1932

Abstract

Suicide is a major public health concern in the United States. Between 2000 and 2018, US suicide rates increased by 35%, contributing to the stagnation and subsequent decrease in US life expectancy. During 2019, suicide declined modestly, mostly owing to slight reductions in suicides among Whites. Suicide rates, however, continued to increase or remained stable among all other racial/ethnic groups, and little is known about recent suicide trends among other vulnerable groups. This article () summarizes US suicide mortality trends over the twentieth and early twenty-first centuries, () reviews potential group-level causes of increased suicide risk among subpopulations characterized by markers of vulnerability to suicide, and () advocates for combining recent advances in population-based suicide prevention with a socially conscious perspective that captures the social, economic, and political contexts in which suicide risk unfolds over the life course of vulnerable individuals.

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2022-04-05
2024-10-12
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Literature Cited

  1. 1. 
    Abdalla SM, Keyes KM, Galea S. 2021. A public health approach to tackling the role of culture in shaping the gun violence epidemic in the United States. Public Health Rep 136:16–9
    [Google Scholar]
  2. 2. 
    Anestis MD, Bond AE, Daruwala SE, Bandel SL, Bryan CJ. 2021. Suicidal ideation among individuals who have purchased firearms during COVID-19. Am. J. Prev. Med. 60:311–17
    [Google Scholar]
  3. 3. 
    Anglemyer A, Horvath T, Rutherford G. 2014. The accessibility of firearms and risk for suicide and homicide victimization among household members: a systematic review and meta-analysis. Ann. Intern. Med. 160:2101–10
    [Google Scholar]
  4. 4. 
    Anglemyer A, Miller ML, Buttrey S, Whitaker L. 2016. Suicide rates and methods in active duty military personnel, 2005 to 2011: a cohort study. Ann. Intern. Med. 165:3167–74
    [Google Scholar]
  5. 5. 
    Arias E, Heron MNatl. Cent. Health Stat., Hakes J, US Census Bur 2016. The validity of race and Hispanic-origin reporting on death certificates in the United States: an update. Vital Health Stat. 2016:1721–21
    [Google Scholar]
  6. 6. 
    Ayano G, Tsegay L, Abraha M, Yohannes K 2019. Suicidal ideation and attempt among homeless people: a systematic review and meta-analysis. Psychiatr. Q. 90:4829–42
    [Google Scholar]
  7. 7. 
    Bailey ZD, Krieger N, Agénor M, Graves J, Linos N, Bassett MT. 2017. Structural racism and health inequities in the USA: evidence and interventions. Lancet 389:100771453–63
    [Google Scholar]
  8. 8. 
    Barber CW, Miller MJ. 2014. Reducing a suicidal person's access to lethal means of suicide: a research agenda. Am. J. Prev. Med. 47:3 Suppl. 2S264–72
    [Google Scholar]
  9. 9. 
    Barr B, Taylor-Robinson D, Scott-Samuel A, McKee M, Stuckler D 2012. Suicides associated with the 2008–10 economic recession in England: time trend analysis. BMJ 345:e5142
    [Google Scholar]
  10. 10. 
    Bennett J. 2021. Long-term unemployment has risen sharply in U.S. amid the pandemic, especially among Asian Americans Fact Sheet Pew Res. Cent. Washington, DC: https://www.pewresearch.org/fact-tank/2021/03/11/long-term-unemployment-has-risen-sharply-in-u-s-amid-the-pandemic-especially-among-asian-americans/
    [Google Scholar]
  11. 11. 
    Bennewith O, Nowers M, Gunnell D. 2007. Effect of barriers on the Clifton suspension bridge, England, on local patterns of suicide: implications for prevention. Br. J. Psychiatry 190:266–67
    [Google Scholar]
  12. 12. 
    Blosnich JR, Montgomery AE, Dichter ME, Gordon AJ, Kavalieratos D et al. 2020. Social determinants and military veterans’ suicide ideation and attempt: a cross-sectional analysis of electronic health record data. J. Gen. Intern. Med. 35:61759–67
    [Google Scholar]
  13. 13. 
    Bohnert ASB, Ilgen MA. 2019. Understanding links among opioid use, overdose, and suicide. N. Engl. J. Med. 380:171–79
    [Google Scholar]
  14. 14. 
    Boine C, Siegel M, Ross C, Fleegler EW, Alcorn T. 2020. What is gun culture? Cultural variations and trends across the United States. Humanit. Soc. Sci. Commun. 7:121
    [Google Scholar]
  15. 15. 
