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Erschienen in: The European Journal of Health Economics 3/2017

02.03.2016 | Original Paper

Economic crisis and suicides in Spain. Socio-demographic and regional variability

verfasst von: Ruiz-Perez Isabel, Rodriguez-Barranco Miguel, Rojas-Garcia Antonio, Mendoza-Garcia Oscar

Erschienen in: The European Journal of Health Economics | Ausgabe 3/2017

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Abstract

Background

Evidence from previous recessions suggests that at times of economic deterioration, suicides increase. Spain has been one of the European countries hardest hit by the financial crisis that started in 2008. The aim of this paper is to examine the impact of the double-dip recession in Spain on the most recent trends in suicide.

Methods

Suicide data from the years 2002–2012 were obtained from the ‘Death Statistic according to Cause of Death’ of the National Statistics Institute (NSI). Population figures were obtained from the population estimates of the NSI.

Results

While the suicide rate decreased between 2002 and 2012, the downward trend has reversed twice, in 2008–2009, and in 2012. This rise was particularly pronounced in males, with the rate ratio of 1.12 (95 % CI 1.05–1.20) in 2008 and 1.10 (95 % CI 1.03–1.18) in 2009. Following a decrease in 2010 and 2011, suicides among males have increased again in 2012—with RR of 1.10 (95 % CI 1.03–1.18) compared to 2007, however the difference between 2011 amounted to 14 % rise—the biggest interannual change in a decade. There was a similar but less pronounced pattern in females. Regional data showed variable results.

