Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016

Global Burden of Disease Self-Harm Collaborators, Heather M. Orpana, Laurie B. Marczak, Megha Arora, Nooshin Abbasi, Rizwan Suliankatchi Abdulkader, Zegeye Abebe, Haftom Niguse Abraha, Mohsen Afarideh, Mahdi Afshari, Alireza Ahmadi, Amani Nidhal Aichour, Ibtihel Aichour, Miloud Taki Eddine Aichour, Nadia Akseer, Rajaa M. Al‐raddadi, Fares Alahdab, Ala'a Alkerwi, Peter Allebeck, Nelson Alvis‐guzman & 31 others Nahla Hamed Anber, Mina Anjomshoa, Carl Abelardo T. Antonio, Amit Arora, Krishna K. Aryal, Solomon Weldegebreal Asgedom, Ashish Awasthi, Beatriz Paulina Ayala Quintanilla, Hamid Badali, Suzanne Lyn Barker‐collo, Till Winfried Bärnighausen, Shahrzad Bazargan‐hejazi, Corina Benjet, Isabela M. Bensenor, Noami Berfeld, Mircea Beuran, Zulfiqar A. Bhutta, Belete Biadgo, Nigus Bililign, Guilherme Borges, Rohan Borschmann, Alexandra Brazinova, Nicholas J.K. Breitborde, Traolach Brugha, Zahid A. Butt, Juan J. Carrero, Félix Carvalho, Deborah Carvalho Malta, Carlos A. Castañeda‐orjuela, Ferrán Catalá‐lópez, Grant M.A. Wyper

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives To use the estimates from the Global Burden of Disease Study 2016 to describe patterns of suicide mortality globally, regionally, and for 195 countries and territories by age, sex, and Socio-demographic index, and to describe temporal trends between 1990 and 2016. Design Systematic analysis. Main outcome measures Crude and age standardised rates from suicide mortality and years of life lost were compared across regions and countries, and by age, sex, and Socio-demographic index (a composite measure of fertility, income, and education). Results The total number of deaths from suicide increased by 6.7% (95% uncertainty interval 0.4% to 15.6%) globally over the 27 year study period to 817 000 (762 000 to 884 000) deaths in 2016. However, the age standardised mortality rate for suicide decreased by 32.7% (27.2% to 36.6%) worldwide between 1990 and 2016, similar to the decline in the global age standardised mortality rate of 30.6%. Suicide was the leading cause of age standardised years of life lost in the Global Burden of Disease region of high income Asia Pacific and was among the top 10 leading causes in eastern Europe, central Europe, western Europe, central Asia, Australasia, southern Latin America, and high income North America. Rates for men were higher than for women across regions, countries, and age groups, except for the 15 to 19 age group. There was variation in the female to male ratio, with higher ratios at lower levels of Socio-demographic index. Women experienced greater decreases in mortality rates (49.0%, 95% uncertainty interval 42.6% to 54.6%) than men (23.8%, 15.6% to 32.7%). Conclusions Age standardised mortality rates for suicide have greatly reduced since 1990, but suicide remains an important contributor to mortality worldwide. Suicide mortality was variable across locations, between sexes, and between age groups. Suicide prevention strategies can be targeted towards vulnerable populations if they are informed by variations in mortality rates.

LanguageEnglish
Article number94
Number of pages11
JournalBMJ (Online)
Volume364
DOIs
Publication statusPublished - 6 Feb 2019

Fingerprint

Suicide
Mortality
Age Groups
Demography
Uncertainty
Australasia
Central Asia
Global Burden of Disease
Eastern Europe
Latin America
Vulnerable Populations
North America
Fertility
Outcome Assessment (Health Care)
Education