    Bor J, Venkataramani AS, Williams DR, Tsai AC. 2018. Police killings and their spillover effects on the mental health of black Americans: a population-based, quasi-experimental study. Lancet 392:10144302–10
    [Google Scholar]
  16. 16. 
    Braden JB, Edlund MJ, Sullivan MD. 2017. Suicide deaths with opioid poisoning in the United States: 1999–2014. Am. J. Public Health 107:3421–26
    [Google Scholar]
  17. 17. 
    Braun C, Bschor T, Franklin J, Baethge C 2016. Suicides and suicide attempts during long-term treatment with antidepressants: a meta-analysis of 29 placebo-controlled studies including 6,934 patients with major depressive disorder. Psychother. Psychosom. 85:3171–79
    [Google Scholar]
  18. 18. 
    Brave Heart MYH. 2003. The historical trauma response among natives and its relationship with substance abuse: a Lakota illustration. J. Psychoactive Drugs 35:17–13
    [Google Scholar]
  19. 19. 
    Brave Heart MYH, DeBruyn LM 1998. The American Indian Holocaust: healing historical unresolved grief. Am. Indian Alsk. Native Ment. Health Res. 8:256–78
    [Google Scholar]
  20. 20. 
    Brown GK, Ten Have T, Henriques GR, Xie SX, Hollander JE, Beck AT 2005. Cognitive therapy for the prevention of suicide attempts: a randomized controlled trial. JAMA 294:5563–70
    [Google Scholar]
  21. 21. 
    Case A, Deaton A 2015. Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century. PNAS 112:4915078–83
    [Google Scholar]
  22. 22. 
    CDC (Cent. Dis. Control Prev.) 2020. U.S. opioid dispensing rate maps. Drug Overdose. https://www.cdc.gov/drugoverdose/rxrate-maps/index.html
    [Google Scholar]
  23. 23. 
    CDC (Cent. Dis. Control Prev.) 2020. WISQARS™ injury data. Injury Prevention & Control. https://www.cdc.gov/injury/wisqars/index.html
    [Google Scholar]
  24. 24. 
    CDC (Cent. Dis. Control Prev.) 2021. Loneliness and social isolation linked to serious health conditions. Alzheimer's Disease and Healthy Aging https://www.cdc.gov/aging/publications/features/lonely-older-adults.html
    [Google Scholar]
  25. 25. 
    CDC (Cent. Dis. Control Prev.) 2021. Suicide mortality by state. National Center for Health Statistics. https://www.cdc.gov/nchs/pressroom/sosmap/suicide-mortality/suicide.htm
    [Google Scholar]
  26. 26. 
    Ceccherini-Nelli A, Priebe S 2011. Economic factors and suicide rates: associations over time in four countries. Soc. Psychiatry Psychiatr. Epidemiol. 46:10975–82
    [Google Scholar]
  27. 27. 
    Corcoran P, Griffin E, Arensman E, Fitzgerald AP, Perry IJ 2015. Impact of the economic recession and subsequent austerity on suicide and self-harm in Ireland: an interrupted time series analysis. Int. J. Epidemiol. 44:3969–77
    [Google Scholar]
  28. 28. 
    Culhane D, Szymkowiak D, Schinka JA. 2019. Suicidality and the onset of homelessness: evidence for a temporal association from VHA treatment records. Psychiatr. Serv. 70:111049–52
    [Google Scholar]
  29. 29. 
    Curtin SC, Hedegaard H. 2019. Suicide rates for females and males by race/ethnicity: United States: 1999 and 2017 Health E-State Rep. Natl. Cent. Health Stat. Hyattsville, MD: https://www.cdc.gov/nchs/data/hestat/suicide/rates_1999_2017.pdf
    [Google Scholar]
  30. 30. 
    De Vogli R, Marmot M, Stuckler D 2013. Excess suicides and attempted suicides in Italy attributable to the Great Recession. J. Epidemiol. Community Health 67:4378–79
    [Google Scholar]
  31. 31. 
    Dempsey CL, Benedek DM, Zuromski KL, Riggs-Donovan C, Ng THH et al. 2019. Association of firearm ownership, use, accessibility, and storage practices with suicide risk among US Army soldiers. JAMA Netw. Open 2:6e195383
    [Google Scholar]
  32. 32. 