Conclusions

These results suggest that the Spanish economic crisis has been associated with suicide rates in 2008, 2009, and 2012. These findings are consistent with the double-dip recession that Spain experienced.
Literatur
1.
Zurück zum Zitat Karanikolos, M., Mladovsky, P., Cylus, J., Thomson, S., Basu, S., Stuckler, D., et al.: Financial crisis, austerity, and health in Europe. Lancet. 381(9874), 1323–1331 (2013)CrossRefPubMed Karanikolos, M., Mladovsky, P., Cylus, J., Thomson, S., Basu, S., Stuckler, D., et al.: Financial crisis, austerity, and health in Europe. Lancet. 381(9874), 1323–1331 (2013)CrossRefPubMed
2.
Zurück zum Zitat Stuckler, D., Basu, S., Suhrcke, M., Coutts, A., McKee, M.: Effects of the 2008 recession on health: a first look at European data. Lancet. 378, 124–125 (2011)CrossRefPubMed Stuckler, D., Basu, S., Suhrcke, M., Coutts, A., McKee, M.: Effects of the 2008 recession on health: a first look at European data. Lancet. 378, 124–125 (2011)CrossRefPubMed
3.
Zurück zum Zitat Kentikelenis, A., Karanikolos, M., Papanicolas, I., Basu, S., McKee, M., Stuckler, D.: Health effects of financial crisis: omens of a Greek tragedy. Lancet. 378(9801), 1457–1458 (2011)CrossRefPubMed Kentikelenis, A., Karanikolos, M., Papanicolas, I., Basu, S., McKee, M., Stuckler, D.: Health effects of financial crisis: omens of a Greek tragedy. Lancet. 378(9801), 1457–1458 (2011)CrossRefPubMed
4.
Zurück zum Zitat Regidor, E., Barrio, G., Bravo, M.J., de la, F.L.: Has health in Spain been declining since the economic crisis? J. Epidemiol. Community Health. 68, 280–282 (2014)CrossRefPubMed Regidor, E., Barrio, G., Bravo, M.J., de la, F.L.: Has health in Spain been declining since the economic crisis? J. Epidemiol. Community Health. 68, 280–282 (2014)CrossRefPubMed
5.
Zurück zum Zitat Roca, M., Gili, M., Garcia-Campayo, J., Garcia-Toro, M.: Economic crisis and mental health in Spain. Lancet. 382, 1977–1978 (2013)CrossRefPubMed Roca, M., Gili, M., Garcia-Campayo, J., Garcia-Toro, M.: Economic crisis and mental health in Spain. Lancet. 382, 1977–1978 (2013)CrossRefPubMed
6.
Zurück zum Zitat Stuckler, D., Basu, S., Suhrcke, M., Coutts, A., McKee, M.: The public health effect of economic crises and alternative policy responses in Europe: an empirical analysis. Lancet. 374, 315–323 (2009)CrossRefPubMed Stuckler, D., Basu, S., Suhrcke, M., Coutts, A., McKee, M.: The public health effect of economic crises and alternative policy responses in Europe: an empirical analysis. Lancet. 374, 315–323 (2009)CrossRefPubMed
7.
Zurück zum Zitat Catalano, R., Goldman-Mellor, S., Saxton, K., Margerison-Zilko, C., Subbaraman, M., LeWinn, K., et al.: The health effects of economic decline. Annu. Health. 32, 431–450 (2011)CrossRef Catalano, R., Goldman-Mellor, S., Saxton, K., Margerison-Zilko, C., Subbaraman, M., LeWinn, K., et al.: The health effects of economic decline. Annu. Health. 32, 431–450 (2011)CrossRef
8.
Zurück zum Zitat Stuckler, D., Meissner, C., Fishback, P., Basu, S., McKee, M.: Banking crises and mortality during the great depression: evidence from US urban populations, 1929–1937. J. Epidemiol. Community Health. 66, 410–419 (2012)CrossRefPubMed Stuckler, D., Meissner, C., Fishback, P., Basu, S., McKee, M.: Banking crises and mortality during the great depression: evidence from US urban populations, 1929–1937. J. Epidemiol. Community Health. 66, 410–419 (2012)CrossRefPubMed
9.
Zurück zum Zitat Tapia Granados, J.A.: Recessions and mortality in Spain, 1980–1997. Eur. J. Popul. 21(4), 393–422 (2005)CrossRef Tapia Granados, J.A.: Recessions and mortality in Spain, 1980–1997. Eur. J. Popul. 21(4), 393–422 (2005)CrossRef
10.
Zurück zum Zitat Ruhm, C.J.: Are recessions good for your health? Q. J. Econ. 115(2), 617–650 (2000)CrossRef Ruhm, C.J.: Are recessions good for your health? Q. J. Econ. 115(2), 617–650 (2000)CrossRef
11.
Zurück zum Zitat Milner, A., Page, A., LaMontagne, A.D.: Long-term unemployment and suicide: a systematic review and meta-analysis. PLoSOne. 8, e51333 (2013)CrossRef Milner, A., Page, A., LaMontagne, A.D.: Long-term unemployment and suicide: a systematic review and meta-analysis. PLoSOne. 8, e51333 (2013)CrossRef
