Suicide in married couples in Sweden: Is the risk greater in same-sex couples?
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Minority sexual orientation is a predictor of suicide ideation and attempts, though its association with suicide mortality is less clear. We capitalize on Sweden’s extensively linked databases, to investigate whether, among married individuals, same-sex marriage is associated with suicide. Using a population-based register design, we analyzed suicide risk among same-sex married women and men (n = 6456), as compared to different-sex married women and men (n = 1181723) in Sweden. We selected all newly partnered or married individuals in the intervening time between 1/1/1996 and 12/31/2009 and followed them with regard to suicide until 12/31/2011. Multivariate Poisson regression was used to calculate adjusted incidence risk ratios (IRR) with 95 % confidence intervals (CI). The risk of suicide was higher among same-sex married individuals as compared to different-sex married individuals (IRR 2.7, 95 % CI 1.5–4.8), after adjustment for time at risk and socioeconomic confounding. Sex-stratified analyses showed a tentatively elevated risk for same-sex married women (IRR 2.5, 95 % CI 0.8–7.7) as compared to different-sex married women. Among same-sex married men the suicide risk was nearly three-fold greater as compared to different-sex married (IRR 2.895 % CI 1.5–5.5). This holds true also after adjustment for HIV status. Even in a country with a comparatively tolerant climate regarding homosexuality such as Sweden, same-sex married individuals evidence a higher risk for suicide than other married individuals.
KeywordsSexual minority LGBT Gay Lesbian Homosexual Suicide Marriage Registered partnership
This work was supported by the Wenner-Gren Foundations and the Swedish Research Council (Vetenskapsrådet) via the Stockholm University SIMSAM Node for Demographic Research, Grant 340-2013-5164.
- 14.Andersson G, Noack T. Legal advances and demographic developments of same-sex unions in Scandinavia. J Fam Res. 2010;2010(22):87–101 Sonderheft.Google Scholar
- 17.Welfare NBoHa. Causes of death 2011. Stockholm, Sweden; 2011. ISBN: 978-91-7555-039-8, Article number: 2013-2-30.Google Scholar
- 20.Björkenstam C, Kosidou K, Björkenstam E, Dalman C, Andersson G, Cochran SD. Self-reported suicide ideation and attempts, and medical care for intentional self-harm in lesbians, gays, and bisexuals in Sweden. J Epidemiol Community Health. 2016. doi: 10.1136/jech-2015-206884 (Provisional accept).