scholarly journals Trends in Suicide Mortality in Montenegro From 2000 to 2018

2020 ◽  
Author(s):  
Lidija Injac Stevović ◽  
Selman Repišti ◽  
Tamara Radojičić ◽  
Olivera Injac

Abstract Background: This is an ecological study that analyzes suicides committed in Montenegro during the 2000-2018 period, taking into account gender, age and methods of suicide. Methods: Suicide rates and trends up until 2009 were obtained from the official registers of Bureau of Statistics of Montenegro (MONSTAT) while the later data were obtained from the Department of Interior’s. MONSTAT also provided data on unemployment and average salary. As per statistical methods, descriptive and correlations were calculated. Results: The average crude suicide rate was 21.06, for males 29.93 and for females 12.42. Crude suicide rates were not associated with unemployment rate or average salary. However, the unemployment rate was significantly correlated with lethal methods of suicide, namely suicide by firearm and by hanging. Average net salary was negatively correlated with suicide by firearm. Conclusions: The ratio of males and females who committed suicide was 2.41. In the last three years, this ratio continues to rise in favor of males (reaching 4.29 in 2018). This could be explained by specific cultural features where males are expected to be the main financial contributors to the households. The labor market of Montenegro does not offer adequate opportunities to set and maintain a stable economic situation which puts additional pressure and stress on males.

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Lidija Injac Stevović ◽  
Selman Repišti ◽  
Tamara Radojičić ◽  
Olivera Injac

Abstract Background This is an ecological study that analyzes suicides committed in Montenegro during the 2000–2018 period, taking into account gender, age and methods of suicide. Methods Suicide rates and trends up until 2009 were obtained from the official registers of Bureau of Statistics of Montenegro (MONSTAT) while the later data were obtained from the Department of Interior’s. MONSTAT also provided data on unemployment and average salary. As per statistical methods, descriptive and correlations were calculated. Results The average crude suicide rate was 21.06, for males 29.93 and for females 12.42. Crude suicide rates were not associated with unemployment rate or average salary. However, the unemployment rate was significantly correlated with lethal methods of suicide, namely suicide by firearm and by hanging. Average net salary was negatively correlated with suicide by firearm. Conclusions The ratio of males and females who committed suicide was 2.41. In the last three years, this ratio continues to rise in favor of males (reaching 4.29 in 2018). This could be explained by specific cultural features where males are expected to be the main financial contributors to the households. The labor market of Montenegro does not offer adequate opportunities to set and maintain a stable economic situation which puts additional pressure and stress on males.


2004 ◽  
Vol 37 (6) ◽  
pp. 721-740 ◽  
Author(s):  
MARTIN VORACEK

Across 85 countries around the world, Voracek (2004) found a significant positive relation between estimated national intelligence (IQ) and national male and female suicide rate. The relation was not attenuated when countries’ per capita Gross Domestic Product (GDP) and type of national IQ estimation were statistically controlled. Independently, investigating the total national suicide rate only, Lester (2003) arrived at the same conclusion. These two findings are consistent with a corollary of de Catanzaro’s (1981) evolutionary theory of human suicide, namely that a threshold intelligence is necessary for suicidality and that intelligence and suicide mortality should thus be positively related. Here, further evidence for this hypothesis is bolstered by focusing on suicide rates of the elderly. Across 48 Eurasian countries, estimated national IQ was significantly positively related to national suicide rates of people aged 65 years and over. This new ecological-level finding survived statistical controlling for a set of seven variables (type of national IQ estimation, national GDP, stableness and recency measures for suicide rates, and rates of adult literacy, urbanization and Roman Catholics), which thus are not confounding factors for the relation of intelligence and suicide mortality. Based on ecological data, the threshold IQ for suicidality is predicted to be 70 or slightly over, an estimate that is consistent with various suicidological observations.