12.
Zurück zum Zitat Reeves, A., McKee, M., Stuckler, D.: Economic suicides in the Great Recession in Europe and North America. Br. J. Psychiatry. 205(3), 246–247 (2014)CrossRefPubMed Reeves, A., McKee, M., Stuckler, D.: Economic suicides in the Great Recession in Europe and North America. Br. J. Psychiatry. 205(3), 246–247 (2014)CrossRefPubMed
13.
Zurück zum Zitat Chang, S.S., Stuckler, D., Yip, P., Gunnell, D.: Impact of 2008 global economic crisis on suicide: time trend study in 54 countries. BMJ. 347, f5239 (2013)CrossRefPubMedPubMedCentral Chang, S.S., Stuckler, D., Yip, P., Gunnell, D.: Impact of 2008 global economic crisis on suicide: time trend study in 54 countries. BMJ. 347, f5239 (2013)CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Legido-Quigley, H., Urdaneta, E., Gonzalez, A., La Parra, D., Muntaner, C., Alvarez-Dardet, C., et al.: Erosion of universal health coverage in Spain. Lancet. 382, 1977 (2013)CrossRefPubMed Legido-Quigley, H., Urdaneta, E., Gonzalez, A., La Parra, D., Muntaner, C., Alvarez-Dardet, C., et al.: Erosion of universal health coverage in Spain. Lancet. 382, 1977 (2013)CrossRefPubMed
18.
Zurück zum Zitat Gili, M., Roca, M., Basu, S., McKee, M., Stuckler, D.: The mental health risks of economic crisis in Spain: evidence from primary care centres, 2006 and 2010. Eur. J. Public Health. 23, 103–108 (2013)CrossRefPubMed Gili, M., Roca, M., Basu, S., McKee, M., Stuckler, D.: The mental health risks of economic crisis in Spain: evidence from primary care centres, 2006 and 2010. Eur. J. Public Health. 23, 103–108 (2013)CrossRefPubMed
20.
Zurück zum Zitat Bartoll, X., Palencia, L., Malmusi, D., Suhrcke, M., Borrell, C.: The evolution of mental health in Spain during the economic crisis. Eur. J. Public Health. 24(3), 415–418(2013)CrossRefPubMed Bartoll, X., Palencia, L., Malmusi, D., Suhrcke, M., Borrell, C.: The evolution of mental health in Spain during the economic crisis. Eur. J. Public Health. 24(3), 415–418(2013)CrossRefPubMed
21.
Zurück zum Zitat Drydakis, N.: The effect of unemployment on self-reported health and mental health in Greece from 2008 to 2013: a longitudinal study before and during the financial crisis. Soc. Sci. Med. 2015, 128 (1982) Drydakis, N.: The effect of unemployment on self-reported health and mental health in Greece from 2008 to 2013: a longitudinal study before and during the financial crisis. Soc. Sci. Med. 2015, 128 (1982)
22.
Zurück zum Zitat Norstrom, T., Gronqvist, H.: The great recession, unemployment and suicide. J. Epidemiol. Community Health. 69(2), 110–116 (2015)CrossRefPubMed Norstrom, T., Gronqvist, H.: The great recession, unemployment and suicide. J. Epidemiol. Community Health. 69(2), 110–116 (2015)CrossRefPubMed
23.
Zurück zum Zitat Laanani, M., Ghosn, W., Jougla, E., Rey, G.: Impact of unemployment variations on suicide mortality in Western European countries (2000–2010): authors’ reply. J. Epidemiol. Community Health. 69(8), 819–820 (2015)CrossRefPubMed Laanani, M., Ghosn, W., Jougla, E., Rey, G.: Impact of unemployment variations on suicide mortality in Western European countries (2000–2010): authors’ reply. J. Epidemiol. Community Health. 69(8), 819–820 (2015)CrossRefPubMed
24.
Zurück zum Zitat Alvaro-Meca, A., Kneib, T., Gil-Prieto, R., Miguel, A.G.: Epidemiology of suicide in Spain, 1981–2008: a spatiotemporal analysis. Public Health. 127(4), 380–385 (2013)CrossRefPubMed Alvaro-Meca, A., Kneib, T., Gil-Prieto, R., Miguel, A.G.: Epidemiology of suicide in Spain, 1981–2008: a spatiotemporal analysis. Public Health. 127(4), 380–385 (2013)CrossRefPubMed
25.
Zurück zum Zitat Lopez-Bernal, J.A., Gasparrini, A., Artundo, C.M., McKee, M.: The effect of the late 2000s financial crisis on suicides in Spain: an interrupted time-series analysis. Eur. J. Public Health. 23, 732–736 (2013)CrossRefPubMed Lopez-Bernal, J.A., Gasparrini, A., Artundo, C.M., McKee, M.: The effect of the late 2000s financial crisis on suicides in Spain: an interrupted time-series analysis. Eur. J. Public Health. 23, 732–736 (2013)CrossRefPubMed
