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The Association of Suicide Rates with Individual‐Level Suicide Attitudes: A Cross‐National Analysis

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  • Steven Stack
  • Augustine J. Kposowa

Abstract

Objective. Research on the predictors of individual‐level attitudes toward suicide has neglected the possible role of contextual‐level predictors. The present study addresses this gap in the literature by assessing the association between suicide rates and the attitudes of individuals. Based on social learning theory, it is argued that persons socialized in nations with relatively high rates of suicide are more likely to be exposed to suicidal role models, which provide positive definitions of suicide. Methods. Data refer to 40,873 adults in 31 nations, and are taken from the World Health Organization and World Values Surveys. Given the bi‐level nature of the data, hierarchical linear modeling techniques (HLM) are utilized. Additional predictor variables are incorporated from previous research and include religious participation and political orientation from social learning theory, marital status and life satisfaction from control theory, and basic demographics such as age and gender. Results. The results of the HLM indicate that controlling for individual‐level predictors, as well as other Level 2 variables, persons residing in nations with relatively high suicide rates are more approving of suicide than their counterparts. The model was replicated for the prediction of support for euthanasia. A social learning perspective was further supported by results linking 1970 suicide rates with suicide acceptability among older adults in 1990. Conclusion. National suicide rates are predictive of individual‐level suicide acceptability. However, the main predictors of suicide acceptability included a measure from social learning theory, religiosity, and a neglected measure of control theory, life satisfaction.

Suggested Citation

  • Steven Stack & Augustine J. Kposowa, 2008. "The Association of Suicide Rates with Individual‐Level Suicide Attitudes: A Cross‐National Analysis," Social Science Quarterly, Southwestern Social Science Association, vol. 89(1), pages 39-59, March.
  • Handle: RePEc:bla:socsci:v:89:y:2008:i:1:p:39-59
    DOI: 10.1111/j.1540-6237.2008.00520.x
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    References listed on IDEAS

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    1. Peretti-Watel, P. & Bendiane, M.K. & Moatti, J.P., 2005. "Attitudes toward palliative care, conceptions of euthanasia and opinions about its legalization among French physicians," Social Science & Medicine, Elsevier, vol. 60(8), pages 1781-1793, April.
    2. Judith D. Singer, 1998. "Using SAS PROC MIXED to Fit Multilevel Models, Hierarchical Models, and Individual Growth Models," Journal of Educational and Behavioral Statistics, , vol. 23(4), pages 323-355, December.
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    1. Benno Torgler & Christoph A. Schaltegger, 2012. "Suicide and Religion: New Evidence on The Differences Between Protestantism and Catholicism," CREMA Working Paper Series 2012-12, Center for Research in Economics, Management and the Arts (CREMA).
    2. Stack, Steven & Kposowa, Augustine J., 2011. "The effect of survivalism-self-expressionism culture on black male suicide acceptability: A cross-national analysis," Social Science & Medicine, Elsevier, vol. 72(7), pages 1211-1218, April.
    3. Damon Proulx & David A. Savage, 2020. "What Determines End-of-Life Attitudes? Revisiting the Dutch Experience," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 152(3), pages 1085-1125, December.
    4. Eskin, Mehmet & Baydar, Nazlı & El-Nayal, Mayssah & Asad, Nargis & Noor, Isa Multazam & Rezaeian, Mohsen & Abdel-Khalek, Ahmed M. & Al Buhairan, Fadia & Harlak, Hacer & Hamdan, Motasem & Mechri, Anwar, 2020. "Associations of religiosity, attitudes towards suicide and religious coping with suicidal ideation and suicide attempts in 11 muslim countries," Social Science & Medicine, Elsevier, vol. 265(C).
    5. Feten Fekih-Romdhane & Suhad Daher-Nashif & Manel Stambouli & Amthal Alhuwailah & Mai Helmy & Hanaa Ahmed Mohamed Shuwiekh & Cheikh Mohamed Fadel Mohamed Lemine & Eqbal Radwan & Juliann Saquib & Nazmu, 2023. "Suicide literacy mediates the path from religiosity to suicide stigma among Muslim community adults: Cross-sectional data from four Arab countries," International Journal of Social Psychiatry, , vol. 69(7), pages 1658-1669, November.
    6. Yip, Paul S.F. & Yousuf, Saman & Chan, Chee Hon & Yung, Tiffany & Wu, Kevin C.-C., 2015. "The roles of culture and gender in the relationship between divorce and suicide risk: A meta-analysis," Social Science & Medicine, Elsevier, vol. 128(C), pages 87-94.

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