    DoD (Dep. Defense) 2020. Annual suicide report. Calendar year 2019 Rep. DoD Under Secr. Def. Pers. Readiness Arlington, VA: https://www.dspo.mil/Portals/113/Documents/CY2019%20Suicide%20Report/DoD%20Calendar%20Year%20CY%202019%20Annual%20Suicide%20Report.pdf
    [Google Scholar]
  33. 33. 
    Durkheim E. 1966. (1897) Suicide: A Study in Sociology, transl JA Spaulding, G Simpson New York: Free Press
    [Google Scholar]
  34. 34. 
    Eaton KM, Messer SC, Wilson ALG, Hoge CW 2006. Strengthening the validity of population-based suicide rate comparisons: an illustration using U.S. military and civilian data. Suicide Life Threat. Behav. 36:2182–91
    [Google Scholar]
  35. 35. 
    Edwards LV, Lindong I, Brown L, Hawkins AS, Dennis S et al. 2017. None of us will get out of here alive: the intersection of perceived risk for HIV, risk behaviors and survival expectations among African American emerging adults. J. Health Care Poor Underserved 28:2S48–68
    [Google Scholar]
  36. 36. 
    Elbogen EB, Lanier M, Montgomery AE, Strickland S, Wagner HR, Tsai J. 2020. Financial strain and suicide attempts in a nationally representative sample of US adults. Am. J. Epidemiol. 189:111266–74
    [Google Scholar]
  37. 37. 
    [Google Scholar]
  38. 38. 
    Fink DS, Santaella-Tenorio J, Keyes KM. 2018. Increase in suicides the months after the death of Robin Williams in the US. PLOS ONE 13:2e0191405
    [Google Scholar]
  39. 39. 
    Fowler KA, Gladden RM, Vagi KJ, Barnes J, Frazier L. 2015. Increase in suicides associated with home eviction and foreclosure during the US housing crisis: findings from 16 National Violent Death Reporting System States, 2005–2010. Am. J. Public Health 105:2311–16
    [Google Scholar]
  40. 40. 
    Franklin JC, Ribeiro JD, Fox KR, Bentley KH, Kleiman EM et al. 2017. Risk factors for suicidal thoughts and behaviors: a meta-analysis of 50 years of research. Psychol. Bull. 143:2187–232
    [Google Scholar]
  41. 41. 
    [Google Scholar]
  42. 42. 
    Gibbons RD, Kupfer D, Frank E, Moore T, Beiser DG, Boudreaux ED 2017. Development of a Computerized Adaptive Test Suicide Scale—The CAT-SS. J. Clin. Psychiatry 78:91376–82
    [Google Scholar]
  43. 43. 
    Gunnell D, Eddleston M. 2003. Suicide by intentional ingestion of pesticides: a continuing tragedy in developing countries. Int. J. Epidemiol. 32:6902–9
    [Google Scholar]
  44. 44. 
    Gunnell D, Knipe D, Chang S-S, Pearson M, Konradsen F et al. 2017. Prevention of suicide with regulations aimed at restricting access to highly hazardous pesticides: a systematic review of the international evidence. Lancet Glob. Health 5:10e1026–37
    [Google Scholar]
  45. 45. 
    Gunnell D, Miller M. 2010. Strategies to prevent suicide. BMJ 341:c3054
    [Google Scholar]
  46. 46. 
    Hadland SE, Rivera-Aguirre A, Marshall BDL, Cerdá M 2019. Association of pharmaceutical industry marketing of opioid products with mortality from opioid-related overdoses. JAMA Netw. Open 2:1e186007
    [Google Scholar]
  47. 47. 
    Hanson A. 2010. Correctional suicide: Has progress ended?. J. Am. Acad. Psychiatry Law 38:16–10
    [Google Scholar]
  48. 48. 
    Harper S, Bruckner TA. 2017. Did the Great Recession increase suicides in the USA? Evidence from an interrupted time-series analysis. Ann. Epidemiol. 27:7409–414.e6
    [Google Scholar]
  49. 49. 
    Hawton K, Bergen H, Simkin S, Dodd S, Pocock P et al. 2013. Long term effect of reduced pack sizes of paracetamol on poisoning deaths and liver transplant activity in England and Wales: interrupted time series analyses. BMJ 346:f403
    [Google Scholar]
  50. 50. 
    Hedegaard H, Curtin SC, Warner M. 2020. Increase in suicide mortality in the United States, 1999–2018. Data Brief 362, Natl. Cent. Health Stat., Hyattsville, MD.. https://www.cdc.gov/nchs/data/databriefs/db362-h.pdf
  51. 51. 
