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Mental health and socio-economic variations in Australian suicide

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  • Taylor, Richard
  • Page, Andrew
  • Morrell, Stephen
  • Harrison, James
  • Carter, Greg

Abstract

This paper investigates the relationship between suicide rates and prevalence of mental disorder and suicide attempts, across socio-economic status (SES) groups based on area of residence. Australian suicide data (1996-1998) were analysed in conjunction with area-based prevalences of mental disorder derived from the National Survey of Mental Health and Well-Being (1997). Poisson regression models of suicide risk included age, quintile of area-based SES, urban-rural residence, and country of birth (COB), with males and females analysed separately. Analysis focussed on the association between suicide and prevalences of (ICD-10) affective disorders, anxiety disorders, substance use disorders and suicide attempts by SES group. Prevalences of other psychiatric symptomatology, substance use problems, health service utilisation, stressful life-events and personality were also investigated. Significant increasing gradients were evident from high to low SES groups for prevalences of affective disorders, anxiety disorders (females only), and substance use disorders (males only); sub-threshold drug and alcohol problems and depression; and suicide attempts and suicide (males only). Prevalences of mental disorder, other sub-threshold mental health items and suicide attempts were significantly associated with suicide, but in most cases associations were reduced in magnitude and became statistically non-significant after adjustment for COB, urban-rural residence, and SES. For male suicide the relative risk (RR) in the lowest SES group compared to the highest was 1.40 (95% CI 1.29-1.52, p

Suggested Citation

  • 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.
    • Handle: RePEc:eee:socmed:v:61:y:2005:i:7:p:1551-1559
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    References listed on IDEAS

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    1. Morrell, Stephen & Taylor, Richard & Slaytor, Emma & Ford, Paul, 1999. "Urban and rural suicide differentials in migrants and the Australian-born, New South Wales, Australia 1985-1994," Social Science & Medicine, Elsevier, vol. 49(1), pages 81-91, July.
    2. Schwartz, S., 1994. "The fallacy of the ecological fallacy: The potential misuse of a concept and the consequences," American Journal of Public Health, American Public Health Association, vol. 84(5), pages 819-824.
    3. Morrell, Stephen & Taylor, Richard & Quine, Susan & Kerr, Charles, 1993. "Suicide and unemployment in Australia 1907-1990," Social Science & Medicine, Elsevier, vol. 36(6), pages 749-756, March.
    4. 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.
    5. Marmot, Michael & Ryff, Carol D. & Bumpass, Larry L. & Shipley, Martin & Marks, Nadine F., 1997. "Social inequalities in health: Next questions and converging evidence," Social Science & Medicine, Elsevier, vol. 44(6), pages 901-910, March.
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    Cited by:

    1. Li, Zhuoyang & Page, Andrew & Martin, Graham & Taylor, Richard, 2011. "Attributable risk of psychiatric and socio-economic factors for suicide from individual-level, population-based studies: A systematic review," Social Science & Medicine, Elsevier, vol. 72(4), pages 608-616, February.
    2. Kim, Myoung-Hee & Jung-Choi, Kyunghee & Jun, Hee-Jin & Kawachi, Ichiro, 2010. "Socioeconomic inequalities in suicidal ideation, parasuicides, and completed suicides in South Korea," Social Science & Medicine, Elsevier, vol. 70(8), pages 1254-1261, April.

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