Keywords

  • suicidal behavior
  • suicide mortality
  • global burden of disease

Cite this

@article{14793f12427c48d791eb3308e210a14a,
title = "Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016",
abstract = "Objectives To use the estimates from the Global Burden of Disease Study 2016 to describe patterns of suicide mortality globally, regionally, and for 195 countries and territories by age, sex, and Socio-demographic index, and to describe temporal trends between 1990 and 2016. Design Systematic analysis. Main outcome measures Crude and age standardised rates from suicide mortality and years of life lost were compared across regions and countries, and by age, sex, and Socio-demographic index (a composite measure of fertility, income, and education). Results The total number of deaths from suicide increased by 6.7{\%} (95{\%} uncertainty interval 0.4{\%} to 15.6{\%}) globally over the 27 year study period to 817 000 (762 000 to 884 000) deaths in 2016. However, the age standardised mortality rate for suicide decreased by 32.7{\%} (27.2{\%} to 36.6{\%}) worldwide between 1990 and 2016, similar to the decline in the global age standardised mortality rate of 30.6{\%}. Suicide was the leading cause of age standardised years of life lost in the Global Burden of Disease region of high income Asia Pacific and was among the top 10 leading causes in eastern Europe, central Europe, western Europe, central Asia, Australasia, southern Latin America, and high income North America. Rates for men were higher than for women across regions, countries, and age groups, except for the 15 to 19 age group. There was variation in the female to male ratio, with higher ratios at lower levels of Socio-demographic index. Women experienced greater decreases in mortality rates (49.0{\%}, 95{\%} uncertainty interval 42.6{\%} to 54.6{\%}) than men (23.8{\%}, 15.6{\%} to 32.7{\%}). Conclusions Age standardised mortality rates for suicide have greatly reduced since 1990, but suicide remains an important contributor to mortality worldwide. Suicide mortality was variable across locations, between sexes, and between age groups. Suicide prevention strategies can be targeted towards vulnerable populations if they are informed by variations in mortality rates.",
keywords = "suicidal behavior, suicide mortality, global burden of disease",
author = "{Global Burden of Disease Self-Harm Collaborators} and Orpana, {Heather M.} and Marczak, {Laurie B.} and Megha Arora and Nooshin Abbasi and Abdulkader, {Rizwan Suliankatchi} and Zegeye Abebe and Abraha, {Haftom Niguse} and Mohsen Afarideh and Mahdi Afshari and Alireza Ahmadi and Aichour, {Amani Nidhal} and Ibtihel Aichour and Aichour, {Miloud Taki Eddine} and Nadia Akseer and Al‐raddadi, {Rajaa M.} and Fares Alahdab and Ala'a Alkerwi and Peter Allebeck and Nelson Alvis‐guzman and Anber, {Nahla Hamed} and Mina Anjomshoa and Antonio, {Carl Abelardo T.} and Amit Arora and Aryal, {Krishna K.} and Asgedom, {Solomon Weldegebreal} and Ashish Awasthi and Quintanilla, {Beatriz Paulina Ayala} and Hamid Badali and Barker‐collo, {Suzanne Lyn} and B{\"a}rnighausen, {Till Winfried} and Shahrzad Bazargan‐hejazi and Corina Benjet and Bensenor, {Isabela M.} and Noami Berfeld and Mircea Beuran and Bhutta, {Zulfiqar A.} and Belete Biadgo and Nigus Bililign and Guilherme Borges and Rohan Borschmann and Alexandra Brazinova and Breitborde, {Nicholas J.K.} and Traolach Brugha and Butt, {Zahid A.} and Carrero, {Juan J.} and F{\'e}lix Carvalho and Malta, {Deborah Carvalho} and Casta{\~n}eda‐orjuela, {Carlos A.} and Ferr{\'a}n Catal{\'a}‐l{\'o}pez and Wyper, {Grant M.A.}",
year = "2019",
month = "2",
day = "6",
doi = "10.1136/bmj.l94",
language = "English",
volume = "364",
journal = "BMJ",
issn = "0959-8138",

}

Global, regional, and national burden of suicide mortality 1990 to 2016 : systematic analysis for the Global Burden of Disease Study 2016. / Global Burden of Disease Self-Harm Collaborators ; Wyper, Grant M.A.

In: BMJ (Online), Vol. 364, 94, 06.02.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Global, regional, and national burden of suicide mortality 1990 to 2016

T2 - BMJ

AU - Global Burden of Disease Self-Harm Collaborators

AU - Orpana, Heather M.

AU - Marczak, Laurie B.

AU - Arora, Megha

AU - Abbasi, Nooshin

AU - Abdulkader, Rizwan Suliankatchi

AU - Abebe, Zegeye

AU - Abraha, Haftom Niguse

AU - Afarideh, Mohsen

AU - Afshari, Mahdi

AU - Ahmadi, Alireza

AU - Aichour, Amani Nidhal

AU - Aichour, Ibtihel

AU - Aichour, Miloud Taki Eddine

AU - Akseer, Nadia

AU - Al‐raddadi, Rajaa M.

AU - Alahdab, Fares

AU - Alkerwi, Ala'a

AU - Allebeck, Peter

AU - Alvis‐guzman, Nelson

AU - Anber, Nahla Hamed

AU - Anjomshoa, Mina

AU - Antonio, Carl Abelardo T.

AU - Arora, Amit

AU - Aryal, Krishna K.

AU - Asgedom, Solomon Weldegebreal

AU - Awasthi, Ashish

AU - Quintanilla, Beatriz Paulina Ayala

AU - Badali, Hamid

AU - Barker‐collo, Suzanne Lyn

AU - Bärnighausen, Till Winfried

AU - Bazargan‐hejazi, Shahrzad

AU - Benjet, Corina

AU - Bensenor, Isabela M.