    Hedegaard H, Curtin S, Warner M. 2018. Suicide mortality in the United States, 1999–2017 Data Brief 330 Natl. Cent. Health Stat. Hyattsville, MD: https://www.cdc.gov/nchs/data/databriefs/db330-h.pdf
    [Google Scholar]
  52. 52. 
    Hedegaard H, Curtin SC, Warner M. 2018. Suicide rates in the United States continue to increase Data Brief 309 Natl. Cent. Health Stat. Hyattsville, MD: https://www.cdc.gov/nchs/data/databriefs/db309.pdf
    [Google Scholar]
  53. 53. 
    Helmkamp JC. 1995. Suicides in the military: 1980–1992. Mil. Med. 160:245–50
    [Google Scholar]
  54. 54. 
    Henning-Smith C, Moscovice I, Kozhimannil K 2019. Differences in social isolation and its relationship to health by rurality. J. Rural Health 35:4540–49
    [Google Scholar]
  55. 55. 
    Holt-Lunstad J. 2017. The potential public health relevance of social isolation and loneliness: prevalence, epidemiology, and risk factors. Public Policy Aging Rep 27:4127–30
    [Google Scholar]
  56. 56. 
    Huguet N, Kaplan MS, McFarland BH. 2012. Rates and correlates of undetermined deaths among African Americans: results from the National Violent Death Reporting System. Suicide Life Threat. Behav. 42:2185–96
    [Google Scholar]
  57. 57. 
    Hwang W-C, Goto S. 2008. The impact of perceived racial discrimination on the mental health of Asian American and Latino college students. Cult. Divers. Ethnic Minor. Psychol. 14:4326–35
    [Google Scholar]
  58. 58. 
    Jordan A, Allsop AS, Collins PY. 2021. Decriminalising being Black with mental illness. Lancet Psychiatry 8:18–9
    [Google Scholar]
  59. 59. 
    Kajeepeta S, Mauro PM, Keyes KM, El-Sayed AM, Rutherford CG, Prins SJ. 2021. Association between county jail incarceration and cause-specific county mortality in the USA, 1987–2017: a retrospective, longitudinal study. Lancet Public Health 6:E240–48
    [Google Scholar]
  60. 60. 
    Kalesan B, Villarreal MD, Keyes KM, Galea S. 2016. Gun ownership and social gun culture. Inj. Prev. 22:3216–20
    [Google Scholar]
  61. 61. 
    Kerr WC, Kaplan MS, Huguet N, Caetano R, Giesbrecht N, McFarland BH. 2017. Economic recession, alcohol, and suicide rates: comparative effects of poverty, foreclosure, and job loss. Am. J. Prev. Med. 52:4469–75
    [Google Scholar]
  62. 62. 
    Kivisto AJ, Phalen PL. 2018. Effects of risk-based firearm seizure laws in Connecticut and Indiana on suicide rates, 1981–2015. Psychiatr. Serv. 69:8855–62
    [Google Scholar]
  63. 63. 
    Kochhar R, Cilluffo A. 2018. Income inequality in the U.S. is rising most rapidly among Asians Rep. Pew Res. Cent. Washington, DC: https://www.pewresearch.org/social-trends/2018/07/12/income-inequality-in-the-u-s-is-rising-most-rapidly-among-asians/
    [Google Scholar]
  64. 64. 
    Kopparam R. 2020. Gaps in U.S. rural and urban economic growth widened in the post-Great Recession economy, with implications amid the coronavirus recession. Washington Center for Equitable Growth Aug. 6. https://equitablegrowth.org/gaps-in-u-s-rural-and-urban-economic-growth-widened-in-the-post-great-recession-economy-with-implications-amid-the-coronavirus-recession/
    [Google Scholar]
  65. 65. 
    Kuroki Y. 2018. Comparison of suicide rates among Asian Americans in 2000 and 2010. OMEGA 77:4404–11
    [Google Scholar]
  66. 66. 
    Kwon S, Han D 2019. Discrimination, mental disorders, and suicidal ideation in Latino adults: decomposing the effects of discrimination. J. Immigr. Minor. Health 21:1143–50
    [Google Scholar]
  67. 67. 
    Lemle RB. 2020. Veterans, firearms, and suicide: safe storage prevention policy and the PREVENTS Roadmap. Fed. Pract. 37:9426–33
    [Google Scholar]
  68. 68. 
