Spatial analysis of suicide mortality in Australia: Investigation of metropolitan-rural-remote differentials of suicide risk across states/territories
Studies of suicide epidemiology in regions of Australia have been conducted, but the spatial pattern in the whole country has not been fully investigated. This study aimed at visualizing the sex-specific suicide pattern over the country from 2004 to 2008, and studying the metropolitan-rural-remote differentials of suicide across all states/territories. We applied a Poisson hierarchical model to yield smoothed sex specific, age standardized mortality ratios of suicide in all postal areas, and compiled the age-standardized suicide rates across different levels of remoteness and different jurisdictions. We identified the area variation of suicide risk across states/territories, and metropolitan-rural-remote differential with rates higher in rural and remote areas for males. Spatial clusters of some high risk postal areas were also identified. Socio-economic deprivation, compositional factors, high risks for Indigenous people and low access to mental health service are the underlying explanations of the elevation of suicide risk in some areas. These findings suggest that it is important to take geographical variations in suicide risk into account in national policy making. Particular suicide prevention interventions might be targeted at males living in remote areas, and some localized areas in metropolitan zones.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 75 (2012)
Issue (Month): 8 ()
|Contact details of provider:|| Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description|
|Order Information:|| Postal: http://www.elsevier.com/wps/find/supportfaq.cws_home/regional|
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Agerbo, Esben & Sterne, Jonathan A.C. & Gunnell, David J., 2007. "Combining individual and ecological data to determine compositional and contextual socio-economic risk factors for suicide," Social Science & Medicine, Elsevier, vol. 64(2), pages 451-461, January.
- Julian Besag & Jeremy York & Annie Mollié, 1991. "Bayesian image restoration, with two applications in spatial statistics," Annals of the Institute of Statistical Mathematics, Springer, vol. 43(1), pages 1-20, March.
- Alston, Margaret, 2012. "Rural male suicide in Australia," Social Science & Medicine, Elsevier, vol. 74(4), pages 515-522.
- McPhedran, Samara & Baker, Jeanine, 2008. "Recent Australian suicide trends for males and females at the national level: Has the rate of decline differed?," Health Policy, Elsevier, vol. 87(3), pages 350-358, September.
- Levin, Kate A. & Leyland, Alastair H., 2005. "Urban/rural inequalities in suicide in Scotland, 1981-1999," Social Science & Medicine, Elsevier, vol. 60(12), pages 2877-2890, June.
- Pearce, Jamie & Barnett, Ross & Jones, Irfon, 2007. "Have urban/rural inequalities in suicide in New Zealand grown during the period 1980-2001?," Social Science & Medicine, Elsevier, vol. 65(8), pages 1807-1819, October.
When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:75:y:2012:i:8:p:1460-1468. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei)
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.