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Air quality and suicide

Author

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  • Persico, Claudia
  • Marcotte, Dave E.

Abstract

We study the relationship between air pollution and suicide using detailed daily cause of death data from all death certificates in the U.S. over eight years. Using a two-stage residual inclusion estimator with wind direction as an instrument for daily pollution exposure, we estimated that a 1 μg/m3 increase in daily PM2.5 is associated with a 0.39% increase in daily suicides and a 50.5% increase in monthly suicide-related hospitalizations. We find relatively large effects for men, young persons, and in counties where the mean level of pollution is above the median. Our event study estimates show the relationship between pollution and suicide exposure is contemporaneous.

Suggested Citation

  • Persico, Claudia & Marcotte, Dave E., 2026. "Air quality and suicide," Journal of Health Economics, Elsevier, vol. 107(C).
  • Handle: RePEc:eee:jhecon:v:107:y:2026:i:c:s0167629626000330
    DOI: 10.1016/j.jhealeco.2026.103135
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    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • Q52 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Pollution Control Adoption and Costs; Distributional Effects; Employment Effects
    • Q53 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Air Pollution; Water Pollution; Noise; Hazardous Waste; Solid Waste; Recycling

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