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Exploring social, economic, and environmental correlates of suicide in Puerto Rico, 2017-2022: an ecological cross-sectional study.


ABSTRACT:

Background

Puerto Rico (PR) endures numerous natural and human-caused disasters with significant impacts on community health and infrastructure each year. The Centers for Disease Control's Social Vulnerability Index (CDC-SVI) quantifies a community's capacity to prepare, respond, and recover from disasters. The SVI has been linked to all-cause mortality in the continental US, however, its relevance to suicide mortality, particularly in PR, remains understudied.

Methods

This cross-sectional study analyzed data from 1,471 suicide decedents recorded in the PR site of the National Violent Death Reporting System (NVDRS) from 2017 to 2022. Using Bayesian Poisson hierarchical models, we examined the associations between the county-level CDC-SVI with age- and sex-standardized suicid

SUBMITTER: Rodriguez-Putnam A 

PROVIDER: S-EPMC12777042 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature