Influence of social and material individual and area deprivation on suicide mortality among 2.7 million Canadians: A prospective study
2011

Impact of Social and Material Deprivation on Suicide Rates in Canada

Sample size: 2685400 publication 10 minutes Evidence: moderate

Author Information

Author(s): Stephanie Burrows, Nathalie Auger, Philippe Gamache, Danielle St-Laurent, Denis Hamel

Primary Institution: Centre de recherche du Centre hospitalier de l'Université de Montréal

Hypothesis

The study aims to examine the relationship between individual social and material disadvantage and suicide mortality in Canada, and whether these relationships are modified by area deprivation.

Conclusion

Individual disadvantage is linked to higher suicide mortality, particularly among males, with limited evidence that area deprivation modifies this relationship.

Supporting Evidence

  • 260,820 deaths occurred during the study period, with 4,000 classified as suicides.
  • Suicide risk was particularly high among individuals who were unemployed or had low education.
  • Associations between individual disadvantage and suicide were similar across both sexes.

Takeaway

People who are not married, have low income, or are unemployed are more likely to commit suicide, especially in areas where many people are also struggling.

Methodology

The study used Cox proportional hazard models to analyze data from the Canadian Census Mortality Follow-up Study cohort.

Potential Biases

Potential biases include unmeasured area factors and the inability to account for self-selection of individuals into areas.

Limitations

The study could not adjust for certain covariates like substance use or psychiatric illness, and results may not generalize to younger adults or those in the Territories.

Participant Demographics

The cohort included approximately 15% of the Canadian non-institutionalized population aged 25+ years.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2458-11-577

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