    Levine P, McKnight R. 2020. Three million more guns: the Spring 2020 spike in firearm sales. Brookings July 13. https://www.brookings.edu/blog/up-front/2020/07/13/three-million-more-guns-the-spring-2020-spike-in-firearm-sales/
    [Google Scholar]
  69. 69. 
    Lewis G, Sloggett A. 1998. Suicide, deprivation, and unemployment: record linkage study. BMJ 317:71681283–86
    [Google Scholar]
  70. 70. 
    Linehan MM, Comtois KA, Murray AM, Brown MZ, Gallop RJ et al. 2006. Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Arch. Gen. Psychiatry 63:7757–66
    [Google Scholar]
  71. 71. 
    Lorant V, Kunst AE, Huisman M, Costa G, Mackenbach JEU Work. Group Socio-Econ. Inequal. Health 2005. Socio-economic inequalities in suicide: a European comparative study. Br. J. Psychiatry 187:49–54
    [Google Scholar]
  72. 72. 
    Lubin G, Werbeloff N, Halperin D, Shmushkevitch M, Weiser M, Knobler HY. 2010. Decrease in suicide rates after a change of policy reducing access to firearms in adolescents: a naturalistic epidemiological study. Suicide Life. Threat. Behav. 40:5421–24
    [Google Scholar]
  73. 73. 
    Luo F, Florence CS, Quispe-Agnoli M, Ouyang L, Crosby AE. 2011. Impact of business cycles on US suicide rates, 1928–2007. Am. J. Public Health 101:61139–46
    [Google Scholar]
  74. 74. 
    Martínez-Alés G, Gimbrone C, Rutherford C, Kandula S, Olfson M et al. 2021. Role of firearm ownership on 2001–2016 trends in U.S. firearm suicide rates. Am. J. Prev. Med. 61:6795–803
    [Google Scholar]
  75. 75. 
    Martínez-Alés G, Pamplin JR II, Rutherford C, Gimbrone C, Kandula S et al. 2021. Age, period, and cohort effects on suicide death in the United States from 1999 to 2018: moderation by sex, race, and firearm involvement. Mol. Psychiatry. https://doi.org/10.1038/s41380-021-01078-1
    [Crossref] [Google Scholar]
  76. 76. 
    McKeown RE, Cuffe SP, Schulz RM. 2006. US suicide rates by age group, 1970–2002: an examination of recent trends. Am. J. Public Health 96:101744–51
    [Google Scholar]
  77. 77. 
    Meltzer H, Bebbington P, Brugha T, Jenkins R, McManus S, Dennis MS. 2011. Personal debt and suicidal ideation. Psychol. Med. 41:4771–78
    [Google Scholar]
  78. 78. 
    Miller JR, Piper TM, Ahern J, Tracy M, Tardiff KJ et al. 2005. Income inequality and risk of suicide in New York City neighborhoods: a multilevel case-control study. Suicide Life Threat. Behav. 35:4448–59
    [Google Scholar]
  79. 79. 
    Miller M, Azrael D, Hepburn L, Hemenway D, Lippmann SJ. 2006. The association between changes in household firearm ownership and rates of suicide in the United States, 1981–2002. Inj. Prev. 12:3178–82
    [Google Scholar]
  80. 80. 
    Miller M, Lippmann SJ, Azrael D, Hemenway D 2007. Household firearm ownership and rates of suicide across the 50 United States. J. Trauma Acute Care Surg. 62:41029–35
    [Google Scholar]
  81. 81. 
    Miller M, Salhi C, Barber C, Azrael D, Beatriz E et al. 2020. Changes in firearm and medication storage practices in homes of youths at risk for suicide: results of the SAFETY Study, a clustered, emergency department-based, multisite, stepped-wedge trial. Ann. Emerg. Med. 76:2194–205
    [Google Scholar]
  82. 82. 
    Monuteaux MC, Azrael D, Miller M 2019. Association of increased safe household firearm storage with firearm suicide and unintentional death among US youths. JAMA Pediatr 173:7657–62
    [Google Scholar]
  83. 83. 
    Mullen RA, Tong S, Sabo RT, Liaw WR, Marshall J et al. 2019. Loneliness in primary care patients: a prevalence study. Ann. Fam. Med. 17:2108–15
    [Google Scholar]
  84. 84. 
