Institutional failures as structural determinants of suicide: The opioid epidemic and the great recession in the United States

We investigate recent trends in U.S. suicide mortality using a “structural determinants of health” framework. We access restricted-use multiple cause of death files to track suicide rates among U.S. Black, White, American Indian/Alaska Native, and Latino/a men and women between 1990 and 2017. We examine suicide deaths separately by poisonings and nonpoisonings to illustrate that […]

The intersections between sexual orientation, Latine ethnicity, social determinants of health, and lifetime suicide attempts in a sample being assessed for entry to co-occurring mental health and substance use disorder treatment

Purpose: Few studies have examined the relationship between the intersections of lesbian, gay, and bisexual (LGB) sexual orientation, Latine ethnicity, and lifetime suicide attempts in Latine individuals with substance use disorder. This study examines this intersection and controls for social determinants of health, mental health disorder symptoms, and substance use disorder symptoms in a sample […]

“Our spirit is like a fire”: Conceptualizing intersections of mental health, wellness, and spirituality with Indigenous youth leaders across Canada

Indigenous youth in Canada experience adverse health outcomes at disproportionate rates to their non-Indigenous peers. The impacts of colonial efforts maintain the dispossession of Indigenous peoples from land, language, community, culture, identity, and other socio-cultural resources necessary to promote wellbeing.  High rates of suicide among Indigenous youth in Canada, and its lasting impacts, speaks to […]

The social determinants of mental health and disorder: Evidence, prevention and recommendations

People exposed to more unfavourable social circumstances are more vulnerable to poor mental health over their life course, in ways that are often determined by structural factors which generate and perpetuate intergenerational cycles of disadvantage and poor health. Addressing these challenges is an imperative matter of social justice. In this paper we provide a roadmap […]

Investigating suicide in agriculture globally: A scoping review of methodological approaches and a roadmap for future research

Increased attention to suicide in agriculture has led to an increase in interventions informed in part by research on who is most likely to die from suicide, using what means, and for what reason(s). However, the limited understanding of how suicide is studied and the limited engagement in previous studies with theories raises questions about […]

Depression, suicide attempts, and exposure to physical attacks: A nationwide cross‑sectional survey in Mexico

Aim This study investigated the relationship between direct exposure to physical attacks and mental health (depression and suicide attempts) in the Mexican adult population. It also examined biological sex as a possible effect modifier. Subject and methods A representative sample of 13,391 adults from the 2021 National Health and Nutrition Survey of Mexico (ENSANUT) was […]

A comparative study on sociodemographic and clinical factors in patients of severed depression with and without suicide

Background and Aim: Suicide is one of the most severe outcomes of depression, with around 700,000 people dying due to s range from 10 to 40 times more frequent than c ompleted suicide. This further leads to suicide hence suicide attempts will be a major public and mental health concern in India.  sociodemographic and clinical […]

Association between services to address adverse social determinants of health and suicide mortality among veterans with indicators of housing instability, unemployment, and justice involvement

Suicide among Veterans continues to be a priority issue addressed by the U.S. Department of Veterans Affairs (VA). In addition to a variety of services specifically intended to prevent suicide, VA also offers a number of services to address Veterans’ social determinants of health (SDH), several of which may be associated with elevated risk for […]

Target-based fusion using social determinants of health to enhance suicide prediction with electronic health records

Objective Preventing suicide in US youth is of paramount concern, with rates increasing over 50% between 2007 and 2018. Statistical modeling using electronic health records may help identify at-risk youth before a suicide attempt. While electronic health records contain diagnostic information, which are known risk factors, they generally lack or poorly document social determinants (e.g., […]

Pedianomics: The social return on investment in improving the health and wellbeing of children and adolescents

The report is a comprehensive assessment of the past 5 years of investments in the lives of 8 million young Canadians, making the case to put children first during budget planning. The report presents new data on the multi-billion dollar impact of the recent tripledemic pediatric crisis and lack of progress in improving children’s health, with […]

Covariate health determinants of suicidal ideation, suicide plans, and suicide attempts among African American males with and without major depressive episode

This study aimed to examine risk of suicidal ideation, suicide plans, and suicide attempts among African American males with and without major depressive episodes while adjusting for covariates of age, education, and income. Data from the 2018 National Survey on Drug Use and Health were extracted and analyzed. We found data for 2,301 adult African […]

Social vulnerability and risk of suicide in US adults, 2016-2020

Objective  To determine the association between social vulnerability and suicide in adults. Design, Setting, and Participants  This cohort study analyzed 2 county-level social vulnerability measures (the Social Vulnerability Index [SVI] and the Social Vulnerability Metric [SVM]) and US Centers for Disease Control and Prevention–reported county-level suicides from 2016 to 2020. Data were analyzed November and December 2022. […]