1993 ◽  
Vol 72 (3) ◽  
pp. 787-790 ◽  
Author(s):  
David Lester ◽  
Antoon Leenaars

In Canada, Bill C-51 was implemented in 1977 to restrict the use of firearms, providing a good opportunity to study the effects of gun control laws in the use of firearms for suicide. The present study examined the use of guns for suicide during the period prior to the bill and during the period after the passing of Bill C-51 to assess the association of the bill with suicide rates. Analysis showed a significant decreasing trend after passage of Bill C-51 on the firearm suicide rate in Canada and the percentage of suicides using firearms. The analysis supports the position that restricting easy access to lethal methods of suicide may assist in reducing suicide.


2020 ◽  
pp. injuryprev-2019-043601 ◽  
Author(s):  
Yue Wu ◽  
David C Schwebel ◽  
Yun Huang ◽  
Peishan Ning ◽  
Peixia Cheng ◽  
...  

ObjectiveTo examine recent changes in sex-specific and age-specific suicide mortality by method across countries.MethodsUsing mortality data from the WHO mortality database, we compared sex-specific, age-specific and country-specific suicide mortality by method between 2000 and 2015. We considered seven major suicide methods: poisoning by pesticides, all other poisoning, firearms and explosives, hanging, jumping from height, drowning and other methods. Changes in suicide mortality were quantified using negative binomial models among three age groups (15–44 years, 45–64 years, and 65 years and above) for males and females separately.ResultsSuicide mortality declined substantially for both sexes and all three age groups studied in 37 of the 58 included countries between 2000 and 2015. Males consistently had much higher suicide mortality rates than females in all 58 countries. Hanging was the most common suicide method in the majority of 58 countries. Sex-specific suicide mortality varied across 58 countries significantly for all three age groups. The spectrum of suicide method generally remained stable for 28 of 58 included countries; notable changes occurred in the other 30 countries, including especially Colombia, Finland and Trinidad and Tobago.ConclusionLikely as a result of prevention efforts as well as sociodemographic changes, suicide mortality decreased substantially in 37 of the included 58 countries between 2000 and 2015. Further actions are needed to explore specific drivers of the recent changes (particularly for increases in eight countries), to understand substantial disparities in suicide rates across countries, and to develop interventions to reduce suicide rates globally.


2019 ◽  
Vol 74 (1) ◽  
pp. 78-83 ◽  
Author(s):  
Annette Erlangsen ◽  
Sven Drefahl ◽  
Ann Haas ◽  
Charlotte Bjorkenstam ◽  
Merete Nordentoft ◽  
...  

BackgroundPeople belonging to sexual minority groups have higher levels of suicidality than heterosexuals. However, findings regarding suicide death are sparse. Using unique national data from two countries, we investigated whether individuals entering a same-sex marriage (SSM), a proxy group of sexual minority individuals, had higher suicide rates than those entering opposite-sex marriage (OSM).MethodsA cohort study of all males and females who entered an SSM (n=28 649) or OSM (n=3 918 617) in Denmark and Sweden during 1989–2016 was conducted. Incidence rate ratios (IRRs) for suicide were calculated using adjusted Poisson regression models.ResultsIn total, 97 suicides occurred among individuals who had entered an SSM compared with 6074 among those who entered an OSM, corresponding to an adjusted IRR of 2.3 (95% CI 1.9 to 2.8). For people who entered SSM, a 46% decline was noted over time from an IRR of 2.8 (95% CI 1.9 to 4.0) during 1989–2002 to 1.5 (95% CI 1.2 to 1.9) during 2003–2016. The excess suicide mortality was present in all age groups but most pronounced among younger individuals aged 18–34 years of age (IRR 2.7, 95% CI 1.5 to 4.8) and females (IRR 2.7, 95% CI 1.8 to 3.9).ConclusionThis large register-based study found higher suicide rates among individuals who entered an SSM, compared with those who entered an OSM. A lower suicide rate was noted for individuals in SSMs in recent years. More research is needed to identify the unique suicide risk and protective factors for sexual minority people.


2021 ◽  

Suicide is a serious public health problem surrounded by stigma, myths, and taboos. With an annual average of 81,746 suicide deaths in the period 2010–2014 and an age-adjusted suicide rate of 9.3 per 100,000 population (age-unadjusted rate of 9.6), suicide continues to be a public health problem of great relevance in the Region of the Americas. Contrary to common belief, suicides are preventable with timely, evidence-based, and often low-cost interventions. It is estimated that for each suicide that occurs, there are more than 20 attempts. Suicide can occur at any age and it is the third highest cause of death among young people between the ages of 20 and 24 in the Region of the Americas. This report corresponds to the five-year period between 2010 and 2014. It provides a general description of suicide mortality in the Americas, by subregions and countries. It analyzes the distribution of suicide according to age, sex, and methods used, along with the changes in suicide from 2010 to 2014. This report is limited to the study of mortality as, in most countries, no record of self-harm exists, due to lack of appropriate surveillance systems. In the period 2010–2014, 55.8% of suicide deaths in the Region occurred in North America. The age-adjusted suicide rate was also highest in North America (12.8 per 100,000 population), which along with the non-Hispanic Caribbean (9.8) was higher than the regional rate, while the other two subregions had rates lower than the regional rate (6.7 in Central America, the Hispanic Caribbean, and Mexico; 6.9 in South America). In Latin America and the Caribbean, it is essential that national suicide prevention programs be developed, especially in those countries with higher suicide rates. This report identifies 12 countries in the Region of the Americas with high suicide rates compared with the regional average and where two-thirds of the suicide deaths are concentrated. Strengthening information systems and surveillance of suicidal behavior is required. Improving mortality registries alone is not enough. It is also necessary to develop registries of suicidal behavior and implement follow-up mechanisms in high-risk cases. This report identifies the most frequent suicide methods. The availability of firearms is an important risk factor, particularly in North America. Access to pesticides in rural areas is another risk factor, especially in the non-Hispanic


2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Bibha Dhungel ◽  
Anushka Thapa ◽  
Noelia Lucia Martinez-rives ◽  
Pilar Martin ◽  
Koji Wada ◽  
...  

Abstract Background In 2018 the overall suicide rate increased by 33% among students, as a part of a continued trend of rising suicide among adolescents. In 2015, the government of Japan aimed to reduce the overall suicide rate to 13 per 100,000 or less by 2025, but deaths among adolescents have been rising. This study analysed the trends in method-specific suicide among Japanese adolescents from 1979 to 2016 and compared suicide mortality rate in Japan with other OECD countries. Methods We obtained vital statistics data from the Japanese Ministry of Health, Labour and Welfare as well as the global health observatory of the WHO. Poisson regression analysis was performed separately by sex with year, age category, suicide method and a 1998 step variable as covariates. Results We found that hanging suicide rates among high school level boys are 12.15 times and girls are 6.17 times the rate of elementary school-aged children. The year 1998 saw a peak in suicide rates by hanging, which increased by more than 60% among both boys and girls. Japan is near the median of OECD suicide rates, with crude suicide mortality rates of 7.8 per 100,000 among 15–19-year-olds in 2016. Conclusions Suicide among adolescents has been rising during the last decades. Several factors related to the school and family environment, and mental health problems may have affected the adolescent suicide rate in Japan Key messages An urgent need is evident to address suicide among high school and university-aged adolescents.


Crisis ◽  
2016 ◽  
Vol 37 (1) ◽  
pp. 21-30 ◽  
Author(s):  
Francisco Bustamante ◽  
Valeria Ramirez ◽  
Cinthya Urquidi ◽  
Vicente Bustos ◽  
Zimri Yaseen ◽  
...  

