Abstract
While it has long been recognised that periods of economic uncertainty, characterised by increased unemployment and lower economic activity, are associated with increased suicide rates, no study has examined the impact of policy-related economic uncertainty on suicide mortality. The aim of this study is to examine the relationship between economic policy uncertainty and suicide mortality in the United States over the period 1950–2013 , while controlling for several other socioeconomic determinants of suicide mortality, as well as age- and gender-variations. The results of the analysis reveal that increased economic policy uncertainty is associated with increased suicide mortality of the youngest and the oldest segments of the male population in the United States, while the female population across all ages is found to be resilient to changes in economic policy uncertainty.
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Source: WHO, CDC and Baker et al. (2015)
Notes
For a comprehensive survey of socioeconomic determinants of suicides see Chen et al. (2012).
We have checked and confirmed that compatibility is ensured when extending the data from WHO Mortality with data from the CDC database from 2010 onwards.
The EPU index data, as well as their detailed description, can be obtained from http://www.policyuncertainty.com/us_historical.html.
An interesting, yet worrisome, aspect of our results is that EPU is shown to affect the age-group of 15–24 as well. This could possibly be driven by males in the age range of of 22–24 years, during which point in their lives the students enter into the job market after an undergraduate degree. Also, the younger generation is relatively more informed and forward-looking before entering into the job market and a bleak forecast of the economy, due to higher EPU, could lead to the increased impact on suicide rates for this age group.
The results of this analysis for the various age sub-groups point to similar conclusions. These results are available upon request from the authors.
Once again, the results for the various age sub-groups point to similar conclusions and thus are not presented, however, are available upon request from the authors.
References
Altinanahtar, A., & Halicioglu, F. (2009). A dynamic econometric model of suicides in Turkey. Journal of Behavioral and Experimental Economics, 38(6), 903–907. doi:10.1016/j.socec.2009.05.008.
Andrés, A. R. (2005). Income inequality, unemployment, and suicide: A panel data analysis of 15 European Countries. Applied Economics, 37(4), 439–451. doi:10.1080/0003684042000295304.
Andrés, A. R., & Halicioglu, F. (2010). Determinants of suicides in Denmark: Evidence from time series data. Health Policy, 98(2–3), 263–269. doi:10.1016/j.healthpol.2010.06.023.
Andrés, A. R., & Halicioglu, F. (2011). Testing the hypothesis of the natural suicide rates: Further evidence from OECD data. Economic Modelling, 28(1), 22–26. doi:10.1016/j.econmod.2010.10.004.
Antonakakis, N., & Collins, A. (2014). The impact of fiscal austerity on suicide: On the empirics of a modern Greek tragedy. Social Science & Medicine, 112(C), 39–50. doi:10.1016/j.socscimed.2014.04.019.
Antonakakis, N., & Collins, A. (2015). The impact of fiscal austerity on suicide mortality: Evidence across the eurozone ‘periphery’. Social Science & Medicine, 145, 63–78. doi:10.1016/j.socscimed.2015.09.033.
Baker, S. R., Bloom, N., & Davis, S. J. (2015). Measuring economic policy uncertainty. NBER working papers 21633, National Bureau of Economic Research, Inc. http://www.nber.org/papers/w21633.pdf.
Bonamore, G., Carmignani, F., & Colombo, E. (2015). Addressing the unemployment–mortality conundrum: Non-linearity is the answer. Social Science & Medicine, 126, 67–72. doi:10.1016/j.socscimed.2014.12.017.
Brainerd, E. (2001). Economic reform and mortality in the former soviet union: A study of the suicide epidemic in the 1990s. European Economic Review, 45(4–6), 1007–1019. doi:10.1016/S0014-2921(01)00108-8.
Branas, C. C., Kastanaki, A. E., Michalodimitrakis, M., Tzougas, J., Kranioti, E. F., Theodorakis, P. N., et al. (2015). The impact of economic austerity and prosperity events on suicide in Greece: A 30-year interrupted time-series analysis. BMJ Open,. doi:10.1136/bmjopen-2014-005619.
Chang, S. S., Sterne, J., Huang, W. C., Chuang, H. L., & Gunnell, D. (2010). Association of secular trends in unemployment with suicide in Taiwan, 1959–2007: A time-series analysis. Public Health, 124(1), 49–54. doi:10.1016/j.puhe.2009.11.005.
Chang, S. S., Stuckler, D., Yip, P., & Gunnell, D. (2013). Impact of 2008 global economic crisis on suicide: Time trend study in 54 countries. BMJ, 347, 1–15. doi:10.1136/bmj.f5239.
Chen, J., Choi, Y. J., Mori, K., Sawada, Y., & Sugano, S. (2012). Socio-economic studies on suicide: A survey. Journal of Economic Surveys, 26(2), 271–306. doi:10.1111/j.1467-6419.2010.00645.x.
Chuang, H. L., & Huang, W. C. (1997). Economic and social correlates of regional suicide rates: A pooled cross-section and time-series analysis. Journal of Behavioral and Experimental Economics, 26(3), 277–289. doi:10.1016/S1053-5357(97)90021-4.
