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Cited by 40Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseOpioid Use Disorder Treatment

Sex differences in suicide incident characteristics and circumstances among older adults: Surveillance data from the national violent death reporting system—17 U.S. States, 2007–2009

Open access
Karch, Debra·2011·International Journal of Environmental Research and Public Health
DOI 10.3390/ijerph8083479PMC PMC3166755
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Abstract

Each year in the U.S. more than 7,000 adults aged 60 years and older die of suicide and as the population ages, these numbers are expected to increase. While sex is an important predictor of older adult suicide, differences between males and females are often overlooked due to low occurrence, particularly among women. The National Violent Death Reporting System (NVDRS) bridges this gap by providing detailed information on older adult suicide by sex in 17 US states (covering approximately 26% of the U.S. population). NVDRS data for 2007–2009 were used to characterize male (n = 5,004) and female (n = 1,123) suicide decedents aged 60 years and older, including incident characteristics and circumstances precipitating suicide. Stratification of NVDRS data by sex shows significant differences with regard to the presence of antidepressants (19% and 45% respectively), opiates (18%, 37%), and 14 precipitating circumstances concerning mental health, interpersonal problems, life stressors and a history of suicide attempts. No differences were found for alcohol problems, suicide/other death of family or friends, non-criminal legal problems, financial problems, or disclosure of intent to take their own life. The findings of this study demonstrate the value of using comprehensive surveillance data to understand sex-specific suicide circumstances so that opportunities for targeted prevention strategies may be considered.

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  1. [10]Hawton K Appleby L Platt S Foster T Cooper J Malmberg A Simkin S The psychological autopsy approach to studying suicide: A review of methodological issues J. Affect. Disord 1998 50 269 276 9858086
  2. [47]US Public Health Service National Strategy for Suicide Prevention: Goals and Objectives for Action U.S. Department of Health and Human Services Washington, DC, USA 2001 20669520

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Authors
Karch, D.
Affiliations
Centers for Disease Control and Prevention (US)
Corresponding author
Karch, Debra
Venue
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Published
2011-08-23
Volume
8
Issue
8
Pages
3479-3495
ISSN
1660-4601 (ISSN-L)
DOI
10.3390/ijerph8083479
PMC
PMC3166755
OpenAlex
W2113778050
Cited by
40
References
42
Citations by year
2025: 2 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 4 · 2019: 2 · 2018: 5 · 2017: 4 · 2016: 3 · 2015: 6 · 2014: 2 · 2013: 2 · 2012: 1
FWCI
1.72
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords
sex differences, antidepressants, opiates, mental health, interpersonal problems, life events, suicide attempts, suicide prevention, National Violent Death Reporting System, older women
MeSH terms
Age Factors, Aged, Aged, 80 and over, Cause of Death, Female, Humans, Male, Middle Aged, Population Surveillance, Sex Factors, Suicide, United States

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