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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 4/2008

01.04.2008 | ORIGINAL PAPER

Rural−urban differences in Austrian suicides

verfasst von: Nestor D. Kapusta, MD, Arno Zorman, MD, Elmar Etzersdorfer, MD, Elisabeth Ponocny-Seliger, PhD, Elisabeth Jandl-Jager, PhD, Gernot Sonneck, MD

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 4/2008

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Abstract

Objectives

The answer to the question whether suicide rates are higher in urban than in rural areas may have changed over the years. This study analyzes the longitudinal trends of rural and urban suicides in Austria from 1970 to 2005. The most recent decade, 1995–2005 was also investigated cross-sectionally in terms of age groups, gender, suicide methods and family status.

Methods

Official suicide statistics were calculated in a Poisson regression model to determine trends in suicide rates according to gender in rural and urban regions as well as the ratios of rural- to urban-suicide rates. Population density levels were used as a measure of urbanization. Differences in suicide rates across the rural–urban categories were investigated in terms of genders, age groups, suicide methods and family status using Spearman correlations.

Results

The ratio of rural to urban suicide rates has continuously increased in both genders over the past 35 years, indicating a growing risk in rural areas. Suicide methods used in rural and urban areas vary significantly and suicide rates among men, but not women, were found to decrease with increasing urbanicity.