Chuang, H. L., & Huang, W. C. (2007). A re-examination of the suicide rates in Taiwan. Social Indicators Research, 83(3), 465–485. doi:10.1007/s11205-006-9056-4.
Colombo, V. (2013). Economic policy uncertainty in the US: Does it matter for the Euro area? Economics Letters, 121(1), 39–42. doi:10.1016/j.econlet.2013.06.024.
Dagenais, M. G. (1969). A threshold regression model. Econometrica, 37(2), 193–203.
Daly, M. C., & Wilson, D. J. (2006). Keeping up with the Joneses and staying ahead of the Smiths: Evidence from suicide data. Working paper series 2006–2012, Federal Reserve Bank of San Francisco. http://ideas.repec.org/p/fip/fedfwp/2006-12.html.
Dos Santos, M. (2015). Unemployment, mental health worker and suicide: A systematic review. European Psychiatry, 30(Supplement 1), 375. doi:10.1016/S0924-9338(15)30295-9, (abstracts of the 23rd European Congress of Psychiatry)
Durkheim, E., & (1897). Le suicide: Étude de sociologie. Alcan, Paris. (J. A. Spaulding & G. Simpson, Trans. 1952. Suicide: A study of sociology). New York: Free Press.
Ferrara, L., & Gurin, P. (2015). What are the macroeconomic effects of high-frequency uncertainty shocks? EconomiX working papers 2015–2012, University of Paris West - Nanterre la Défense, EconomiX. http://EconPapers.repec.org/RePEc:drm:wpaper:2015-12.
Fountoulakis, K. N., Savopoulos, C., Apostolopoulou, M., Dampali, R., Zaggelidou, E., Karlafti, E., et al. (2015). Rate of suicide and suicide attempts and their relationship to unemployment in thessaloniki Greece (2000–2012). Journal of Affective Disorders, 174, 131–136. doi:10.1016/j.jad.2014.11.047.
Garcy, A. M., & Vger, D. (2012). The length of unemployment predicts mortality, differently in men and women, and by cause of death: A six year mortality follow-up of the Swedish 1992–1996 recession. Social Science & Medicine, 74(12), 1911–1920. doi:10.1016/j.socscimed.2012.01.034.
Goldman-Mellor, S. (2016). Unemployment and mental health. In H. S. Friedman (Ed.), Encyclopedia of mental health (2nd ed., pp. 350–355). Oxford: Academic Press. doi:10.1016/B978-0-12-397045-9.00053-7.
Gonzalez, F., & Quast, T. (2010). Mortality and business cycles by level of development: Evidence from Mexico. Social Science & Medicine, 71(12), 2066–2073. doi:10.1016/j.socscimed.2010.09.047.
Helliwell, J. (2007). Well-being and social capital: Does suicide pose a puzzle? Social Indicators Research, 81(3), 455–496. doi:10.1007/s11205-006-0022-y.
Hsu, C. Y., Chang, S. S., Lee, E. S., & Yip, P. S. (2015). Geography of suicide in Hong Kong: Spatial patterning, and socioeconomic correlates and inequalities. Social Science & Medicine, 130, 190–203. doi:10.1016/j.socscimed.2015.02.019.
Inoue, K., Tanii, H., Kaiya, H., Abe, S., Nishimura, Y., Masaki, M., et al. (2007). The correlation between unemployment and suicide rates in Japan between 1978 and 2004. Legal Medicine, 9(3), 139–142. doi:10.1016/j.legalmed.2006.11.004.
Jones, P. M., & Olson, E. (2013). The time-varying correlation between uncertainty, output, and inflation: Evidence from a DCC-GARCH model. Economics Letters, 118(1), 33–37. doi:10.1016/j.econlet.2012.09.012.
Jungeilges, J., & Kirchgassner, G. (2002). Economic welfare, civil liberty, and suicide: An empirical investigation. The Journal of Socio-Economics, 31(3), 215–231. doi:10.1016/S1053-5357(02)00116-6.
Kang, W., Lee, K., & Ratti, R. A. (2014). Economic policy uncertainty and firm-level investment. Journal of Macroeconomics, 39(Part A), 42–53. doi:10.1016/j.jmacro.2013.10.006.
Koo, J., & Cox, W. M. (2008). An economic interpretation of suicide cycles in Japan. Contemporary Economic Policy, 26(1), 162–174. doi:10.1111/j.1465-7287.2007.00042.x.
Kposowa, A. J. (2003). Divorce and suicide risk. Journal of Epidemiology and Community Health, 57(12), 993.
Kuroki, M. (2010). Suicide and unemployment in Japan: Evidence from municipal level suicide rates and age-specific suicide rates. The Journal of Socio-Economics, 39(6), 683–691. doi:10.1016/j.socec.2010.06.009.
Lester, D. (1996). Patterns of suicide and homicide in the world. New York: Nova Science Publishers.
Lundin, A., Lundberg, I., Allebeck, P., & Hemmingsson, T. (2012). Unemployment and suicide in the Stockholm population: A register-based study on 771,068 men and women. Public Health, 126(5), 371–377. doi:10.1016/j.puhe.2012.01.020.