A public health, whole-of-government approach to national suicide prevention strategies

Many countries have national suicide prevention strategies, all of which aim to reduce suicide and many of which also address self-harm more generally (World Health Organization, 2018). In this editorial, we argue that national  strategies could be strengthened through an increased focus on the social determinants associated with suicide and self-harm. We present a public […]

Risk and protective factors for suicide: A populational case-control study, Brazil, 2019

OBJECTIVE: To estimate risk and protection factors associated with suicide in Campinas, Brazil, in 2019. METHODS: This is a populational case-control study analyzing 83 cases of suicide that occurred in 2019 in Campinas, a Brazilian city with about 1.2 million inhabitants. Controls were composed of 716 inhabitants. An adjusted multiple logistic regression was used. Cases […]

Study on sociodemographic profile and clinical correlates of suicide attempters in a tertiary care centre with consultation liaison psychiatry services

Introduction: Suicide is a major health problem, and the global suicide mortality rate amounts to 1.4% of all deaths worldwide. Suicidal behaviour and suicidality can be conceptualized as a continuum ranging from suicidal ideation to suicide attempts and completed suicide. Aim and Objective of the study: The aim and objective was to study the sociodemographic […]

Understanding suicide over the life course using data science tools within a triangulation framework

Suicide and suicidal behaviors are important global health concerns. Preventing suicide requires a nuanced understanding of the nature of suicide risk, both acutely during periods of crisis and broader variation over the lifespan. However, current knowledge of the sources of variation in suicide risk is limited due to methodological and conceptual challenges. New methodological approaches […]

Effects of social deprivation on risk factors for suicidal ideation and suicide attempts in commercially insured US youth and adults

We used US nationwide commercial insurance claims data (2011–2015) to study the effect of social deprivation on clinical and demographic risk factors for suicidal ideation (SI) and suicide attempts (SA) among US youth and adults < 65 years, after having a mental health or substance use disorder-related outpatient encounter. Neighborhood social deprivation level was summarized by the quintile […]

Associations between natural language processing-enriched social determinants of health and suicide death among US veterans

Importance  Social determinants of health (SDOHs) are known to be associated with increased risk of suicidal behaviors, but few studies use SDOHs from unstructured electronic health record notes. Objective  To investigate associations between veterans’ death by suicide and recent SDOHs, identified using structured and unstructured data. Design, Setting, and Participants  This nested case-control study included veterans who received […]

Is suicide a water justice issue? Investigating long-term drinking water advisories and suicide in First Nations in Canada

First Nations experience disproportionate rates of suicide when compared to the general population. Various risk factors are identified to increase understanding of the prevalence of suicide among First Nations, but environmental dimensions of suicide are understudied. This study asks whether water insecurity, as reflected by long-term drinking water advisories (LT-DWA), has any bearing on the […]

Associations between natural language processing (NLP) enriched social determinants of health and suicide death among US veterans

Importance: Social determinants of health (SDOH) are known to be associated with increased risk of suicidal behaviors, but few studies utilized SDOH from unstructured electronic health record (EHR) notes. Objective: To investigate associations between suicide and recent SDOH, identified using structured and unstructured data. Design: Nested case-control study. Setting: EHR data from the US Veterans […]

Differences in overdose deaths by intent: Unintentional & suicide drug poisonings in North Carolina, 2015–2019

Comprehensive fatal overdose prevention requires an understanding of the fundamental causes and context surrounding drug overdose. Using a social determinants of health (SDOH) framework, this descriptive study examined unintentional and self-inflicted (i.e., suicide) overdose deaths in North Carolina (NC), focusing on specific drug involvement and contextual factors. Unintentional and suicide overdose deaths were identified using […]

Educational inequalities in suicide in a middle-income country: A socioeconomic approach of mental health

Objective This research aims to describe trends in inequalities in suicide mortality by educational level in Colombia between 1998 and 2015. Method Standardized suicide mortality rates (SMR) were calculated by educational level, sex, and age in adult men and women over 25 years of age. Poisson regression models were used to calculate the RR (rate ratio) […]

Household income changes and suicidal ideation in South Korea: Findings from a longitudinal study

Introduction This study aimed to provide evidence for the need for social and welfare support in suicide prevention. Methods Data were collected from the Korean Welfare Panel Study, 2011–2016. The study sample consisted of 7504 people (male: 3080 and female: 4424; mean age: 54.4 ± 16.6), with annual follow-ups until 2016. A generalized linear mixed-effects model using […]