26.
Zurück zum Zitat Alameda-Palacios, J., Ruiz-Ramos, M., Garcia-Robredo, B.: Suicide, antidepressant prescription and unemployment in Andalusia (Spain). Gac. Sanit. 28(4), 309–312 (2014)CrossRefPubMed Alameda-Palacios, J., Ruiz-Ramos, M., Garcia-Robredo, B.: Suicide, antidepressant prescription and unemployment in Andalusia (Spain). Gac. Sanit. 28(4), 309–312 (2014)CrossRefPubMed
27.
Zurück zum Zitat Doll, R., Cook, P.: Summarizing indices for comparison of cancer incidence data. Int. J. Cancer. 2, 269–279 (1967)CrossRefPubMed Doll, R., Cook, P.: Summarizing indices for comparison of cancer incidence data. Int. J. Cancer. 2, 269–279 (1967)CrossRefPubMed
28.
Zurück zum Zitat Smith, R.L.: Estimating tails of probability distributions. Ann. Stat. 15, 1174–1207 (1987) Smith, R.L.: Estimating tails of probability distributions. Ann. Stat. 15, 1174–1207 (1987)
29.
Zurück zum Zitat Sahai, H., Khurshid, A.: Statistics in epidemiology: methods, techniques and applications. CRC Press (1995) Sahai, H., Khurshid, A.: Statistics in epidemiology: methods, techniques and applications. CRC Press (1995)
32.
Zurück zum Zitat Osypuk, T.L., Caldwell, C.H., Platt, R.W., Misra, D.P.: The consequences of foreclosure for depressive symptomatology. Ann. Epidemiol. 22, 379–387 (2012)CrossRefPubMedPubMedCentral Osypuk, T.L., Caldwell, C.H., Platt, R.W., Misra, D.P.: The consequences of foreclosure for depressive symptomatology. Ann. Epidemiol. 22, 379–387 (2012)CrossRefPubMedPubMedCentral
33.
Zurück zum Zitat McLaughlin, K.A., Nandi, A., Keyes, K.M., Uddin, M., Aiello, A.E., Galea, S., et al.: Home foreclosure and risk of psychiatric morbidity during the recent financial crisis. Psychol. Med. 42, 1441–1448 (2012)CrossRefPubMed McLaughlin, K.A., Nandi, A., Keyes, K.M., Uddin, M., Aiello, A.E., Galea, S., et al.: Home foreclosure and risk of psychiatric morbidity during the recent financial crisis. Psychol. Med. 42, 1441–1448 (2012)CrossRefPubMed
35.
Zurück zum Zitat Vlachadis, N., Vlachadi, M., Iliodromiti, Z., Kornarou, E., Vrachnis, N.: Greece’s economic crisis and suicide rates: overview and outlook. J. Epidemiol. Community Health. 68(12), 1204–1205 (2014)CrossRefPubMed Vlachadis, N., Vlachadi, M., Iliodromiti, Z., Kornarou, E., Vrachnis, N.: Greece’s economic crisis and suicide rates: overview and outlook. J. Epidemiol. Community Health. 68(12), 1204–1205 (2014)CrossRefPubMed
36.
Zurück zum Zitat Scherr, S., Reinemann, C.: Belief in a Werther effect: third-person effects in the perceptions of suicide risk for others and the moderating role of depression. Suicide Life Threat. 41, 624–634 (2011)CrossRef Scherr, S., Reinemann, C.: Belief in a Werther effect: third-person effects in the perceptions of suicide risk for others and the moderating role of depression. Suicide Life Threat. 41, 624–634 (2011)CrossRef
37.
Zurück zum Zitat Haw, C., Hawton, K., Niedzwiedz, C., Platt, S.: Suicide clusters: A review of risk factors and mechanisms. Suicide Life Threat. 43(1), 97–108 (2012)CrossRef Haw, C., Hawton, K., Niedzwiedz, C., Platt, S.: Suicide clusters: A review of risk factors and mechanisms. Suicide Life Threat. 43(1), 97–108 (2012)CrossRef
38.
Zurück zum Zitat Galbraith, J.K.: Inequality and Instability: A Study of the World Economy Just Before the Great Crisis (2012) Galbraith, J.K.: Inequality and Instability: A Study of the World Economy Just Before the Great Crisis (2012)
Metadaten
Titel
Economic crisis and suicides in Spain. Socio-demographic and regional variability
verfasst von
Ruiz-Perez Isabel
Rodriguez-Barranco Miguel
Rojas-Garcia Antonio
Mendoza-Garcia Oscar
Publikationsdatum
02.03.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
The European Journal of Health Economics / Ausgabe 3/2017
Print ISSN: 1618-7598
Elektronische ISSN: 1618-7601
DOI
https://doi.org/10.1007/s10198-016-0774-5

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