TITLE

Race/ethnicity and potential suicide misclassification: window on a minority suicide paradox?

AUTHOR(S)
Rockett, Ian R. H.; Shuhui Wang; Stack, Steven; Diego De Leo; Frost, James L.; Ducatman, Alan M.; Rheeda L. Walker; Kapusta, Nestor D.
PUB. DATE
January 2010
SOURCE
BMC Psychiatry;2010, Vol. 10, p35
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Suicide officially kills approximately 30,000 annually in the United States. Analysis of this leading public health problem is complicated by undercounting. Despite persisting socioeconomic and health disparities, non- Hispanic Blacks and Hispanics register suicide rates less than half that of non-Hispanic Whites. Methods: This cross-sectional study uses multiple cause-of-death data from the US National Center for Health Statistics to assess whether race/ethnicity, psychiatric comorbidity documentation, and other decedent characteristics were associated with differential potential for suicide misclassification. Subjects were 105,946 White, Black, and Hispanic residents aged 15 years and older, dying in the US between 2003 and 2005, whose manner of death was recorded as suicide or injury of undetermined intent. The main outcome measure was the relative odds of potential suicide misclassification, a binary measure of manner of death: injury of undetermined intent (includes misclassified suicides) versus suicide. Results: Blacks (adjusted odds ratio [AOR], 2.38; 95% confidence interval [CI], 2.22-2.57) and Hispanics (1.17, 1.07-1.28) manifested excess potential suicide misclassification relative to Whites. Decedents aged 35-54 (AOR, 0.88; 95% CI, 0.84- 0.93), 55-74 (0.52, 0.49-0.57), and 75+ years (0.51, 0.46-0.57) showed diminished misclassification potential relative to decedents aged 15-34, while decedents with 0-8 years (1.82, 1.75-1.90) and 9-12 years of education (1.43, 1.40-1.46) showed excess potential relative to the most educated (13+ years). Excess potential suicide misclassification was also apparent for decedents without (AOR, 3.12; 95% CI, 2.78-3.51) versus those with psychiatric comorbidity documented on their death certificates, and for decedents whose mode of injury was "less active" (46.33; 43.32-49.55) versus "more active." Conclusions: Data disparities might explain much of the Black-White suicide rate gap, if not the Hispanic-White gap. Ameliorative action would extend from training in death certification to routine use of psychological autopsies in equivocal-manner-of-death cases.
ACCESSION #
52021277

 

Related Articles

  • Explaining the income and suicidality relationship: income rank is more strongly associated with suicidal thoughts and attempts than income. Wetherall, Karen; Daly, Michael; Robb, Kathryn; Wood, Alex; O'Connor, Rory // Social Psychiatry & Psychiatric Epidemiology;Jun2015, Vol. 50 Issue 6, p929 

    Purpose: Low income is an established risk factor for suicidal thoughts and attempts. This study aims to explore income within a social rank perspective, proposing that the relationship between income and suicidality is accounted for by the rank of that income within comparison groups. Methods:...

  • Suicide Attempts and Associated Factors in Newfoundland and Labrador, 1998-2000. Alaghehbandan, Reza; Gates, Kayla D.; MacDonald, Don // Canadian Journal of Psychiatry;Oct2005, Vol. 50 Issue 12, p762 

    Objective: This study examined the epidemiology and associated factors for suicide attempts requiring hospitalization in the province of Newfoundland and Labrador. Method: We extracted data from the provincial hospital separation database. Outcome measures included incidence rates (IRs) of...

  • Psychiatric health, ethnicity and socioeconomic factors among suicides in Stockholm. Ferrada-Noli, Marcello; Asberg, Marie // Psychological Reports;Aug97, Vol. 81 Issue 1, p323 

    Investigates the influence of psychiatric health and other socioeconomic factors on the rates of suicidal behavior experienced in Stockholm. How studies were conducted; Findings of studies conducted.

  • Long term risks after attempted suicide. Morgan, Gethin // BMJ: British Medical Journal (International Edition);6/19/93, Vol. 306 Issue 6893, p1626 

    Identifies the risk factors after attempted suicide in Denmark. Influence of mental health on the incidence of suicide; Concerns on the vulnerability of patients to subsequent suicide; Increase in the rates of suicide and death among adult men.

  • High mortality by natural and unnatural causes: a 10 year follow up study of patients admitted to a poisoning treatment centre after suicide attempts. Nordentoft, Merete; Breum, Leif; Munck, Lars K.; Nordesgaard, Aksel G.; Hunding, Alex; Bjaeldager, Peder A. Laursen // BMJ: British Medical Journal (International Edition);6/19/93, Vol. 306 Issue 6893, p1637 

    Describes the mortality of patients with attempted suicide in Denmark. Identification of predictive factors of suicide; Consideration on the mental health of patients; Risk factors in suicide.

  • Bullying, Babies and Better Days Ahead. Hayes, Chris // Outlook: Columbus;Nov2010, Vol. 15 Issue 6, p5 

    The article discusses the author's view on saving the youth and people in their community and to address their mental health to stop their suicidal behavior.

  • Depresja a ból: ogólnopolskie badanie epidemiologiczne. Wasilewski, Dariusz; Wojnar, Marcin; Chatizow, Joanna // Psychiatria Polska;2010, Vol. 44 Issue 3, p435 

    Depression is one of the most severe health issues of the modern medicine. One of the most troublesome symptoms of depression is pain. On the other hand, patients suffering from chronic pain problems are also often subjects of mood or anxiety disorders. There are still very little studies in the...

  • Internal migration, mental health, and suicidal behaviors in young rural Chinese. Dai, Jing; Zhong, Bao-Liang; Xiang, Yu-Tao; Chiu, Helen; Chan, Sandra; Yu, Xin; Caine, Eric // Social Psychiatry & Psychiatric Epidemiology;Apr2015, Vol. 50 Issue 4, p621 

    Purpose: There is a dearth of data on the association of internal migration with mental health in young rural Chinese. This study aims to explore the associations between migrant status, mental health, and suicidal behaviors in young rural Chinese. Methods: We recruited 1,646 rural subjects aged...

  • Identifying Probable Suicide Clusters in Wales Using National Mortality Data. Jones, Phillip; Gunnell, David; Platt, Stephen; Scourfield, Jonathan; Lloyd, Keith; Huxley, Peter; John, Ann; Kamran, Babar; Wells, Claudia; Dennis, Michael // PLoS ONE;Aug2013, Vol. 8 Issue 8, p1 

    Background: Up to 2% of suicides in young people may occur in clusters i.e., close together in time and space. In early 2008 unprecedented attention was given by national and international news media to a suspected suicide cluster among young people living in Bridgend, Wales. This paper...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics