Dataset Information

Rurality as a Risk Factor for Attempted Suicide and Death by Suicide in Ontario, Canada.

ABSTRACT:

Objective

This study aims to examine rural and urban differences in attempted suicide and death by suicide in Ontario, Canada.

Method

This is a population-based nested case-control study. Data were obtained from administrative databases held at ICES, which capture all hospital and emergency department visits across Ontario between 2007 and 2017. All adults living in Ontario who attempted suicide or died by suicide are included in the study, and controls were matched by sex and age. Suicides were captured using vital statistics. Suicide attempts were determined using emergency department service codes.

Results

Rurality is a risk factor for attempted suicide and death by suicide. Rural males are more likely to die by suicide compared with urban males (adjusted odds ratio(AOR) = 1.70, 95% confidence interval (CI), 1.49 to 1.95), and the odds of death by suicide increase with increasing levels of rurality. Rural males and females have an increased risk of attempted suicide compared with their urban counterparts (males: AOR = 1.37, 95% CI, 1.24 to 1.50) (females: AOR = 1.26, 95% CI, 1.14 to 1.39), with a pattern of increasing risk of suicide attempts with increasing rurality. Rural females are not at increased risk of suicide compared with urban females (AOR = 1.08, 95% CI, 0.80 to 1.45). Sensitivity analyses corroborated the results.

Conclusions

Rural males are almost two times more likely to die by suicide compared with urban males, and both rural males and females have an elevated risk of suicide attempts compared with urban residents. Future research should examine potential mediators of the relationship between rurality and suicide.

SUBMITTER: Barry R

PROVIDER: S-EPMC9449140 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Rurality as a Risk Factor for Attempted Suicide and Death by Suicide in Ontario, Canada.

Barry Rebecca R Rehm Jürgen J de Oliveira Claire C Gozdyra Peter P Chen Simon S Kurdyak Paul P

Canadian journal of psychiatry. Revue canadienne de psychiatrie 20211118 9

<h4>Objective</h4>This study aims to examine rural and urban differences in attempted suicide and death by suicide in Ontario, Canada.<h4>Method</h4>This is a population-based nested case-control study. Data were obtained from administrative databases held at ICES, which capture all hospital and emergency department visits across Ontario between 2007 and 2017. All adults living in Ontario who attempted suicide or died by suicide are included in the study, and controls were matched by sex and age ...[more]

PMID: 34792420

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Dataset Information

Rurality as a Risk Factor for Attempted Suicide and Death by Suicide in Ontario, Canada.

Objective

Method

Results

Conclusions

Publications

Rurality as a Risk Factor for Attempted Suicide and Death by Suicide in Ontario, Canada.

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