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