Abstract. Background: Despite the many studies trying to evaluate the magnitude of suicide in Chile, none of them include the new valid data, recently published by the DEIS of the Chilean Health Ministry. Aim: This paper sought to describe how suicide rates changed among Chileans who were at least 15 years of age during the period of 2001–2010; these rates were stratified by sex, age, urban/rural status, and region of the country. Method: An exploratory and temporal study was conducted. Suicide mortality rates were calculated by collecting information from the Chilean Ministry of Health’s death registry between 2001 and 2010 among subjects who were at least 15 years of age. Crude and age-adjusted mortality rates were computed. Results: The standardized suicide rate in Chile during 2001–2010 was 14.7 deaths per 100,000, the highest in South America. The minimum age-adjusted suicide rate observed during the examined period was 13.49 per 100,000 in 2005, and the maximum, 16.67 per 100,000 in 2008. Suicide rates among men were up to 4.8 times the suicide rates among women. In addition, rates in rural areas were double compared with urban areas. Hanging was the most common suicide method, followed by use of firearms and explosives in men and poisoning in women. Finally, there was a progressive increase in suicide rates in the southernmost regions of the country. Conclusion: Suicide rates in Chile are relatively high among male subjects in rural areas. There is a disturbing increase in suicide rates among younger individuals and women, although these rates remain lower among younger individuals and women than among adults in general.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S692-S692
Author(s):  
Sanae El Ibrahimi ◽  
Yunyu Xiao ◽  
Matthew L Smith

Abstract Background: Suicide ranks within the top fifteen causes of death among adults 55 and older in the United States and is a growing concern in the face of social isolation and other end-of-life issues. This study examined differences and trends in suicide rates and methods among older adults in the U.S. Methods: Suicide mortality rates from 2008-2017 were derived from the Multiple Cause of Death files in the CDC’s WONDER database. Suicide deaths were identified from the underlying causes of death using ICD-10 codes. Age-adjusted death rates (per 100,000) were calculated. Older adults were grouped into four age categories: 55-64, 65-74, 75-84, and 85+ years. Percent change in suicide rates between 2008-2017 were examined, which were then stratified by gender and top suicide methods. Results: Suicide rates increased by 16% among adults 55 years of age and older from 2008 to 2017 (15.4 vs 17.8 per 100,000 respectively). In 2017, the suicide rate among older adults was 27% higher than the general population (14.0 per 100,000). Suicide rates were significantly higher among men relative to women for those ages 85+ (14:1 ratio of males-to-females). However, females in the 65-74 age group experienced the highest increase of suicide rate (41%) compared to other females or males across age groups. The most common method of suicide was firearms, followed by poisoning and suffocation. Suffocation had the highest increase over time (37%). Conclusion: Rising suicide rates among older adults suggest the need for tailored intervention strategies that address upstream suicide-related risk factors.


Author(s):  
Minjae Choi ◽  
Yo Han Lee

South Korea’s suicide rate is the highest among the members of the Organization for Economic Cooperation and Development. This study seeks to verify regional variation in suicide rates in South Korea and to identify correlating factors. We used age-adjusted suicide rates for 252 administrative districts, and a Community Health Survey, national representative data, and other national representative data such as censuses were used to obtain information on socioeconomic, health related and social integration variables according to each administrative district. Regional variation in suicide rates was analyzed by using Extremal Quotient (EQ), and multiple linear regression analyses were used to investigate associations between variation in suicide rates and regional socioeconomic, public service factors and health related factors. The average suicide rate from 252 regions was 142.7 per 100,000 people. The highest region was Hongchun-gun (217.8) and the lowest was Gwachen-si (75.5). The EQ was 2.89, meaning that there is significant regional variation in suicide rates. Financial independence (β = −0.662, p < 0.001), social welfare budget (β = −0.754, p < 0.001) and divorce rates (β = 17.743, p < 0.001) were significant, along with other adjusted variables. This study suggests considering these factors in order to reduce suicide rates in South Korea.


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