Decomposing the change of suicide rates in the United States 2001-2023.

IF 6.1 2区 医学 Q1 PSYCHIATRY
Paul S F Yip, Yu Cheng Hsu, Tsz Mei Lam, Yunyu Xiao, Eric Caine
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引用次数: 0

Abstract

Introduction: Suicide rates in the United States have been increasing, necessitating an understanding of demographic variations by ethnicity, age, sex and method to inform effective prevention strategies.

Objective: To dissect suicide rates in the US population from 2001 to 2023 by age, sex, ethnicity, and method.

Methods: This retrospective observational study utilized suicide data and population statistics from the CDC's WISQARS database for the years 2001 (n = 30,418), 2018 (n = 48,132), 2020 (n = 45,721) and 2023 (n = 49,014). Cases were stratified by age, sex, ethnicity, and suicide method to assess trends and demographic differences.

Results: From 2001 to 2023, the overall US suicide rate rose from 10.7 to 14.6 per 100,000, with a temporary decrease in 2019 and 2020 (14.4 and 13.8, respectively). The primary driver of the increase was firearm-related suicides among White males, contributing 25.8% of the rise from 2001 to 2018 and 51.6% from 2020 to 2023. Decline between 2018 and 2020 was mainly due to reductions in firearm and drug-related suicides among White males, but firearm suicides surged again from 2020 to 2023. Additionally, firearm suicides among ethnic minorities, especially Black/African-American males, accounted for 14.0% of the increase during 2020-2023. Drug-related suicides also increased by 8.6% among White females aged 45 and older in the same period.

Conclusions: Firearm suicides are the leading factor in the changing suicide rates in the United States from 2001 to 2023, alongside rising drug-related suicides among White females. These trends highlight the necessity for targeted prevention efforts that consider demographic-specific factors and method accessibility.

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分解2001-2023年美国自杀率的变化。
导言:美国的自杀率一直在上升,有必要了解种族、年龄、性别和方法的人口变化,以告知有效的预防策略。目的:按年龄、性别、种族和方法分析2001年至2023年美国人口的自杀率。方法:本回顾性观察性研究利用美国疾病控制与预防中心WISQARS数据库2001年(n = 30,418)、2018年(n = 48,132)、2020年(n = 45,721)和2023年(n = 49,014)的自杀数据和人口统计数据。病例按年龄、性别、种族和自杀方法分层,以评估趋势和人口统计学差异。结果:从2001年到2023年,美国整体自杀率从每10万人10.7人上升到14.6人,在2019年和2020年暂时下降(分别为14.4人和13.8人)。这一增长的主要驱动因素是白人男性与枪支有关的自杀,在2001年至2018年的增长中占25.8%,在2020年至2023年的增长中占51.6%。2018年至2020年期间的下降主要是由于白人男性枪支和毒品相关自杀事件的减少,但从2020年到2023年,枪支自杀事件再次激增。此外,在2020-2023年期间,少数民族,特别是黑人/非裔美国男性的枪支自杀占增长量的14.0%。同期,45岁及以上的白人女性中与毒品有关的自杀也增加了8.6%。结论:枪支自杀是2001年至2023年美国自杀率变化的主要因素,同时白人女性中与毒品有关的自杀也在上升。这些趋势突出表明,必须开展有针对性的预防工作,考虑到人口特定因素和方法可及性。
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
CiteScore
7.80
自引率
1.20%
发文量
121
审稿时长
>12 weeks
期刊介绍: Epidemiology and Psychiatric Sciences is a prestigious international, peer-reviewed journal that has been publishing in Open Access format since 2020. Formerly known as Epidemiologia e Psichiatria Sociale and established in 1992 by Michele Tansella, the journal prioritizes highly relevant and innovative research articles and systematic reviews in the areas of public mental health and policy, mental health services and system research, as well as epidemiological and social psychiatry. Join us in advancing knowledge and understanding in these critical fields.
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