Conclusion

In line with recent findings from other western countries, we showed a growing gap between rural and urban suicide rates. This suggests a need for rural-specific suicide prevention efforts, especially aimed at the male rural population.
Literatur
1.
Zurück zum Zitat Ben Park BC, Lester D (2006) Social integration and suicide in South Korea. Crisis 27:48–50PubMed Ben Park BC, Lester D (2006) Social integration and suicide in South Korea. Crisis 27:48–50PubMed
2.
Zurück zum Zitat Burnley IH (1995) Socioeconomic and spatial differentials in mortality and means of committing suicide in New South Wales, Australia, 1985–91. Soc Sci Med 41:687–698PubMedCrossRef Burnley IH (1995) Socioeconomic and spatial differentials in mortality and means of committing suicide in New South Wales, Australia, 1985–91. Soc Sci Med 41:687–698PubMedCrossRef
3.
Zurück zum Zitat Caldwell TM, Jorm AF, Dear KB (2004) Suicide and mental health in rural, remote and metropolitan areas in Australia. Med J Aust 181(7 Suppl):S10–14PubMed Caldwell TM, Jorm AF, Dear KB (2004) Suicide and mental health in rural, remote and metropolitan areas in Australia. Med J Aust 181(7 Suppl):S10–14PubMed
4.
Zurück zum Zitat Cutright P, Stack S, Fernquist RM (2006) The age structures and marital status differences of married and not married male suicide rates: 12 developed countries. Arch Suicide Res 10:365–382PubMedCrossRef Cutright P, Stack S, Fernquist RM (2006) The age structures and marital status differences of married and not married male suicide rates: 12 developed countries. Arch Suicide Res 10:365–382PubMedCrossRef
5.
Zurück zum Zitat Daigle MS (2005) Suicide prevention through means restriction: assessing the risk of substitution. A critical review and synthesis. Accid Anal Prev 37:625–632PubMedCrossRef Daigle MS (2005) Suicide prevention through means restriction: assessing the risk of substitution. A critical review and synthesis. Accid Anal Prev 37:625–632PubMedCrossRef
6.
Zurück zum Zitat Dudley M, Kelk N, Florio T, Howard J, Waters B, Haski C, Alcock M (1997) Suicide among young rural Australians 1964–1993: a comparison with metropolitan trends. Soc Psychiatry Psychiatr Epidemiol 32:251–260PubMedCrossRef Dudley M, Kelk N, Florio T, Howard J, Waters B, Haski C, Alcock M (1997) Suicide among young rural Australians 1964–1993: a comparison with metropolitan trends. Soc Psychiatry Psychiatr Epidemiol 32:251–260PubMedCrossRef
7.
Zurück zum Zitat Etzersdorfer E, Kapusta ND, Sonneck G (2006) Suicide by shooting is correlated to rate of gun licenses in Austrian counties. Wien Klin Wochenschr 118:464–468PubMedCrossRef Etzersdorfer E, Kapusta ND, Sonneck G (2006) Suicide by shooting is correlated to rate of gun licenses in Austrian counties. Wien Klin Wochenschr 118:464–468PubMedCrossRef
8.
Zurück zum Zitat Greenland S (2001) Ecologic versus individual-level sources of bias in ecologic estimates of contextual health effects. Int J Epidemiol 30:1343–1350PubMedCrossRef Greenland S (2001) Ecologic versus individual-level sources of bias in ecologic estimates of contextual health effects. Int J Epidemiol 30:1343–1350PubMedCrossRef
9.
Zurück zum Zitat Gunnell DJ, Peters TJ, Kammerling RM, Brooks J (1995) Relation between parasuicide, suicide, psychiatric admissions, and socioeconomic deprivation. BMJ 311:226–230PubMed Gunnell DJ, Peters TJ, Kammerling RM, Brooks J (1995) Relation between parasuicide, suicide, psychiatric admissions, and socioeconomic deprivation. BMJ 311:226–230PubMed
10.
Zurück zum Zitat Hempstead K (2006) The geography of self-injury: spatial patterns in attempted and completed suicide. Soc Sci Med 62:3186–3196PubMedCrossRef Hempstead K (2006) The geography of self-injury: spatial patterns in attempted and completed suicide. Soc Sci Med 62:3186–3196PubMedCrossRef
11.
Zurück zum Zitat Hill SA, Pritchard C, Laugharne R, Gunnell D (2005) Changing patterns of suicide in a poor, rural county over the 20th century: a comparison with national trends. Soc Psychiatry Psychiatr Epidemiol 40:601–604PubMedCrossRef Hill SA, Pritchard C, Laugharne R, Gunnell D (2005) Changing patterns of suicide in a poor, rural county over the 20th century: a comparison with national trends. Soc Psychiatry Psychiatr Epidemiol 40:601–604PubMedCrossRef
12.
Zurück zum Zitat Hirsch JK (2006) A review of the literature on rural suicide: risk and protective factors, incidence, and prevention. Crisis 27:189–199PubMed Hirsch JK (2006) A review of the literature on rural suicide: risk and protective factors, incidence, and prevention. Crisis 27:189–199PubMed
13.
Zurück zum Zitat Hunt K, Sweeting H, Keoghan M, Platt S (2007) Sex, gender role orientation, gender role attitudes and suicidal thoughts in three generations. A general population study. Soc Psychiatry Psychiatr Epidemiol 41:641–647CrossRef Hunt K, Sweeting H, Keoghan M, Platt S (2007) Sex, gender role orientation, gender role attitudes and suicidal thoughts in three generations. A general population study. Soc Psychiatry Psychiatr Epidemiol 41:641–647CrossRef
14.
Zurück zum Zitat Judd F, Cooper AM, Fraser C, Davis J (2006) Rural suicide––people or place effects? Aust N Z J Psychiatry 40:208–216PubMedCrossRef Judd F, Cooper AM, Fraser C, Davis J (2006) Rural suicide––people or place effects? Aust N Z J Psychiatry 40:208–216PubMedCrossRef
15.
Zurück zum Zitat Kapusta ND, Etzersdorfer E, Krall C, Sonneck G (2007) Firearm Legislation Reform in the European Union: its impact on firearm availability, firearm suicide and homicide rates in Austria. Br J Psychiatry 191:253–257PubMedCrossRef Kapusta ND, Etzersdorfer E, Krall C, Sonneck G (2007) Firearm Legislation Reform in the European Union: its impact on firearm availability, firearm suicide and homicide rates in Austria. Br J Psychiatry 191:253–257PubMedCrossRef
16.
