Regional Deprivation and Suicide.

IF 6.5 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Deutsches Arzteblatt international Pub Date : 2024-07-12 DOI:10.3238/arztebl.m2024.0069

Matthias Hans Belau

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引用次数: 0

Abstract

Background: Regional deprivation due to regional economic and social differences can increase the risk of suicide. This study investigated whether regional structural deprivation in Germany is associated with a higher rate of suicide.

Methods: Data from cause-of-death statistics for the years 2015-2021 were analyzed. A regression analysis for data with a negative binomial distribution was used to study the association between suicide mortality and the German Index of Multiple Deprivation (GIMD), which is based on data from 2015 and includes 401 districts and independent cities in Germany.

Results: Among the districts and independent cities covered by the GIMD, the quintile with the highest deprivation had higher suicide rates than the quintile with the lowest deprivation (relative risk [RR]: 1.85; 95% confidence interval [1.72; 2.00]). A sensitivity analysis revealed similar associations when the analysis was restricted to men (RR = 1.99 [1.80; 2.18]) or women (RR = 1.69 [1.49; 1.92]). A stronger association, however, was found in a comparison of rural (RR = 2.29 [2.04; 2.57]) with urban areas (RR = 1.51 [1.36; 1.68]).

Conclusion: These findings document an association between regional deprivation and suicide. They highlight the need for a more targeted approach to suicide prevention in deprived regions. At the same time, more research is needed into the mechanisms and effects of regional deprivation on mortality due to suicide.

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地区贫困与自杀--一项生态学研究。

背景：地区经济和社会差异导致的地区贫困会增加自杀风险。本研究调查了德国的地区结构性贫困是否与较高的自杀率有关：方法：分析了 2015-2021 年的死因统计数据。对负二项分布的数据进行回归分析，研究自杀死亡率与德国多重贫困指数（GIMD）之间的关联，该指数基于2015年的数据，包括德国401个地区和独立城市：在德国多重贫困指数所涵盖的地区和独立城市中，贫困程度最高的五分之一人口的自杀率高于贫困程度最低的五分之一人口（相对风险 [RR]：1.85；95% 置信区间 [1.72；2.00]）。一项敏感性分析显示，当分析仅限于男性（RR = 1.99 [1.80; 2.18]）或女性（RR = 1.69 [1.49; 1.92]）时，两者之间存在类似的关联。然而，在农村地区（RR = 2.29 [2.04; 2.57]）与城市地区（RR = 1.51 [1.36; 1.68]）的比较中发现了更强的关联性：这些研究结果证明了地区贫困与自杀之间的联系。结论：这些研究结果证明了地区贫困与自杀之间的联系，并强调有必要在贫困地区采取更有针对性的方法来预防自杀。同时，还需要对地区贫困对自杀死亡率的影响机制进行更多研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Deutsches Arzteblatt international 医学-医学：内科

CiteScore

4.10

自引率

5.20%

发文量

306

审稿时长

4-8 weeks

期刊介绍： Deutsches Ärzteblatt International is a bilingual (German and English) weekly online journal that focuses on clinical medicine and public health. It serves as the official publication for both the German Medical Association and the National Association of Statutory Health Insurance Physicians. The journal is dedicated to publishing independent, peer-reviewed articles that cover a wide range of clinical medicine disciplines. It also features editorials and a dedicated section for scientific discussion, known as correspondence. The journal aims to provide valuable medical information to its international readership and offers insights into the German medical landscape. Since its launch in January 2008, Deutsches Ärzteblatt International has been recognized and included in several prestigious databases, which helps to ensure its content is accessible and credible to the global medical community. These databases include: Carelit CINAHL (Cumulative Index to Nursing and Allied Health Literature) Compendex DOAJ (Directory of Open Access Journals) EMBASE (Excerpta Medica database) EMNursing GEOBASE (Geoscience & Environmental Data) HINARI (Health InterNetwork Access to Research Initiative) Index Copernicus Medline (MEDLARS Online) Medpilot PsycINFO (Psychological Information Database) Science Citation Index Expanded Scopus By being indexed in these databases, Deutsches Ärzteblatt International's articles are made available to researchers, clinicians, and healthcare professionals worldwide, contributing to the global exchange of medical knowledge and research.