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Social Psychiatry and Psychiatric Epidemiology

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01.12.2014 | Original Paper

The influence of deprivation on suicide mortality in urban and rural Queensland: an ecological analysis

verfasst von: Chi-kin Law, Anne-Marie Snider, Diego De Leo

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 12/2014

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Abstract

Purpose

A trend of higher suicide rates in rural and remote areas as well as areas with low socioeconomic status has been shown in previous research. Little is known whether the influence of social deprivation on suicide differs between urban and rural areas. This investigation aims to examine how social deprivation influences suicide mortality and to identify which related factors of deprivation have a higher potential to reduce suicide risk in urban and rural Queensland, Australia.

Methods

Suicide data from 2004 to 2008 were obtained from the Queensland Suicide Register. Age-standardized suicide rates (15+ years) and rate ratios, with a 95 % confidence interval, for 38 Statistical Subdivisions (SSDs) in Queensland were calculated. The influence of deprivation-related variables on suicide and their rural–urban difference were modelled by log-linear regression analyses through backward elimination.

Results

Among the 38 SSDs in Queensland, eight had a higher suicide risk while eleven had a lower rate. Working-age males (15–59 years) had the most pronounced geographic variation in suicide rate. In urban areas, suicide rates were positively associated with tenant households in public housing, Aboriginal and Torres Strait Islander people, the unemployment rate and median individual income, but inversely correlated with younger age and households with no internet access. In rural areas, only tenant households in public housing and households with no internet access heightened the risk of suicide, while a negative association was found for younger and older persons, low-skilled workers or labourers, and families with low income and no cars.

Conclusions

The extent to which social deprivation contributes to suicide mortality varies considerably between rural and urban areas.

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Australian Bureau of Statistics (2006) Australian Standard Geographical Classification (ASGC) July 2006 Catalogue No. 1216.0. http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/1216.0July%202011?OpenDocument. Assessed 14 Nov 2013

Australian Bureau of Statistics (2011) Census of Population and Housing: Socio-Economic Indexes for Areas (SEIFA), Australia, 2011 Catalogue No. 2033.0.55.001. http://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/2033.0.55.001Main+Features12011?OpenDocument. Assessed 14 Nov 2013

Ayala L, Navarro C (2007) The dynamics of housing deprivation. J Hous Econ 16:72–97CrossRef

Baum S (2008) Suburban scars: Australian cities and socio-economic deprivation: Report Paper 15. Urban Research Program, Griffith University, Brisbane, pp 1–67

Biddle L, Donovan J, Hawton K, Kapur N, Gunnell D (2008) Suicide and the internet. BMJ 336:800–802PubMedCentralPubMedCrossRef

Burnley IH (1995) Socioeconomic and spatial differentials in mortality and means of committing suicide in New South Wales, Australia, 1985–1991. Soc Sci Med 41(5):687–698PubMedCrossRef

Burrows S, LaFlamme L (2005) Living circumstances of suicide mortality in a South African city: an ecological study of differences across race groups and sexes. Suicide Life Threat Behav 35(5):592–603PubMedCrossRef

Cantor CH, Slater PJ, Najman JM (1995) Socioeconomic indices and suicide rate in Queensland. Aust N Z J Public Health 19(3):417–420

Cantor CH, Slater PJ (1997) A regional profile of suicide in Queensland. Aust N Z J Public Health 21(2):181–186PubMedCrossRef

10.

Carstairs V, Morris R (1989) Deprivation and mortality: an alternative to social class? Community Med 11:210–219PubMed

11.

Congdon P (1996) Suicide and para-suicide in London: a small area study. Urban Stud 33:137–158CrossRef

12.

Congdon P (2013) Assessing the impact of socioeconomic variables on small area variations in suicide outcomes in England. Int J Environ Res Public Health 10(1):158–177. doi:10.3390/ijerph10010158 PubMedCentralCrossRef

13.

De Leo D, Sveticic J, Kumpula E-K (2013) Suicide in Queensland, 2008–2010: mortality rates and related data. Longueville Media, Brisbane

14.

Department of the Environment (1983) Urban deprivation. Information Note No. 2. London Inner Cities Directorate, London, Department of the Environment

15.

Department of the Environment (1995) 1991 Deprivation Index: a review of approaches and a matrix of results. HMSO, London

16.

Drever F, Whitehead M (1995) Mortality in regions and local authority districts in the 1990s: exploring the relationship with deprivation. Popul Trends 82:19–27PubMed

17.

Duguid G, Grant R (1983) Areas of special need in Scotland. Central Research Unit, Scottish Office, Edinburgh

18.

Exeter DJ, Boyle PJ (2007) Does young adult suicide cluster geographically in Scotland? J Epidemiol Community Health 61(8):731–736. doi:10.1136/jech.2006.052365 PubMedCentralPubMedCrossRef

19.

Gregory IN (2009) Comparisons between geographies of morality and deprivation from the 1900s and 2001: spatial analysis of census and mortality statistics. BMJ 339:1–8CrossRef

20.

Ide N, Kolves K, Cassaniti M, De Leo D (2012) Suicide of first-generation immigrants in Australia, 1974–2006. Soc Psychiatry Psychiatr Epidemiol 47(12):1917–1927. doi:10.1007/s00127-012-0499-4 PubMedCrossRef

21.

Jarman B (1984) Underprivileged areas: validation and distribution of scores. BMJ 289:1587–1592PubMedCentralPubMedCrossRef

22.

Kennedy B, Firman D (2004) Indigenous SEIFA—revealing the ecological fallacy. In: Symposium conducted at the 12th biennial conference of the Australian Population Association, Canberra

23.

Law CK, Kolves K, De Leo D (2014) Suicide mortality in second-generation migrants, Australia, 2001–2008. Soc Psychiatry Psychiatr Epidemiol 49(4):601–608. doi:10.1007/s00127-013-0769-9

24.

Levin KA, Leyland AH (2005) Urban/rural inequalities in suicide in Scotland, 1981–1999. Soc Sci Med 60(12):2877–2890PubMedCrossRef

25.

McGrail M, Humphreys J (2009) Geographical classifications to guide rural health policy in Australia. Aust N Z Health Policy 6:28. doi:10.1186/1743-8462-6-28 CrossRef

26.

McLoone P, Boddy FA (1994) Deprivation and mortality in Scotland, 1981 and 1991. BMJ 309:1465–1470PubMedCentralPubMedCrossRef

27.

McPhedran S, De Leo D (2013) Miseries suffered, unvoiced, unknown? Communication of suicidal intent by men in “Rural” Queensland, Australia. Suicide Life Threat Behav. doi:10.1111/sltb.12041

28.

Middleton N, Sterne JAC, Gunnell DJ (2008) An atlas of suicide mortality: England and Wales, 1988–1994. Health Place 14(3):492–506. doi:10.1016/j.healthplace.2007.09.007 PubMedCrossRef

29.

Milner A, Doessel D, Williams R, Arnautovska U, De Leo D (2012) Contextual influences on suicide in the metropolitan, regional and remote areas of Queensland (Chapter two). In: Kolves K, Milner A, McKay K, De Leo D (eds) Suicide in Rural and Remote Areas of Australia. Australian Institute for Suicide Research and Prevention, Brisbane, pp 19–42

30.

Pampalon R, Hamel D, Gamache P, Philibert MD, Raymond G, Simpson A (2012) An area-based material and social deprivation index for public health in Québec and Canada. Can J Public Health 103(8 Suppl 2):S17–S22PubMed

31.

Qi X, Tong S, Hu W (2010) Spatial distribution of suicide in Queensland, Australia. BMC Psychiatry 10:106PubMedCentralPubMedCrossRef

32.

Rezaeian M, Dunn G, St Leger S, Appleby L (2005) The ecological association between suicide rates and indices of deprivation in English local authorities. Soc Psychiatry Psychiatr Epidemiol 40:785–791. doi:10.1007/s00127-005-0960-x PubMedCrossRef

33.

Saunders P (2005) The poverty wars: reconnecting research with reality. UNSW Press, Sydney

34.

Saunders P, Naidoo Y, Griffiths M (2007) Towards new indicators of disadvantage: deprivation and social exclusion in Australia. Social Policy Research Centre, University of New South Wales, Sydney, pp 1–107

35.

Singh G (2003) Area deprivation and widening inequalities in US mortality, 1969–1998. AJPH 93(7):1137–1143CrossRef

36.

Stark C, Hopkins P, Gibbs D, Rapson T, Belbin A, Hay A (2004) Trends in suicide in Scotland 1981–1999: age, method and geography. BMC Public Health 4. doi:10.1186/1471-2458-4-49

37.

Thompson S (1999) The internet and its potential influence on suicide. Psychiatric Bull 23:449–451CrossRef

38.

Townsend P (1978) Deprivation. J Soc Policy 16:125–146CrossRef

39.

Townsend P (1979) Poverty in United Kingdom. Penguin, Harmonswoth

40.

Townsend P, Davidson N, Whitehead M (1988) Inequalities in health: the Black report and the health divide. Pengiun, Harmondsworth

41.

The Area Based Analysis Unit (2009) Understanding patterns of deprivation. Reg Trends 41:93–114. doi:10.1057/rt.2009.7 CrossRef

42.

Wilkins R (2007) The changing socio-demographic composition of poverty in Australia: 1982 to 2004 Working Paper No. 12/07. Melbourne Institute of Applied Economic and Social Research, University of Melbourne, Melbourne

Titel: The influence of deprivation on suicide mortality in urban and rural Queensland: an ecological analysis
verfasst von: Chi-kin Law
Anne-Marie Snider
Diego De Leo
Publikationsdatum: 01.12.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 12/2014
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-014-0905-1

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Abstract

Purpose

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