Global, regional, and national burden of suicide mortality 1990 to 2016: Systematic analysis for the Global Burden of Disease Study 2016

Heather M. Orpana, Laurie B. Marczak, Megha Arora, Nooshin Abbasi, Rizwan Suliankatchi Abdulkader, Zegeye Abebe, Haftom Niguse Abraha, Mohsen Afarideh, Mahdi Afshari, Alireza Ahmadi, Amani Nidhal Aichour, Ibtihel Aichour, Miloud Taki Eddine Aichour, Nadia Akseer, Rajaa M. Al‐raddadi, Fares Alahdab, Ala'a Alkerwi, Peter Allebeck, Nelson Alvis‐guzman, Nahla Hamed AnberMina Anjomshoa, Carl Abelardo T. Antonio, Amit Arora, Krishna K. Aryal, Solomon Weldegebreal Asgedom, Ashish Awasthi, Beatriz Paulina Ayala Quintanilla, Hamid Badali, Suzanne Lyn Barker‐collo, Till Winfried Bärnighausen, Shahrzad Bazargan‐hejazi, Corina Benjet, Isabela M. Bensenor, Noami Berfeld, Mircea Beuran, Zulfiqar A. Bhutta, Belete Biadgo, Nigus Bililign, Guilherme Borges, Rohan Borschmann, Alexandra Brazinova, Nicholas J.K. Breitborde, Traolach Brugha, Zahid A. Butt, Juan J. Carrero, Félix Carvalho, Deborah Carvalho Malta, Carlos A. Castañeda‐orjuela, Ferrán Catalá‐lópez, Liliana G. Ciobanu, Berihun Assefa Dachew, Lalit Dandona, Rakhi Dandona, Paul I. Dargan, Ahmad Daryani, Dragos Virgil Davitoiu, Kairat Davletov, Louisa Degenhardt, Gebre Teklemariam Demoz, Don C.Des Jarlais, Samath Dhamminda Dharmaratne, Shirin Djalalinia, Linh Doan, David Teye Doku, Manisha Dubey, Ziad El‐khatib, Sharareh Eskandarieh, Alireza Esteghamati, Sadaf Esteghamati, Andre Faro, Farshad Farzadfar, Wubalem Fekadu, Eduarda Fernandes, Alize J. Ferrari, Irina Filip, Florian Fischer, Kyle J. Foreman, Takeshi Fukumoto, Abadi Kahsu Gebre, Giuseppe Grosso, Rahul Gupta, Juanita A. Haagsma, Hassan Haghparast Bidgoli, Arvin Haj‐mirzaian, Samer Hamidi, Graeme J. Hankey, Josep Maria Haro, Hamid Yimam Hassen, Simon I. Hay, Behnam Heidari, Delia Hendrie, Enayatollah Homaie Rad, Seyed Mostafa Hosseini, Sorin Hostiuc, Seyed Sina Naghibi Irvani, Sheikh Mohammed Shariful Islam, Mihajlo Jakovljevic, Spencer James, Achala Upendra Jayatilleke, Ravi Prakash Jha, Jost B. Jonas, Jacek Jerzy Jozwiak, Rajendra Kadel, Amaha Kahsay, Amir Kasaeian, Getachew Mullu Kassa, Norito Kawakami, Adane Teshome Kefale, Grant Rodgers Kemp, Yousef Saleh Khader, Morteza Abdullatif Khafaie, Ibrahim A. Khalil, Ejaz Ahmad Khan, Muhammad Ali Khan, Muhammad Shahzeb Khan, Young Ho Khang, Jagdish Khubchandani, Aliasghar A. Kiadaliri, Christian Kieling, Young Eun Kim, Adnan Kisa, Ann Kristin Skrindo Knudsen, Yoshihiro Kokubo, Ai Koyanagi, Varsha Sarah Krish, Barthelemy Kuate Defo, G. Anil Kumar, Manasi Kumar, Prabhat Lamichhane, Justin J. Lang, Arman Latifi, Paul H. Lee, Janni Leung, Lee Ling Lim, Alan D. Lopez, Stefan Lorkowski, Paulo A. Lotufo, Rafael Lozano, Raimundas Lunevicius, P. A. Mahesh, Marek Majdan, Reza Majdzadeh, Reza Malekzadeh, Ana Laura Manda, Mohammad Ali Mansournia, Lorenzo Giovanni Mantovani, Joemer C. Maravilla, Jose Martinez‐raga, Manu Raj Mathur, Pallab K. Maulik, John J. McGrath, Ravi Mehrotra, Tesfa Mekonen, Walter Mendoza, Tuomo J. Meretoja, Tomislav Mestrovic, Ted R. Miller, G. K. Mini, Erkin M. Mirrakhimov, Philip B. Mitchell, Babak Moazen, Karzan Abdulmuhsin Mohammad, Moslem Mohammadi, Shafiu Mohammed, Ali H. Mokdad, Lorenzo Monasta, Mahmood Moosazadeh, Ghobad Moradi, Maziar Moradi‐lakeh, Mehdi Moradinazar, Ilais Moreno Velásquez, Naho Morisaki, Shane Douglas Morrison, Marilita M. Moschos, Seyyed Meysam Mousavi, Ghulam Mustafa, Gabriele Nagel, Aliya Naheed, Gurudatta Naik, Farid Najafi, Ionut Negoi, Ruxandra Irina Negoi, Huong Lan Thi Nguyen, Long Hoang Nguyen, Molly R. Nixon, Richard Ofori‐asenso, Felix Akpojene Ogbo, In Hwan Oh, Andrew T. Olagunju, Tinuke O. Olagunju, Simon Øverland, Mayowa Ojo Owolabi, Songhomitra Panda‐jonas, Charles D.H. Parry, Sanghamitra Pati, Scott B. Patten, George C. Patton, Max Petzold, Michael R. Phillips, Oleguer Plana‐ripoll, Maarten J. Postma, Akram Pourshams, Hossein Poustchi, Mostafa Qorbani, Amir Radfar, Anwar Rafay, Alireza Rafiei, Fakher Rahim, Afarin Rahimi‐movaghar, Vafa Rahimi‐movaghar, Muhammad Aziz Rahman, Rajesh Kumar Rai, Shahab Rezaeian, Leonardo Roever, Luca Ronfani, Gholamreza Roshandel, Ali Rostami, Perminder S. Sachdev, Hosein Safari, Saeid Safiri, Payman Salamati, Yahya Salimi, Joshua A. Salomon, Abdallah M. Samy, Itamar S. Santos, Milena M. Santric‐milicevic, Benn Sartorius, Shahabeddin Sarvi, Maheswar Satpathy, Monika Sawhney, David C. Schwebel, Sadaf G. Sepanlou, Masood Ali Shaikh, Mehdi Sharif, Kenji Shibuya, Mika Shigematsu, Rahman Shiri, Ivy Shiue, Soraya Siabani, Tariq J. Siddiqi, Inga Dora Sigfusdottir, João Pedro Silva, Jasvinder A. Singh, Adauto Martins Soares Filho, Soheila Sobhani, Dan J. Stein, Murray B. Stein, Mu'awiyyah Babale Sufiyan, Bruno F. Sunguya, Rafael Tabarés‐seisdedos, Karen M. Tabb, Mohammad Tavakkoli, Arash Tehrani‐banihashemi, Mohamad Hani Temsah, Roman Topor‐madry, Bach Xuan Tran, Khanh Bao Tran, Irfan Ullah, Jurgen Unutzer, Muhammad Shariq Usman, Olalekan A. Uthman, Pascual R. Valdez, Tommi Juhani Vasankari, Cintia Vasconcelos, Vasily Vlassov, Theo Vos, Isidora S. Vujcic, Yasir Waheed, Yuan Pang Wang, Elisabete Weiderpass, Andrea Werdecker, Ronny Westerman, Harvey A. Whiteford, Grant M.A. Wyper, Mehdi Yaseri, Ebrahim M. Yimer, Engida Yisma, Naohiro Yonemoto, Seok Jun Yoon, Marcel Yotebieng, Mahmoud Yousefifard, Chuanhua Yu, Zoubida Zaidi, Mohammad Zamani, Christopher J.L. Murray, Mohsen Naghavi

Research output: Contribution to journalArticle

Abstract

Objectives To use the estimates from the Global Burden of Disease Study 2016 to describe patterns of suicide mortality globally, regionally, and for 195 countries and territories by age, sex, and Socio-demographic index, and to describe temporal trends between 1990 and 2016. Design Systematic analysis. Main outcome measures Crude and age standardised rates from suicide mortality and years of life lost were compared across regions and countries, and by age, sex, and Socio-demographic index (a composite measure of fertility, income, and education). Results The total number of deaths from suicide increased by 6.7% (95% uncertainty interval 0.4% to 15.6%) globally over the 27 year study period to 817 000 (762 000 to 884 000) deaths in 2016. However, the age standardised mortality rate for suicide decreased by 32.7% (27.2% to 36.6%) worldwide between 1990 and 2016, similar to the decline in the global age standardised mortality rate of 30.6%. Suicide was the leading cause of age standardised years of life lost in the Global Burden of Disease region of high income Asia Pacific and was among the top 10 leading causes in eastern Europe, central Europe, western Europe, central Asia, Australasia, southern Latin America, and high income North America. Rates for men were higher than for women across regions, countries, and age groups, except for the 15 to 19 age group. There was variation in the female to male ratio, with higher ratios at lower levels of Socio-demographic index. Women experienced greater decreases in mortality rates (49.0%, 95% uncertainty interval 42.6% to 54.6%) than men (23.8%, 15.6% to 32.7%). Conclusions Age standardised mortality rates for suicide have greatly reduced since 1990, but suicide remains an important contributor to mortality worldwide. Suicide mortality was variable across locations, between sexes, and between age groups. Suicide prevention strategies can be targeted towards vulnerable populations if they are informed by variations in mortality rates.

Original languageEnglish (US)
Article number94
JournalBMJ (Online)
Volume364
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Fingerprint

Suicide
Mortality
Age Groups
Demography
Uncertainty
Australasia
Central Asia
Global Burden of Disease
Eastern Europe
Latin America
Vulnerable Populations
North America
Fertility
Outcome Assessment (Health Care)
Education

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Orpana, H. M., Marczak, L. B., Arora, M., Abbasi, N., Abdulkader, R. S., Abebe, Z., ... Naghavi, M. (2019). Global, regional, and national burden of suicide mortality 1990 to 2016: Systematic analysis for the Global Burden of Disease Study 2016. BMJ (Online), 364, [94]. https://doi.org/10.1136/bmj.l94

Global, regional, and national burden of suicide mortality 1990 to 2016 : Systematic analysis for the Global Burden of Disease Study 2016. / Orpana, Heather M.; Marczak, Laurie B.; Arora, Megha; Abbasi, Nooshin; Abdulkader, Rizwan Suliankatchi; Abebe, Zegeye; Abraha, Haftom Niguse; Afarideh, Mohsen; Afshari, Mahdi; Ahmadi, Alireza; Aichour, Amani Nidhal; Aichour, Ibtihel; Aichour, Miloud Taki Eddine; Akseer, Nadia; Al‐raddadi, Rajaa M.; Alahdab, Fares; Alkerwi, Ala'a; Allebeck, Peter; Alvis‐guzman, Nelson; Anber, Nahla Hamed; Anjomshoa, Mina; Antonio, Carl Abelardo T.; Arora, Amit; Aryal, Krishna K.; Asgedom, Solomon Weldegebreal; Awasthi, Ashish; Quintanilla, Beatriz Paulina Ayala; Badali, Hamid; Barker‐collo, Suzanne Lyn; Bärnighausen, Till Winfried; Bazargan‐hejazi, Shahrzad; Benjet, Corina; Bensenor, Isabela M.; Berfeld, Noami; Beuran, Mircea; Bhutta, Zulfiqar A.; Biadgo, Belete; Bililign, Nigus; Borges, Guilherme; Borschmann, Rohan; Brazinova, Alexandra; Breitborde, Nicholas J.K.; Brugha, Traolach; Butt, Zahid A.; Carrero, Juan J.; Carvalho, Félix; Malta, Deborah Carvalho; Castañeda‐orjuela, Carlos A.; Catalá‐lópez, Ferrán; Ciobanu, Liliana G.; Dachew, Berihun Assefa; Dandona, Lalit; Dandona, Rakhi; Dargan, Paul I.; Daryani, Ahmad; Davitoiu, Dragos Virgil; Davletov, Kairat; Degenhardt, Louisa; Demoz, Gebre Teklemariam; Jarlais, Don C.Des; Dharmaratne, Samath Dhamminda; Djalalinia, Shirin; Doan, Linh; Doku, David Teye; Dubey, Manisha; El‐khatib, Ziad; Eskandarieh, Sharareh; Esteghamati, Alireza; Esteghamati, Sadaf; Faro, Andre; Farzadfar, Farshad; Fekadu, Wubalem; Fernandes, Eduarda; Ferrari, Alize J.; Filip, Irina; Fischer, Florian; Foreman, Kyle J.; Fukumoto, Takeshi; Gebre, Abadi Kahsu; Grosso, Giuseppe; Gupta, Rahul; Haagsma, Juanita A.; Bidgoli, Hassan Haghparast; Haj‐mirzaian, Arvin; Hamidi, Samer; Hankey, Graeme J.; Haro, Josep Maria; Hassen, Hamid Yimam; Hay, Simon I.; Heidari, Behnam; Hendrie, Delia; Rad, Enayatollah Homaie; Hosseini, Seyed Mostafa; Hostiuc, Sorin; Irvani, Seyed Sina Naghibi; Islam, Sheikh Mohammed Shariful; Jakovljevic, Mihajlo; James, Spencer; Jayatilleke, Achala Upendra; Jha, Ravi Prakash; Jonas, Jost B.; Jozwiak, Jacek Jerzy; Kadel, Rajendra; Kahsay, Amaha; Kasaeian, Amir; Kassa, Getachew Mullu; Kawakami, Norito; Kefale, Adane Teshome; Kemp, Grant Rodgers; Khader, Yousef Saleh; Khafaie, Morteza Abdullatif; Khalil, Ibrahim A.; Khan, Ejaz Ahmad; Khan, Muhammad Ali; Khan, Muhammad Shahzeb; Khang, Young Ho; Khubchandani, Jagdish; Kiadaliri, Aliasghar A.; Kieling, Christian; Kim, Young Eun; Kisa, Adnan; Knudsen, Ann Kristin Skrindo; Kokubo, Yoshihiro; Koyanagi, Ai; Krish, Varsha Sarah; Defo, Barthelemy Kuate; Kumar, G. Anil; Kumar, Manasi; Lamichhane, Prabhat; Lang, Justin J.; Latifi, Arman; Lee, Paul H.; Leung, Janni; Lim, Lee Ling; Lopez, Alan D.; Lorkowski, Stefan; Lotufo, Paulo A.; Lozano, Rafael; Lunevicius, Raimundas; Mahesh, P. A.; Majdan, Marek; Majdzadeh, Reza; Malekzadeh, Reza; Manda, Ana Laura; Mansournia, Mohammad Ali; Mantovani, Lorenzo Giovanni; Maravilla, Joemer C.; Martinez‐raga, Jose; Mathur, Manu Raj; Maulik, Pallab K.; McGrath, John J.; Mehrotra, Ravi; Mekonen, Tesfa; Mendoza, Walter; Meretoja, Tuomo J.; Mestrovic, Tomislav; Miller, Ted R.; Mini, G. K.; Mirrakhimov, Erkin M.; Mitchell, Philip B.; Moazen, Babak; Mohammad, Karzan Abdulmuhsin; Mohammadi, Moslem; Mohammed, Shafiu; Mokdad, Ali H.; Monasta, Lorenzo; Moosazadeh, Mahmood; Moradi, Ghobad; Moradi‐lakeh, Maziar; Moradinazar, Mehdi; Velásquez, Ilais Moreno; Morisaki, Naho; Morrison, Shane Douglas; Moschos, Marilita M.; Mousavi, Seyyed Meysam; Mustafa, Ghulam; Nagel, Gabriele; Naheed, Aliya; Naik, Gurudatta; Najafi, Farid; Negoi, Ionut; Negoi, Ruxandra Irina; Nguyen, Huong Lan Thi; Nguyen, Long Hoang; Nixon, Molly R.; Ofori‐asenso, Richard; Ogbo, Felix Akpojene; Oh, In Hwan; Olagunju, Andrew T.; Olagunju, Tinuke O.; Øverland, Simon; Owolabi, Mayowa Ojo; Panda‐jonas, Songhomitra; Parry, Charles D.H.; Pati, Sanghamitra; Patten, Scott B.; Patton, George C.; Petzold, Max; Phillips, Michael R.; Plana‐ripoll, Oleguer; Postma, Maarten J.; Pourshams, Akram; Poustchi, Hossein; Qorbani, Mostafa; Radfar, Amir; Rafay, Anwar; Rafiei, Alireza; Rahim, Fakher; Rahimi‐movaghar, Afarin; Rahimi‐movaghar, Vafa; Rahman, Muhammad Aziz; Rai, Rajesh Kumar; Rezaeian, Shahab; Roever, Leonardo; Ronfani, Luca; Roshandel, Gholamreza; Rostami, Ali; Sachdev, Perminder S.; Safari, Hosein; Safiri, Saeid; Salamati, Payman; Salimi, Yahya; Salomon, Joshua A.; Samy, Abdallah M.; Santos, Itamar S.; Santric‐milicevic, Milena M.; Sartorius, Benn; Sarvi, Shahabeddin; Satpathy, Maheswar; Sawhney, Monika; Schwebel, David C.; Sepanlou, Sadaf G.; Shaikh, Masood Ali; Sharif, Mehdi; Shibuya, Kenji; Shigematsu, Mika; Shiri, Rahman; Shiue, Ivy; Siabani, Soraya; Siddiqi, Tariq J.; Sigfusdottir, Inga Dora; Silva, João Pedro; Singh, Jasvinder A.; Filho, Adauto Martins Soares; Sobhani, Soheila; Stein, Dan J.; Stein, Murray B.; Sufiyan, Mu'awiyyah Babale; Sunguya, Bruno F.; Tabarés‐seisdedos, Rafael; Tabb, Karen M.; Tavakkoli, Mohammad; Tehrani‐banihashemi, Arash; Temsah, Mohamad Hani; Topor‐madry, Roman; Tran, Bach Xuan; Tran, Khanh Bao; Ullah, Irfan; Unutzer, Jurgen; Usman, Muhammad Shariq; Uthman, Olalekan A.; Valdez, Pascual R.; Vasankari, Tommi Juhani; Vasconcelos, Cintia; Vlassov, Vasily; Vos, Theo; Vujcic, Isidora S.; Waheed, Yasir; Wang, Yuan Pang; Weiderpass, Elisabete; Werdecker, Andrea; Westerman, Ronny; Whiteford, Harvey A.; Wyper, Grant M.A.; Yaseri, Mehdi; Yimer, Ebrahim M.; Yisma, Engida; Yonemoto, Naohiro; Yoon, Seok Jun; Yotebieng, Marcel; Yousefifard, Mahmoud; Yu, Chuanhua; Zaidi, Zoubida; Zamani, Mohammad; Murray, Christopher J.L.; Naghavi, Mohsen.

In: BMJ (Online), Vol. 364, 94, 01.01.2019.

Research output: Contribution to journalArticle

Orpana, HM, Marczak, LB, Arora, M, Abbasi, N, Abdulkader, RS, Abebe, Z, Abraha, HN, Afarideh, M, Afshari, M, Ahmadi, A, Aichour, AN, Aichour, I, Aichour, MTE, Akseer, N, Al‐raddadi, RM, Alahdab, F, Alkerwi, A, Allebeck, P, Alvis‐guzman, N, Anber, NH, Anjomshoa, M, Antonio, CAT, Arora, A, Aryal, KK, Asgedom, SW, Awasthi, A, Quintanilla, BPA, Badali, H, Barker‐collo, SL, Bärnighausen, TW, Bazargan‐hejazi, S, Benjet, C, Bensenor, IM, Berfeld, N, Beuran, M, Bhutta, ZA, Biadgo, B, Bililign, N, Borges, G, Borschmann, R, Brazinova, A, Breitborde, NJK, Brugha, T, Butt, ZA, Carrero, JJ, Carvalho, F, Malta, DC, Castañeda‐orjuela, CA, Catalá‐lópez, F, Ciobanu, LG, Dachew, BA, Dandona, L, Dandona, R, Dargan, PI, Daryani, A, Davitoiu, DV, Davletov, K, Degenhardt, L, Demoz, GT, Jarlais, DCD, Dharmaratne, SD, Djalalinia, S, Doan, L, Doku, DT, Dubey, M, El‐khatib, Z, Eskandarieh, S, Esteghamati, A, Esteghamati, S, Faro, A, Farzadfar, F, Fekadu, W, Fernandes, E, Ferrari, AJ, Filip, I, Fischer, F, Foreman, KJ, Fukumoto, T, Gebre, AK, Grosso, G, Gupta, R, Haagsma, JA, Bidgoli, HH, Haj‐mirzaian, A, Hamidi, S, Hankey, GJ, Haro, JM, Hassen, HY, Hay, SI, Heidari, B, Hendrie, D, Rad, EH, Hosseini, SM, Hostiuc, S, Irvani, SSN, Islam, SMS, Jakovljevic, M, James, S, Jayatilleke, AU, Jha, RP, Jonas, JB, Jozwiak, JJ, Kadel, R, Kahsay, A, Kasaeian, A, Kassa, GM, Kawakami, N, Kefale, AT, Kemp, GR, Khader, YS, Khafaie, MA, Khalil, IA, Khan, EA, Khan, MA, Khan, MS, Khang, YH, Khubchandani, J, Kiadaliri, AA, Kieling, C, Kim, YE, Kisa, A, Knudsen, AKS, Kokubo, Y, Koyanagi, A, Krish, VS, Defo, BK, Kumar, GA, Kumar, M, Lamichhane, P, Lang, JJ, Latifi, A, Lee, PH, Leung, J, Lim, LL, Lopez, AD, