Social Psychiatry and Psychiatric Epidemiology

, Volume 51, Issue 1, pp 101–106 | Cite as

International comparison of death place for suicide; a population-level eight country death certificate study

  • YongJoo RheeEmail author
  • Dirk Houttekier
  • Roderick MacLeod
  • Donna M. Wilson
  • Marylou Cardenas-Turanzas
  • Martin Loucka
  • Regis Aubry
  • Joan Teno
  • Sungwon Roh
  • Mark A. Reinecke
  • Luc Deliens
  • Joachim Cohen
Brief report



The places of death for people who died of suicide were compared across eight countries and socio-demographic factors associated with home suicide deaths identified.


Death certificate data were analyzed; using multivariable binary logistic regression to determine associations.


National suicide death rates ranged from 1.4 % (Mexico) to 6.4 % (South Korea). The proportion of suicide deaths occurring at home was high, ranging from 29.9 % (South Korea) to 65.8 % (Belgium). Being older, female, widowed/separated, highly educated and living in an urban area were risk factors for home suicide.


Home suicide deaths need specific attention in prevention programs.


Suicide Location of death Death certificate data International comparison 



We acknowledge the following agencies for their death certificate data: Belgium: Flemish agency for care and health, the Brussels health and social observatory and the French Community of Belgium. France: Inserm-CépiDc (Centre d’épidémiologie sur les causes médicales de décès, Institut national de la santé et de la recherche médicale). Czech Republic: Institute of Health Information and Statistics of the Czech Republic (IHIS). USA: Center for Disease Control and Prevention (CDC). Canada: Statistics Canada. New Zealand: New Zealand Ministry of Health. Mexico: Sistema Nacional de Informacion en Salud (SINAIS) and Secretaria de Salud (SSA). Korea: Statistics Korea.

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states there is no conflict of interest.


The International Place of Death (IPoD) study is supported by a Research Foundation Flanders grant.

Supplementary material

127_2015_1148_MOESM1_ESM.docx (33 kb)
Supplementary material 1 (DOCX 32 kb)


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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • YongJoo Rhee
    • 1
    • 2
    Email author
  • Dirk Houttekier
    • 3
  • Roderick MacLeod
    • 4
  • Donna M. Wilson
    • 5
  • Marylou Cardenas-Turanzas
    • 6
  • Martin Loucka
    • 11
  • Regis Aubry
    • 7
    • 10
  • Joan Teno
    • 8
  • Sungwon Roh
    • 9
  • Mark A. Reinecke
    • 2
  • Luc Deliens
    • 3
  • Joachim Cohen
    • 3
  1. 1.Department of Health SciencesDongduk Women’s UniversitySeoulSouth Korea
  2. 2.Department of Psychiatry and Behavioral SciencesFeinberg School of Medicine, Northwestern UniversityChicagoUSA
  3. 3.End-of-Life Care Research GroupVrije Universiteit Brussel (VUB) and Ghent UniversityBrusselsBelgium
  4. 4.Hammond Care and the University of SydneySydneyAustralia
  5. 5.Faculty of NursingUniversity of AlbertaEdmontonCanada
  6. 6.Department of General Internal Medicine, MD Anderson Cancer CenterThe University of TexasHoustonUSA
  7. 7.Observatoire National de la Fin de Vie, Croix-Saint-SimonParisFrance
  8. 8.Division of Geriatric Medicine, Cambia Palliative Care Center of ExcellenceUniversity of WashingtonWashingtonUSA
  9. 9.Department of Mental Health ResearchSeoul National HospitalSeoulSouth Korea
  10. 10.Service de soins palliatifs CHUBesançonFrance
  11. 11.Center for Palliative CarePragueCzech Republic

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