Miller, D. L., Page, M. E., Stevens, A. H., & Filipski, M. (2009). Why are recessions good for your health? American Economic Review, 99(2), 122–127. doi:10.1257/aer.99.2.122.
Minoiu, C., & Andres, A. R. (2008). The effect of public spending on suicide: Evidence from US State data. The Journal of Socio-Economics, 37(1), 237–261. doi:10.1016/j.socec.2006.09.001.
Morrell, S., Taylor, R., Quine, S., & Kerr, C. (1993). Suicide and unemployment in Australia 1907–1990. Social Science & Medicine, 36(6), 749–756. doi:10.1016/0277-9536(93)90035-3.
Morselli, H. (1882). Suicide: An essay on comparative moral statistics (originally published 1881). New York: D. Appleton and Company.
Neumayer, E. (2003). Are socioeconomic factors valid determinants of suicide? Controlling for national cultures of suicide with fixed effects estimation. Cross-Cultural Research, 37, 307–329. doi:10.1177/1069397103253708.
Noh, Y. H. (2009). Does unemployment increase suicide rates? The OECD panel evidence. Journal of Economic Psychology, 30(4), 575–582. doi:10.1016/j.joep.2009.04.003.
Nordt, C., Warnke, I., Seifritz, E., & Kawohl, W. (2015). Modelling suicide and unemployment: A longitudinal analysis covering 63 countries, 2000–2011. The Lancet Psychiatry, 2(3), 239–245. doi:10.1016/S2215-0366(14)00118-7.
Okada, K., & Samreth, S. (2013). A study on the socio-economic determinants of suicide: Evidence from 13 European OECD countries. Journal of Behavioral and Experimental Economics, 45(C), 78–85.
Pástor, L., & Veronasi, P. (2012). Uncertainty about government policy and stock prices. The Journal of Finance, 67(4), 1219–1264. doi:10.1111/j.1540-6261.2012.01746.x.
Pellegrini, L. C., & Rodriguez-Monguio, R. (2013). Unemployment, medicaid provisions, the mental health industry, and suicide. The Social Science Journal, 50(4), 482–490. doi:10.1016/j.soscij.2013.09.013.
Platt, S., Micciolo, R., & Tansella, M. (1992). Suicide and unemployment in Italy: Description, analysis and interpretation of recent trends. Social Science & Medicine, 34(11), 1191–1201. doi:10.1016/0277-9536(92)90312-E.
Ruhm, C. J. (2000). Are recessions good for your health? The Quarterly Journal of Economics, 115(2), 617–650. doi:10.1162/003355300554872.
Scourfield, J., & Evans, R. (2015). Why might men be more at risk of suicide after a relationship breakdown? Sociological insights. American Journal of Men’s Health, 9(5), 380–384. doi:10.1177/1557988314546395.
Stuckler, D., Basu, S., Suhrcke, M., Coutts, A., & McKee, M. (2011). Effects of the 2008 recession on health: A first look at European data. The Lancet, 378(9786), 124–125. doi:10.1016/S0140-6736(11)61079-9.
Suhrcke, M., & Stuckler, D. (2012). Will the recession be bad for our health? It depends. Social Science & Medicine, 74(5), 647–653. doi:10.1016/j.socscimed.2011.12.011.
Swinscow, D. (1951). Some suicide statistics. British Medical Journal, 1(4720), 1417–1423.
Unnithan, N. P., Huff-Corzine, L., Corzine, J., & Whitt, H. P. (1994). The currents of lethal violence: An integrated model of suicide and homicide. Albany: State University of New York Press.
Virén, M. (1999). Testing the “natural rate of suicide” hypothesis. International Journal of Social Economics, 26(12), 1428–1440. doi:10.1108/03068299910370535.
Wang, Y., Chen, C. R., & Huang, Y. S. (2014). Economic policy uncertainty and corporate investment: Evidence from China. Pacific-Basin Finance Journal, 26, 227–243. doi:10.1016/j.pacfin.2013.12.008.
Wasserman, I. M. (1984). The influence of economic business cycles on United States suicide rates. Suicide and Life-Threatening Behavior, 14(3), 143–156. doi:10.1111/j.1943-278X.1984.tb00445.x.
Webb, R. T., & Kapur, N. (2015). Suicide, unemployment, and the effect of economic recession. The Lancet Psychiatry, 2(3), 196–197. doi:10.1016/S2215-0366(14)00129-1.
Acknowledgments
We would like to thank the editor (Filomena Maggino) and three anonymous reviewers for very insightful comments and suggestions on a previous version of this paper. The usual disclaimer applies.
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Antonakakis, N., Gupta, R. Is Economic Policy Uncertainty Related to Suicide Rates? Evidence from the United States. Soc Indic Res 133, 543–560 (2017). https://doi.org/10.1007/s11205-016-1384-4
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DOI: https://doi.org/10.1007/s11205-016-1384-4
Keywords
- United States
- Economic policy uncertainty
- Suicide
JEL Classification
- E60 I31
- J11
- C22