AU - Berfeld, Noami

AU - Beuran, Mircea

AU - Bhutta, Zulfiqar A.

AU - Biadgo, Belete

AU - Bililign, Nigus

AU - Borges, Guilherme

AU - Borschmann, Rohan

AU - Brazinova, Alexandra

AU - Breitborde, Nicholas J.K.

AU - Brugha, Traolach

AU - Butt, Zahid A.

AU - Carrero, Juan J.

AU - Carvalho, Félix

AU - Malta, Deborah Carvalho

AU - Castañeda‐orjuela, Carlos A.

AU - Catalá‐lópez, Ferrán

AU - Wyper, Grant M.A.

PY - 2019/2/6

Y1 - 2019/2/6

N2 - Objectives To use the estimates from the Global Burden of Disease Study 2016 to describe patterns of suicide mortality globally, regionally, and for 195 countries and territories by age, sex, and Socio-demographic index, and to describe temporal trends between 1990 and 2016. Design Systematic analysis. Main outcome measures Crude and age standardised rates from suicide mortality and years of life lost were compared across regions and countries, and by age, sex, and Socio-demographic index (a composite measure of fertility, income, and education). Results The total number of deaths from suicide increased by 6.7% (95% uncertainty interval 0.4% to 15.6%) globally over the 27 year study period to 817 000 (762 000 to 884 000) deaths in 2016. However, the age standardised mortality rate for suicide decreased by 32.7% (27.2% to 36.6%) worldwide between 1990 and 2016, similar to the decline in the global age standardised mortality rate of 30.6%. Suicide was the leading cause of age standardised years of life lost in the Global Burden of Disease region of high income Asia Pacific and was among the top 10 leading causes in eastern Europe, central Europe, western Europe, central Asia, Australasia, southern Latin America, and high income North America. Rates for men were higher than for women across regions, countries, and age groups, except for the 15 to 19 age group. There was variation in the female to male ratio, with higher ratios at lower levels of Socio-demographic index. Women experienced greater decreases in mortality rates (49.0%, 95% uncertainty interval 42.6% to 54.6%) than men (23.8%, 15.6% to 32.7%). Conclusions Age standardised mortality rates for suicide have greatly reduced since 1990, but suicide remains an important contributor to mortality worldwide. Suicide mortality was variable across locations, between sexes, and between age groups. Suicide prevention strategies can be targeted towards vulnerable populations if they are informed by variations in mortality rates.

AB - Objectives To use the estimates from the Global Burden of Disease Study 2016 to describe patterns of suicide mortality globally, regionally, and for 195 countries and territories by age, sex, and Socio-demographic index, and to describe temporal trends between 1990 and 2016. Design Systematic analysis. Main outcome measures Crude and age standardised rates from suicide mortality and years of life lost were compared across regions and countries, and by age, sex, and Socio-demographic index (a composite measure of fertility, income, and education). Results The total number of deaths from suicide increased by 6.7% (95% uncertainty interval 0.4% to 15.6%) globally over the 27 year study period to 817 000 (762 000 to 884 000) deaths in 2016. However, the age standardised mortality rate for suicide decreased by 32.7% (27.2% to 36.6%) worldwide between 1990 and 2016, similar to the decline in the global age standardised mortality rate of 30.6%. Suicide was the leading cause of age standardised years of life lost in the Global Burden of Disease region of high income Asia Pacific and was among the top 10 leading causes in eastern Europe, central Europe, western Europe, central Asia, Australasia, southern Latin America, and high income North America. Rates for men were higher than for women across regions, countries, and age groups, except for the 15 to 19 age group. There was variation in the female to male ratio, with higher ratios at lower levels of Socio-demographic index. Women experienced greater decreases in mortality rates (49.0%, 95% uncertainty interval 42.6% to 54.6%) than men (23.8%, 15.6% to 32.7%). Conclusions Age standardised mortality rates for suicide have greatly reduced since 1990, but suicide remains an important contributor to mortality worldwide. Suicide mortality was variable across locations, between sexes, and between age groups. Suicide prevention strategies can be targeted towards vulnerable populations if they are informed by variations in mortality rates.

KW - suicidal behavior

KW - suicide mortality

KW - global burden of disease

UR - http://www.scopus.com/inward/record.url?scp=85061305951&partnerID=8YFLogxK

U2 - 10.1136/bmj.l94

DO - 10.1136/bmj.l94

M3 - Article

VL - 364

JO - BMJ

JF - BMJ

SN - 0959-8138

M1 - 94

ER -