    Mumola CJ. 2005. Suicide and homicide in state prisons and local jails Bur. Justice Stat. Spec. Rep. NCJ 210036 US Dep. Justice, Off. Justice Progr. Washington, DC: https://bjs.ojp.gov/content/pub/pdf/shsplj.pdf
    [Google Scholar]
  85. 85. 
    Naghavi M. 2019. Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016. BMJ 364:l94
    [Google Scholar]
  86. 86. 
    Natl. Acad. Sci. Eng. Med 2020. Social Isolation and Loneliness in Older Adults: Opportunities for the Health Care System Washington, DC: Natl. Acad. Press https://doi.org/10.17226/25663
    [Crossref] [Google Scholar]
  87. 87. 
    Natl. Advis. Comm. Rural Health Hum. Serv 2017. Understanding the impact of suicide in rural America Policy Brief Dep. Health Hum. Serv. Washington, DC: https://www.hrsa.gov/sites/default/files/hrsa/advisory-committees/rural/publications/2017-impact-of-suicide.pdf
    [Google Scholar]
  88. 88. 
    Niederkrotenthaler T. 2016. A suicide-protective Papageno effect of media portrayals of coping with suicidality. Inj. Prev. 22:Suppl. 2A8–9
    [Google Scholar]
  89. 89. 
    Niederkrotenthaler T, Stack S, Till B, Sinyor M, Pirkis J et al. 2019. Association of increased youth suicides in the United States with the release of 13 Reasons Why. JAMA Psychiatry 76:9933–40
    [Google Scholar]
  90. 90. 
    Noonan M, Rohloff H, Ginder S. 2015. Mortality in local jails and state prisons, 20002013—statistical tables. NCJ 248756 Bur. Justice Stat. Washington, DC: https://bjs.ojp.gov/content/pub/pdf/mljsp0013st.pdf
    [Google Scholar]
  91. 91. 
    Norström T, Grönqvist H. 2015. The Great Recession, unemployment and suicide. J Epidemiol Community Health 69:2110–16
    [Google Scholar]
  92. 92. 
    Oquendo MA, Sullivan GM, Sudol K, Baca-Garcia E, Stanley BH et al. 2014. Toward a biosignature for suicide. Am. J. Psychiatry 171:121259–77
    [Google Scholar]
  93. 93. 
    Oyesanya M, Lopez-Morinigo J, Dutta R. 2015. Systematic review of suicide in economic recession. World J. Psychiatry 5:2243–54
    [Google Scholar]
  94. 94. 
    Paterson L. 2019. Poll: Americans, including Republicans and gun owners, broadly support red flag laws. NPR Aug. 20. https://www.npr.org/2019/08/20/752427922/poll-americans-including-republicans-and-gun-owners-broadly-support-red-flag-law
    [Google Scholar]
  95. 95. 
    Phillips JA, Nugent CN. 2014. Suicide and the Great Recession of 2007–2009: the role of economic factors in the 50 U.S. states. Soc. Sci. Med. 116:22–31
    [Google Scholar]
  96. 96. 
    Phillips JA, Robin AV, Nugent CN, Idler EL. 2010. Understanding recent changes in suicide rates among the middle-aged: period or cohort effects?. Public Health Rep 125:5680–88
    [Google Scholar]
  97. 97. 
    Pirkis J, Blood RW, Beautrais A, Burgess P, Skehans J 2006. Media guidelines on the reporting of suicide. Crisis 27:282–87
    [Google Scholar]
  98. 98. 
    Rachiotis G, Stuckler D, McKee M, Hadjichristodoulou C. 2015. What has happened to suicides during the Greek economic crisis? Findings from an ecological study of suicides and their determinants (2003–2012). BMJ Open 5:3e007295
    [Google Scholar]
  99. 99. 
    Raifman J, Charlton BM, Arrington-Sanders R, Chan PA, Rusley J et al. 2020. Sexual orientation and suicide attempt disparities among US adolescents: 2009–2017. Pediatrics 145:3e20191658
    [Google Scholar]
  100. 100. 
    Reeves A, Stuckler D, McKee M, Gunnell D, Chang S-S, Basu S. 2012. Increase in state suicide rates in the USA during economic recession. Lancet 380:98561813–14
    [Google Scholar]
  101. 101. 
    Reimann CA, Mazuchowski EL. 2018. Suicide rates among active duty service members compared with civilian counterparts, 2005–2014. Mil. Med. 183:Suppl. 1396–402
    [Google Scholar]
  102. 102. 
