Inequalities in suicide mortality rates and the economic recession in the municipalities of Catalonia, Spain

International Journal for Equity in Health
Carme SaurinaMarc Saez

Abstract

While previous research already exists on the impact of the current economic crisis and whether it leads to an increase in mortality by suicide, our objective in this paper is to determine if the increase in the suicide rate in Catalonia, Spain from 2010 onwards has been statistically significant and whether it is associated with rising unemployment. We used hierarchical mixed models, separately considering the crude death rate of suicides for municipalities with more than and less than 10,000 inhabitants as dependent variables both unstratified and stratified according to gender and/or age group. In municipalities with 10,000 or more inhabitants there was an increase in the relative risk of suicide from 2009 onwards. This increase was only statistically significant for working-aged women (16-64 years). In municipalities with less than 10,000 inhabitants the relative risk showed a decreasing trend even after 2009. In no case did we find the unemployment rate to be associated (statistically significant) with the suicide rate. The increase in the suicide rate from 2010 in Catalonia was not statistically significant as a whole, with the exception of working-aged women (16-64 years) living in municipalities with 10,000 or more inha...Continue Reading

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Citations

Sep 8, 2017·BMC Public Health·Javier Alvarez-GalvezLuis Salvador-Carulla
Mar 5, 2016·International Journal for Equity in Health·Antonio Escolar PujolarMiguel San Sebastian
Jul 28, 2016·Applied Health Economics and Health Policy·Beatriz G Lopez-Valcarcel, Patricia Barber
Jul 25, 2019·International Journal of Environmental Research and Public Health·Marc SaezAntonio Daponte
Apr 30, 2021·International Journal of Health Services : Planning, Administration, Evaluation·Christian Ortega-LoubonMaría Heredia-Rodríguez

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