Zurück zum Zitat Kelleher MJ, Keeley HS, Corcoran P (1997) The service implications of regional differences in suicide rates in the Republic of Ireland. Ir Med J 90:262–264PubMed Kelleher MJ, Keeley HS, Corcoran P (1997) The service implications of regional differences in suicide rates in the Republic of Ireland. Ir Med J 90:262–264PubMed
17.
Zurück zum Zitat Kölbinger M (2003). Divorces in Upper Austria 2002. Upper Austria State Government, Buerau of Statistics, Linz, p 7 Kölbinger M (2003). Divorces in Upper Austria 2002. Upper Austria State Government, Buerau of Statistics, Linz, p 7
18.
Zurück zum Zitat Leenaars AA (2006) Suicide by shooting and gun ownership (licenses) in Austria: would gun restriction help? Wien Klin Wochenschr 118:439–441PubMedCrossRef Leenaars AA (2006) Suicide by shooting and gun ownership (licenses) in Austria: would gun restriction help? Wien Klin Wochenschr 118:439–441PubMedCrossRef
19.
Zurück zum Zitat Levin KA, Leyland AH (2005) Urban/rural inequalities in suicide in Scotland, 1981–1999. Soc Sci Med 60:2877–2890PubMedCrossRef Levin KA, Leyland AH (2005) Urban/rural inequalities in suicide in Scotland, 1981–1999. Soc Sci Med 60:2877–2890PubMedCrossRef
20.
Zurück zum Zitat Lin JJ, Lu TH (2006) Association between the accessibility to lethal methods and method-specific suicide rates: an ecological study in Taiwan. J Clin Psychiatry 67:1074–1079PubMedCrossRef Lin JJ, Lu TH (2006) Association between the accessibility to lethal methods and method-specific suicide rates: an ecological study in Taiwan. J Clin Psychiatry 67:1074–1079PubMedCrossRef
21.
Zurück zum Zitat McLaren S, Hopes LM (2002) Rural–urban differences in reasons for living. Aust N Z J Psychiatry 36:688–692PubMedCrossRef McLaren S, Hopes LM (2002) Rural–urban differences in reasons for living. Aust N Z J Psychiatry 36:688–692PubMedCrossRef
22.
Zurück zum Zitat Middleton N, Gunnell D, Frankel S, Whitley E, Dorling D (2003) Urban–rural differences in suicide trends in young adults: England and Wales, 1981–1998. Soc Sci Med 57:1183–1194PubMedCrossRef Middleton N, Gunnell D, Frankel S, Whitley E, Dorling D (2003) Urban–rural differences in suicide trends in young adults: England and Wales, 1981–1998. Soc Sci Med 57:1183–1194PubMedCrossRef
23.
Zurück zum Zitat Morrell S, Taylor R, Slaytor E, Ford P (1999) Urban and rural suicide differentials in migrants and the Australian-born, New South Wales, Australia 1985–1994. Soc Sci Med 49:81–91PubMedCrossRef Morrell S, Taylor R, Slaytor E, Ford P (1999) Urban and rural suicide differentials in migrants and the Australian-born, New South Wales, Australia 1985–1994. Soc Sci Med 49:81–91PubMedCrossRef
24.
Zurück zum Zitat Page A, Morrell S, Taylor R, Carter G, Dudley M (2006) Divergent trends in suicide by socio-economic status in Australia. Soc Psychiatry Psychiatr Epidemiol 41:911–917PubMedCrossRef Page A, Morrell S, Taylor R, Carter G, Dudley M (2006) Divergent trends in suicide by socio-economic status in Australia. Soc Psychiatry Psychiatr Epidemiol 41:911–917PubMedCrossRef
25.
26.
Zurück zum Zitat Qin P (2005) Suicide risk in relation to level of urbanicity––a population-based linkage study. Int J Epidemiol 34:846–852PubMedCrossRef Qin P (2005) Suicide risk in relation to level of urbanicity––a population-based linkage study. Int J Epidemiol 34:846–852PubMedCrossRef
27.
Zurück zum Zitat Sakr L, Bibus B, Dutz W, Feigl W, Hackl H, Hanak H et al (1989) Zur hohen Autopsierate in Wien. Wien Klin Wochenschr 101:511–514PubMed Sakr L, Bibus B, Dutz W, Feigl W, Hackl H, Hanak H et al (1989) Zur hohen Autopsierate in Wien. Wien Klin Wochenschr 101:511–514PubMed
28.
Zurück zum Zitat Singh GK, Siahpush M (2002) Increasing rural–urban gradients in US suicide mortality, 1970–1997. Am J Public Health 92:1161–1167PubMedCrossRef Singh GK, Siahpush M (2002) Increasing rural–urban gradients in US suicide mortality, 1970–1997. Am J Public Health 92:1161–1167PubMedCrossRef
29.
Zurück zum Zitat Sonneck G (2000) Suizide und Suizidprävention in Österreich. Wien Klin Wochenschr 112:943–946PubMed Sonneck G (2000) Suizide und Suizidprävention in Österreich. Wien Klin Wochenschr 112:943–946PubMed
30.
Zurück zum Zitat Statistics Austria (2007) Statistical yearbook 2007. Population. Statistics Austria, Vienna, p 41 Statistics Austria (2007) Statistical yearbook 2007. Population. Statistics Austria, Vienna, p 41
31.
Zurück zum Zitat Taylor R, Page A, Morrell S, Harrison J, Carter G (2005) Social and psychiatric influences on urban–rural differentials in Australian suicide. Suicide Life Threat Behav 35:277–290PubMedCrossRef Taylor R, Page A, Morrell S, Harrison J, Carter G (2005) Social and psychiatric influences on urban–rural differentials in Australian suicide. Suicide Life Threat Behav 35:277–290PubMedCrossRef
32.
Zurück zum Zitat Waldhoer T, Berzlanovich A, Vutuc C, Haidinger G (2003) Rates of postmortem examination in Austria: the effect of distance between location of death and site of examination. J Clin Epidemiol 56:891–895PubMedCrossRef Waldhoer T, Berzlanovich A, Vutuc C, Haidinger G (2003) Rates of postmortem examination in Austria: the effect of distance between location of death and site of examination. J Clin Epidemiol 56:891–895PubMedCrossRef
33.
Zurück zum Zitat Zacharakis CA, Madianos MG, Papadimitriou GN, Stefanis CN (1998) Suicide in Greece 1980–1995: patterns and social factors. Soc Psychiatry Psychiatr Epidemiol 33:471–476PubMedCrossRef Zacharakis CA, Madianos MG, Papadimitriou GN, Stefanis CN (1998) Suicide in Greece 1980–1995: patterns and social factors. Soc Psychiatry Psychiatr Epidemiol 33:471–476PubMedCrossRef
Metadaten
Titel
Rural−urban differences in Austrian suicides
verfasst von
Nestor D. Kapusta, MD
Arno Zorman, MD
Elmar Etzersdorfer, MD
Elisabeth Ponocny-Seliger, PhD
Elisabeth Jandl-Jager, PhD
Gernot Sonneck, MD
Publikationsdatum
01.04.2008
Verlag
D. Steinkopff-Verlag
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 4/2008
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-008-0317-1

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