Suicide and Undetermined Deaths Among Youths and Young Adults in Latin America
Comparison with the 10 Major Developed Countries – A Source of Hidden Suicides?
Abstract
In Latin American (LA) and the major developed countries (MDC) suicide and undetermined deaths are analyzed as methods of suicide and the number of undetermined deaths are similar, possibly containing hidden suicides. The goal was to test the likelihood that LA cultural attitudes lead to higher undetermined rates and more hidden suicides. We used 3-year WHO average mortality data to compare LA and MDC mortality by age and gender, and χ² tests to examine any differences. In 13 LA countries younger-aged (15–34) men and womens suicides were higher than all-age rates, and undetermined deaths exceeded the suicide rates. Nine LA countries had significantly more undetermined younger-aged male deaths than females. Sixteen of 18 LA countries had significantly higher undetermined death rates than the MDC. LA younger-aged malefs24 146s differential suicide: Undetermined rates indicated they may contain substantial numbers of hidden suicides. Inadvertently, cultural attitudes to suicide may hinder prevention.
References
(2004). Patterns and risk factors for intentional drug overdoses in Saudi Arabia. Canadian Journal of Psychiatry, 49, 331–334.
(2003). Unemployment and suicide: Evidence for their causal association. Journal of Epidemiology and Community Health, 57, 595–600.
(2005). Suicidal behavior in the community: Prevalence and factors associated with suicidal ideation. Review de Brasila Psiquiatria, 27, 45–53.
(1997). Under reporting of suicide in Ireland. Archives of Suicide Research, 3, 5–12.
(2005). Do suicide survivors suffer social stigma? A review of the literature. Perspectives on Psychiatric Care, 41, 14–21.
(1997). A century of suicide in Italy: A comparison between old and young. Suicide and Life Threatening Behavior, 6, 122–6.
. (1997). The healthier nation. London: HMSO.
(1966). Suicide. New York: Free Press.
(2001). An international comparison of youth [15–24] and young adult [25–34] homicide: Highlighting the USA anomaly. Critical Social Policy, 11, 83–93.
(1998). The international association for the prevention of suicide: The Adelaide Declaration. Crisis, 19, 50–52.
(1996). Age-period-cohort analysis of suicide mortality rates in Spain 1959–91. International Journal of Epidemiology, 25, 814–20.
(2003). Why are suicide rates in young men increasing? A time series analysis of trends in England and Wales 1950–1998. Social Science and Medicine, 57, 595–611.
(2002) The international handbook of suicide and attempted suicide. London: Wiley.
. (2005). Yearbook 2005. Geneva: International Labour Office.
(2006). Why people die by suicide. Harvard, MA: Harvard University Press.
(2006). Suicides in the developing world: A case study from Pakistan. Suicide and Life-Threatening Behavior, 36, 76–81.
(2003). Trends in mortality from suicide 1965–99. Acta Psychiatrica Scandinavia, 108, 341–9.
(2001). Open verdicts versus suicide: Importance to research. British Journal of Psychiatry, 178, 465–8.
(2003). Suicide mortality: Gender and socio-economic differences. Review Saude Publica, 37, 357–63.
(1992). Assessment and prediction of suicide. New York: Guilford.
(2004). Características epidemiológicas do suicídio no Rio Grande do Sul [
Epidemiological aspects of suicide in Rio Grande do sul Brazil ]. Revista de Saúde Pública, 38, 804–810.(2004). Review de Saude Publica, 38, 804–10.
(2002). An epidemiological study of poisoning in the northern Islamic Republic of Iran. East Mediterranean, 8, 88–94.
(2004). Suicide in Buenos Aires. Canadian Bulletin of Medical History, 21, 41–71.
(2007). An analysis of suicide and undetermined deaths in 17 predominantly Islamic countries, contrasted with the UK. Psychological Medicine, 37, 421–430.
(2000). Effects of age and gender on elderly suicide rates in Catholic and Orthodox countries: An inadvertent neglect? International Journal of Geriatric Psychiatry, 15, 904–910.
(2003). A comparative study of children and adult homicide rates in the USA and the major Western countries 1974–1999: Grounds for concern? Journal of Family Violence, 18, 341–350.
(2005a). Adolescent and youth suicide in England & Wales: An international comparison. International Journal of Adolescent Medicine Health, 17, 239–53.
(2005b). Comparison of suicide in people aged 65–74 and 75+ by gender in England & Wales and the major Developed countries. International Journal of Geriatric Psychiatry, 20, 17–25.
(2006). Suicide in the major Western countries 200–02. The violent deaths of September 11th 2001. Archives of Suicide Research, 10, 383–390.
(2003). Suicide risk in relation to socio-economic demographic, psychological and familial factors: A national register-based study of all suicides in Denmark 1981–1997. American Journal of Psychiatry, 160, 765–772.
(2005). Age-period cohort of suicide rates in Rio de Janeiro, Brazil 1979–1998. Social Psychiatry and Psychiatric Epidemiology, 40, 192–6.
(2004). Characteristics of suicides in Bogota 1985–2000. Review de Salud Publica, 6, 217–34.
(2005). Elderly suicide: An analysis of coroners inquests into two-hundred cases in Cheshire 1989–2001. Medical Science and Law, 45, 71–80.
(2003). Violent cause of death in young people 10–24 years old. Argentina 1991–2000. Vertex, 14, 40–8.
(1998). Suicide and the elderly. A review. International Journal of Clinical Practice, 2, 3–7.
(2002). Suicide among young people in selected Brazilian State capitals. Cadria Saude e Publica, 18, 673–683.
(2001). Accident or suicide? Predictors of coroners decisions in suicide and accident verdicts. Medicine Science and Law, 41, 111–115.
. (1999). The Surgeon Generals call to action to prevent suicide. Washington, DC: US Department of Health.
. (2005). Comparability of causes of death between ICD 9 & 10. National Vital Statistics Report. Hyattsville, MD: US National Center for Health Statistics.
. (2006) Health, United States, 2006. Washington, DC: U.S. Department of Health & Human Services.
. (1992) International classification of disease (10th ed.). Geneva, Switzerland: WHO.
. (1979–2005). Annual world health statistics. Retrieved January 2006 from www.whowhosis.org
(1993). Mortality from violent causes in the Americas. Boliva Oficina Saniat e Panama, 114, 302–16.
