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Social Determinants of Health

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Subject:
From:
Dennis Raphael <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Fri, 1 Jul 2005 07:01:49 -0400
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FYI

David McDaid
LSE Health and Social Care

Socio-economic inequalities in suicide: a European comparative  study

VINCENT LORANT, ANTON E. KUNST, MARTIJN HUISMAN, GIUSEPPE COSTA, JOHAN
MACKENBACH  EU Working Group on Socio-Economic Inequalities in Health

Br J Psychiatry 2005;187 49-54
http://bjp.rcpsych.org/cgi/content/abstract/187/1/49?etoc

Background Social factors have been shown to be predictors of suicide. It
is not known whether these factors vary between countries.
Aims To present a first European overview of socio-economic inequalities in
suicide mortality among men and women.
Method We used a prospective follow-up of censuses matched with vital
statistics in ten European populations. Directly standardised rates of
suicide were computed for each country.
Results In men, a low level of educational attainment was a risk factor for
suicide in eight out of ten countries. Suicide inequalities were smaller
and less consistent in women. In most countries, the greater the
socio-economic disadvantage, the higher is the risk of suicide. The
population of Turin evidenced no socio-economic inequalities.
 Conclusions Socio-economic inequalities in suicide are a generalised
 phenomenon in western Europe, but the pattern and magnitude of these
 inequalities vary between countries. These inequalities call for improved
 access to psychiatric care for lower socio-economic groups.

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