Method-Specific Suicide Rates and Accessibility of Means.
Crisis
; 43(5): 375-384, 2022 Sep.
Article
em En
| MEDLINE
| ID: mdl-34003021
ABSTRACT
Background:
Few studies have investigated whether means accessibility is related to the spatial distribution of suicide.Aims:
To examine the hypothesis that indicators of the accessibility to specific suicide methods were associated with method-specific suicide rates in Taipei City, Taiwan.Method:
Smoothed standardized mortality ratios for method-specific suicide rates across 432 neighborhoods and their associations with means accessibility indicators were estimated using Bayesian hierarchical models.Results:
The proportion of single-person households, indicating the ease of burning charcoal in the home, was associated with charcoal-burning suicide rates (adjusted rate ratio [aRR] = 1.13, 95% credible interval [CrI] = 1.03-1.25). The proportion of households living on the sixth floor or above, indicating easy access to high places, was associated with jumping suicide rates (aRR = 1.16, 95% CrI, 1.04-1.29). Neighborhoods' adjacency to rivers, indicating easy access to water, showed no statistical evidence of an association with drowning suicide rates (aRR = 1.27, 95% CrI = 0.92-1.69). Hanging and overall suicide rates showed no associations with any of these three accessibility indicators.Limitations:
This is an ecological study; associations between means accessibility and suicide cannot be directly inferred as causal.Conclusion:
The findings have implications for identifying high-risk groups for charcoal-burning suicide (e.g., vulnerable individuals living alone) and preventing jumping suicides by increasing the safety of high buildings.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Prevenção do Suicídio
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article