    Robinson J, Hill NTM, Thorn P, Battersby R, Teh Z et al. 2018. The #chatsafe project. Developing guidelines to help young people communicate safely about suicide on social media: a Delphi study. PLOS ONE 13:11e0206584
    [Google Scholar]
  103. 103. 
    Rockett IRH, Samora JB, Coben JH. 2006. The black-white suicide paradox: possible effects of misclassification. Soc. Sci. Med. 63:82165–75
    [Google Scholar]
  104. 104. 
    Rosay AB. 2016. Violence against American Indian and Alaska Native women and men. Natl. Inst. Justice J. 277:38–45
    [Google Scholar]
  105. 105. 
    Rowhani-Rahbar A, Simonetti JA, Rivara FP. 2016. Effectiveness of interventions to promote safe firearm storage. Epidemiol. Rev. 38:1111–24
    [Google Scholar]
  106. 106. 
    Sale E, Hendricks M, Weil V, Miller C, Perkins S, McCudden S. 2018. Counseling on Access to Lethal Means (CALM): an evaluation of a suicide prevention means restriction training program for mental health providers. Community Ment. Health J. 54:3293–301
    [Google Scholar]
  107. 107. 
    Sentell JW, Lacroix M, Sentell JV, Finstuen K. 1997. Predictive patterns of suicidal behavior: the United States armed services versus the civilian population. Mil. Med. 162:3168–71
    [Google Scholar]
  108. 108. 
    Shenassa ED, Rogers ML, Spalding KL, Roberts MB. 2004. Safer storage of firearms at home and risk of suicide: a study of protective factors in a nationally representative sample. J. Epidemiol. Community Health 58:10841–48
    [Google Scholar]
  109. 109. 
    Shepard DS, Gurewich D, Lwin AK, Reed GA Jr., Silverman MM. 2016. Suicide and suicidal attempts in the United States: costs and policy implications. Suicide Life Threat. Behav. 46:3352–62
    [Google Scholar]
  110. 110. 
    Shields LBE, Hunsaker DM, Hunsaker JC III. 2005. Trends of suicide in the United States during the 20th century. Forensic Pathology Reviews 3 M Tsokos 305–35 Totowa, NJ: Humana Press
    [Google Scholar]
  111. 111. 
    Stanley B, Brown GK, Brenner LA, Galfalvy HC, Currier GW et al. 2018. Comparison of the safety planning intervention with follow-up versus usual care of suicidal patients treated in the emergency department. JAMA Psychiatry 75:9894–900
    [Google Scholar]
  112. 112. 
    Stanley IH, Hom MA, Sachs-Ericsson NJ, Gallyer AJ, Joiner TE 2020. A pilot randomized clinical trial of a lethal means safety intervention for young adults with firearm familiarity at risk for suicide. J. Consult. Clin. Psychol. 88:4372–83
    [Google Scholar]
  113. 113. 
    Stone DM, Jones CM, Mack KA. 2021. Changes in suicide rates—United States, 2018–2019. MMWR 70:261–68
    [Google Scholar]
  114. 114. 
    Stone DM, Simon TR, Fowler KA, Kegler SR, Yuan K et al. 2018. Vital Signs: Trends in state suicide rates—United States, 1999–2016 and circumstances contributing to suicide—27 states, 2015. MMWR 67:617–24
    [Google Scholar]
  115. 115. 
    Susser E. 2004. Eco-epidemiology: thinking outside the black box. Epidemiology 15:5519–20
    [Google Scholar]
  116. 116. 
    Swanson SA, Eyllon M, Sheu Y-H, Miller M. 2021. Firearm access and adolescent suicide risk: toward a clearer understanding of effect size. Inj. Prev. 27:264–70
    [Google Scholar]
  117. 117. 
    Tann SS, Yabiku ST, Okamoto SK, Yanow J. 2007. TriADD: the risk for alcohol abuse, depression, and diabetes multimorbidity in the American Indian and Alaska Native population. Am. Indian Alsk. Native Ment. Health Res. 14:11–23
    [Google Scholar]
  118. 118. 
    Tøllefsen IM, Helweg-Larsen K, Thiblin I, Hem E, Kastrup MC et al. 2015. Are suicide deaths under-reported? Nationwide re-evaluations of 1800 deaths in Scandinavia. BMJ Open 5:11e009120
    [Google Scholar]
  119. 119. 
    Tran F, Morrison C 2020. Income inequality and suicide in the United States: a spatial analysis of 1684 U.S. counties using geographically weighted regression. Spat. Spatio-Temporal Epidemiol. 34:100359
    [Google Scholar]
  120. 120. 
    Trescot AM, Helm S, Hansen H, Benyamin R, Glaser SE et al. 2008. Opioids in the management of chronic non-cancer pain: an update of American Society of the Interventional Pain Physicians’ (ASIPP) Guidelines. Pain Physician 11:2 Suppl.S5–62
    [Google Scholar]
  121. 121. 
    Turvey C, Stromquist A, Kelly K, Zwerling C, Merchant J 2002. Financial loss and suicidal ideation in a rural community sample. Acta Psychiatr. Scand. 106:5373–80
    [Google Scholar]
  122. 122. 
    US Bur. Labor Stat 2021. Employment situation news release Econ. News Release Feb. 5, https://www.bls.gov/news.release/archives/empsit_02052021.htm
    [Google Scholar]
  123. 123. 
    US Census Bur 2011. Changing American households Slides US Census Bur. Silver Hill, MD: https://www.census.gov/newsroom/pdf/cah_slides.pdf
    [Google Scholar]
  124. 124. 
    US Census Bur 2020. Mortality schedules. History. https://www.census.gov/history/pdf/mortality.pdf
    [Google Scholar]
  125. 125. 
    Van Orden KA, Witte TK, Cukrowicz KC, Braithwaite S, Selby EA, Joiner TE Jr. 2010. The interpersonal theory of suicide. Psychol. Rev. 117:2575–600
    [Google Scholar]
  126. 126. 
    Van Zee A. 2009. The promotion and marketing of OxyContin: commercial triumph, public health tragedy. Am. J. Public Health 99:2221–27
    [Google Scholar]
  127. 127. 
    Vos T, Lim SS, Abbafati C, Abbas KM, Abbasi M et al. 2020. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 396:102581204–22
    [Google Scholar]
  128. 128. 
    Wadsworth T, Kubrin CE 2007. Hispanic suicide in U.S. metropolitan areas: examining the effects of immigration, assimilation, affluence, and disadvantage. Am. J. Sociol. 112:61848–85
    [Google Scholar]
  129. 129. 
    Walsh CG, Ribeiro JD, Franklin JC. 2017. Predicting risk of suicide attempts over time through machine learning. Clin. Psychol. Sci. 5:457–69
    [Google Scholar]
  130. 130. 
    Warshauer ME, Monk M. 1978. Problems in suicide statistics for whites and blacks. Am. J. Public Health 68:4383–88
    [Google Scholar]
  131. 131. 
    WHO (World Health Organ.) 2021. Suicide Fact Sheet WHO Geneva: https://www.who.int/news-room/fact-sheets/detail/suicide
    [Google Scholar]
  132. 132. 
    WHO (World Health Organ.), IASP (Int. Assoc. Suicide Prev.) 2007. Preventing suicide in jails and prisons Rep., Dep. Ment. Health Subst. Abuse WHO Geneva: https://apps.who.int/iris/bitstream/handle/10665/43678/9789241595506_eng.pdf
    [Google Scholar]
  133. 133. 
    Wiepjes CM, den Heijer M, Bremmer MA, Nota NM, de Blok CJM et al. 2020. Trends in suicide death risk in transgender people: results from the Amsterdam Cohort of Gender Dysphoria study (1972–2017). Acta Psychiatr. Scand. 141:6486–91
    [Google Scholar]
  134. 134. 
    Woolf SH, Schoomaker H. 2019. Life expectancy and mortality rates in the United States, 1959–2017. JAMA 322:201996–2016
    [Google Scholar]
  135. 135. 
    Wyatt LC, Ung T, Park R, Kwon SC, Trinh-Shevrin C. 2015. Risk factors of suicide and depression among Asian American, Native Hawaiian, and Pacific Islander youth: a systematic literature review. J. Health Care Poor Underserved 26:191–237
    [Google Scholar]
  136. 136. 
    Zalsman G, Hawton K, Wasserman D, van Heeringen K, Arensman E et al. 2016. Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry 3:7646–59
    [Google Scholar]
  137. 137. 
    Zhong S, Senior M, Yu R, Perry A, Hawton K et al. 2021. Risk factors for suicide in prisons: a systematic review and meta-analysis. Lancet Public Health 6:e164–74
    [Google Scholar]
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