

Variation of suicide with socio-economic status (SES) in urban NSW (Australia) during 1985-1994, by sex and country or region of birth, was examined using Poisson regression analysis of vital statistics and population data (age[greater, approximate]15Â yr). Quintiles of SES were defined by municipality of residence and comparisons of suicide by SES were adjusted for age and country (or region) of birth (COB), and examined by COB. Risk of suicide in females was 28% that of males for all adults and 21% for youth (age 15-24Â yr). Suicide risk was lower in males from southern Europe, Middle East and Asia, and higher in northern and eastern European males, compared to the Australian-born. Risks for suicide increased significantly with decreasing SES in males, but not in females. The relationship of male suicide and SES was stronger when controlled for COB. For males, the relative risk of suicide, adjusted for age and COB, was 66% higher in the lowest SES quintile compared to the highest quintile, and 39% higher for youth (age 15-24Â yr). For male suicide, the population attributable fraction for SES (less than the highest quintile) was 27%. Analysis of SES differentials in male suicide according to COB indicated a significant inverse suicide gradient in relation to SES for the Australian-born and those born in New Zealand and the United Kingdom or Eire, but not in non-English speaking COB groups, except for Asia. For Australian-born males, suicide risk was 71% higher in the lowest SES group (compared to the highest), adjusted for age. These findings indicate that SES plays an important role in male suicide rates among the Australian-born and migrants from English-speaking countries and Asia, and among youth; but not in female suicide, nor suicide in most non-English speaking migrant groups. Reduction in SES differentials through economic and social policies may reduce male suicide in lower SES groups and should be seen to be at least as important as individual level interventions.

Suggested Citation

  • Taylor, Richard & Morrell, Stephen & Slaytor, Emma & Ford, Paul, 1998. "Suicide in urban New South Wales, Australia 1985-1994: socio-economic and migrant interactions," Social Science & Medicine, Elsevier, vol. 47(11), pages 1677-1686, December.
  • Handle: RePEc:eee:socmed:v:47:y:1998:i:11:p:1677-1686
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    Cited by:

    1. Page, Andrew & Morrell, Stephen & Taylor, Richard & Dudley, Michael & Carter, Greg, 2007. "Further increases in rural suicide in young Australian adults: Secular trends, 1979-2003," Social Science & Medicine, Elsevier, vol. 65(3), pages 442-453, August.
    2. Taylor, Richard & Page, Andrew & Morrell, Stephen & Harrison, James & Carter, Greg, 2005. "Mental health and socio-economic variations in Australian suicide," Social Science & Medicine, Elsevier, vol. 61(7), pages 1551-1559, October.
    3. Alberto Forte & Federico Trobia & Flavia Gualtieri & Dorian A. Lamis & Giuseppe Cardamone & Vincenzo Giallonardo & Andrea Fiorillo & Paolo Girardi & Maurizio Pompili, 2018. "Suicide Risk among Immigrants and Ethnic Minorities: A Literature Overview," IJERPH, MDPI, vol. 15(7), pages 1-21, July.
    4. Yong Gan & Heng Jiang & Liqing Li & Yudi Yang & Chao Wang & Jianxin Liu & Tingting Yang & Yanling Zheng & Yi Zhu & Opoku Sampson & Hongbin Xu & Fang Yu & Yali Chen & Chulani Herath & Yanyan Zhong & Qi, 2020. "A national survey of turnover intention among general practitioners in China," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(2), pages 482-493, March.
    5. Antonios Paraschakis & Ioannis Michopoulos & Christos Christodoulou & Filippos Koutsaftis & Lefteris Lykouras & Athanassios Douzenis, 2014. "Characteristics of immigrant suicide completers in a sample of suicide victims from Greece," International Journal of Social Psychiatry, , vol. 60(5), pages 462-467, August.

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