Rural–Urban Differences in Suicide Mortality: An Observational Study in Newfoundland and Labrador, Canada: Différences de la Mortalité Par Suicide en Milieu Rural-Urbain: Une Étude Observationnelle à Terre-Neuve et Labrador, Canada
BACKGROUND: Suicide rates are higher in rural compared to urban areas. Although this pattern appears to be driven by higher rates among men, there is limited evidence about the characteristics of rural people who die by suicide in Canada. The objective of this study was to examine the demographics,...
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ftpubmed:oai:pubmedcentral.nih.gov:8573702 2023-05-15T17:22:04+02:00 Rural–Urban Differences in Suicide Mortality: An Observational Study in Newfoundland and Labrador, Canada: Différences de la Mortalité Par Suicide en Milieu Rural-Urbain: Une Étude Observationnelle à Terre-Neuve et Labrador, Canada Reccord, Charlene Power, Nicole Hatfield, Keeley Karaivanov, Yordan Mulay, Shree Wilson, Margo Pollock, Nathaniel 2021-02-12 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573702/ http://www.ncbi.nlm.nih.gov/pubmed/33576277 https://doi.org/10.1177/0706743721990315 en eng SAGE Publications http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573702/ http://www.ncbi.nlm.nih.gov/pubmed/33576277 http://dx.doi.org/10.1177/0706743721990315 © The Author(s) 2021 Can J Psychiatry Original Research Text 2021 ftpubmed https://doi.org/10.1177/0706743721990315 2022-04-03T00:41:13Z BACKGROUND: Suicide rates are higher in rural compared to urban areas. Although this pattern appears to be driven by higher rates among men, there is limited evidence about the characteristics of rural people who die by suicide in Canada. The objective of this study was to examine the demographics, manner of death, and social and clinical antecedents of people who died by suicide in rural areas compared to urban areas. METHODS: We conducted an observational study of all suicide deaths that occurred among Newfoundland and Labrador residents between 1997 and 2016 using a linked data set derived from a comprehensive review of provincial medical examiner records. We used t tests and χ(2) to assess associations between rural/urban status and variables related to demographics, circumstances, and manner of death, as well as social and medical history. Logistic regression was utilized to assess the independent contribution of any variable found to be significant in univariate analysis. RESULTS: Rural people who died by suicide accounted for 54.8% of all deaths over a 20-year period. Overall, 81.6% of people who died were male. Compared to urban, rural people who died by suicide were younger, more likely to use firearms or hanging, and had a higher mean blood alcohol content at the time of death (27.69 vs. 22.95 mmol/L). Rural people were also less likely to have had a known history of a prior suicide attempt, psychiatric disorder, alcohol or substance abuse, or chronic pain. DISCUSSION: The demographic and clinical differences between rural and urban people who died by suicide underscore the need for suicide prevention approaches that account for place-based differences. A key challenge for suicide prevention in rural communities is to ensure that interventions are developed and implemented in a manner that fits local contexts. Text Newfoundland Terre-Neuve PubMed Central (PMC) Newfoundland Canada The Canadian Journal of Psychiatry 66 10 918 928 |
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Original Research Reccord, Charlene Power, Nicole Hatfield, Keeley Karaivanov, Yordan Mulay, Shree Wilson, Margo Pollock, Nathaniel Rural–Urban Differences in Suicide Mortality: An Observational Study in Newfoundland and Labrador, Canada: Différences de la Mortalité Par Suicide en Milieu Rural-Urbain: Une Étude Observationnelle à Terre-Neuve et Labrador, Canada |
topic_facet |
Original Research |
description |
BACKGROUND: Suicide rates are higher in rural compared to urban areas. Although this pattern appears to be driven by higher rates among men, there is limited evidence about the characteristics of rural people who die by suicide in Canada. The objective of this study was to examine the demographics, manner of death, and social and clinical antecedents of people who died by suicide in rural areas compared to urban areas. METHODS: We conducted an observational study of all suicide deaths that occurred among Newfoundland and Labrador residents between 1997 and 2016 using a linked data set derived from a comprehensive review of provincial medical examiner records. We used t tests and χ(2) to assess associations between rural/urban status and variables related to demographics, circumstances, and manner of death, as well as social and medical history. Logistic regression was utilized to assess the independent contribution of any variable found to be significant in univariate analysis. RESULTS: Rural people who died by suicide accounted for 54.8% of all deaths over a 20-year period. Overall, 81.6% of people who died were male. Compared to urban, rural people who died by suicide were younger, more likely to use firearms or hanging, and had a higher mean blood alcohol content at the time of death (27.69 vs. 22.95 mmol/L). Rural people were also less likely to have had a known history of a prior suicide attempt, psychiatric disorder, alcohol or substance abuse, or chronic pain. DISCUSSION: The demographic and clinical differences between rural and urban people who died by suicide underscore the need for suicide prevention approaches that account for place-based differences. A key challenge for suicide prevention in rural communities is to ensure that interventions are developed and implemented in a manner that fits local contexts. |
format |
Text |
author |
Reccord, Charlene Power, Nicole Hatfield, Keeley Karaivanov, Yordan Mulay, Shree Wilson, Margo Pollock, Nathaniel |
author_facet |
Reccord, Charlene Power, Nicole Hatfield, Keeley Karaivanov, Yordan Mulay, Shree Wilson, Margo Pollock, Nathaniel |
author_sort |
Reccord, Charlene |
title |
Rural–Urban Differences in Suicide Mortality: An Observational Study in Newfoundland and Labrador, Canada: Différences de la Mortalité Par Suicide en Milieu Rural-Urbain: Une Étude Observationnelle à Terre-Neuve et Labrador, Canada |
title_short |
Rural–Urban Differences in Suicide Mortality: An Observational Study in Newfoundland and Labrador, Canada: Différences de la Mortalité Par Suicide en Milieu Rural-Urbain: Une Étude Observationnelle à Terre-Neuve et Labrador, Canada |
title_full |
Rural–Urban Differences in Suicide Mortality: An Observational Study in Newfoundland and Labrador, Canada: Différences de la Mortalité Par Suicide en Milieu Rural-Urbain: Une Étude Observationnelle à Terre-Neuve et Labrador, Canada |
title_fullStr |
Rural–Urban Differences in Suicide Mortality: An Observational Study in Newfoundland and Labrador, Canada: Différences de la Mortalité Par Suicide en Milieu Rural-Urbain: Une Étude Observationnelle à Terre-Neuve et Labrador, Canada |
title_full_unstemmed |
Rural–Urban Differences in Suicide Mortality: An Observational Study in Newfoundland and Labrador, Canada: Différences de la Mortalité Par Suicide en Milieu Rural-Urbain: Une Étude Observationnelle à Terre-Neuve et Labrador, Canada |
title_sort |
rural–urban differences in suicide mortality: an observational study in newfoundland and labrador, canada: différences de la mortalité par suicide en milieu rural-urbain: une étude observationnelle à terre-neuve et labrador, canada |
publisher |
SAGE Publications |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573702/ http://www.ncbi.nlm.nih.gov/pubmed/33576277 https://doi.org/10.1177/0706743721990315 |
geographic |
Newfoundland Canada |
geographic_facet |
Newfoundland Canada |
genre |
Newfoundland Terre-Neuve |
genre_facet |
Newfoundland Terre-Neuve |
op_source |
Can J Psychiatry |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573702/ http://www.ncbi.nlm.nih.gov/pubmed/33576277 http://dx.doi.org/10.1177/0706743721990315 |
op_rights |
© The Author(s) 2021 |
op_doi |
https://doi.org/10.1177/0706743721990315 |
container_title |
The Canadian Journal of Psychiatry |
container_volume |
66 |
container_issue |
10 |
container_start_page |
918 |
op_container_end_page |
928 |
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1766108337454186496 |