Contextual Factors Associated With County-Level Suicide Rates in the United States, 1999 to 2016.

ABSTRACT:

Importance

Understanding geographic and community-level factors associated with suicide can inform targeted suicide prevention efforts.

Objectives

To estimate suicide rates and trajectories, assess associated county-level contextual factors, and explore variation across the rural-urban continuum.

Design, setting, and participants

This cross-sectional study included all individuals aged 25 to 64 years who died by suicide from January 1, 1999, to December 31, 2016, in the United States. Spatial analysis was used to map excess risk of suicide, and longitudinal random-effects models using negative binomial regression tested associations of contextual variables with suicide rates as well as interactions among county-level contextual variables. Data analyses were conducted

SUBMITTER: Steelesmith DL 

PROVIDER: S-EPMC6735416 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature