Comparing gender-specific suicide mortality rate trends in the United States and Lithuania, 1990–2019: putting one of the “deaths of despair” into perspective

BMC Psychiatry

Olga Meščeriakova-Veliulienė¹  Courtney L. Bagge²  Mindaugas Štelemėkas³  Alexander Tran⁴  Jürgen Rehm⁵  Shannon Lange⁶  Charlotte Probst⁷  Domantas Jasilionis⁸  Mark S. Kaplan⁹ 

[1] Department of Health Management, Faculty of Public Health, Lithuanian University of Health Sciences, Tilžės 18, 47181, Kaunas, Lithuania;Department of Psychiatry, University of Michigan Medical School, 2800 Plymouth Road, 48109, Ann Arbor, MI, USA;Center for Clinical Management Research, Department of Veterans Affairs, 2215 Fuller Road, 48105, Ann Arbor, MI, USA;Health Research Institute, Faculty of Public Health, Lithuanian University of Health Sciences, Tilžės 18, 47181, Kaunas, Lithuania;Department of Preventive Medicine, Faculty of Public Health, Lithuanian University of Health Sciences, Tilžės 18, 47181, Kaunas, Lithuania;Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 33 Ursula Franklin Street, M5S 2S1, Toronto, ON, Canada;Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 33 Ursula Franklin Street, M5S 2S1, Toronto, ON, Canada;Campbell Family Mental Health Research Institute, CAMH, 250 College Street, M5T 1R8, Toronto, ON, Canada;Dalla Lana School of Public Health, University of Toronto, 155 College Street, 6th Floor, M5T 3M7, Toronto, ON, Canada;Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Chemnitzer Str. 46, 01187, Dresden, Germany;Department of Psychiatry, University of Toronto, 250 College Street, 8th Floor, M5T 1R8, Toronto, ON, Canada;Institute of Medical Science, Medical Sciences Building, University of Toronto, King’s College Circle, Room 2374, M5S 1A8, Toronto, ON, Canada;Center for Interdisciplinary Addiction Research, Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany;Department of International Health Projects, Institute for Leadership and Health Management, I.M. Sechenov First Moscow State Medical University, Trubetskaya str., 8, b. 2, 119992, Moscow, Russian Federation;Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 33 Ursula Franklin Street, M5S 2S1, Toronto, ON, Canada;Campbell Family Mental Health Research Institute, CAMH, 250 College Street, M5T 1R8, Toronto, ON, Canada;Department of Psychiatry, University of Toronto, 250 College Street, 8th Floor, M5T 1R8, Toronto, ON, Canada;Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 33 Ursula Franklin Street, M5S 2S1, Toronto, ON, Canada;Department of Psychiatry, University of Toronto, 250 College Street, 8th Floor, M5T 1R8, Toronto, ON, Canada;Heidelberg Institute of Global Health, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany;Laboratory of Demographic Data, Max Planck Institute for Demographic Research, Konrad-Zuse-Str. 1, 18057, Rostock, Germany;Demographic Research Centre, Faculty of Social Sciences, Vytautas Magnus University, Jonavos g. 66, 44191, Kaunas, Lithuania;Luskin School of Public Affairs, University of California, Los Angeles, 337 Charles E Young Drive East, 90095, Los Angeles, CA, USA;

关键词: Gender;    Mortality rate;    Suicide;    Trend;   

DOI  :  10.1186/s12888-022-03766-w

来源: Springer

【 摘 要 】

IntroductionThe increase in the suicide mortality rate among middle-aged adults in the United States (US) has been well documented. Aside from a few studies from the United Kingdom, it is unclear whether the suicide mortality rate trend in the US is also occurring in other developed countries. Accordingly, we aimed to compare the suicide mortality rate trends over the past 30 years in the US to a country in the European Union–Lithuania.MethodsJoinpoint regression analyses were performed to identify secular trends in the gender-specific age-standardized suicide mortality rate among individuals 15 + years of age, as well as middle-aged adults (45–54 years of age), and suicide mortality rate ratio for men-to-women.ResultsAge-standardized suicide mortality rates among middle-aged adults in the US increased annually, on average, by 0.89% (95% CI: 0.66%, 1.12%) among men and 1.21% (95% CI: 0.75%, 1.66%) among women between 1990 and 2019. In contrast to the US, there was an overall downward trend in the suicide mortality rates among middle-aged adults in Lithuania across the study period. The average annual percent change in the suicide mortality rate ratio for men-to-women were not statistically significant for either country.ConclusionThe suicide mortality rate trend in the US does not appear to be an indicator of an upcoming global trend, but rather should be regarded as a cautionary example of what other countries should strive to avoid.

【 授权许可】

CC BY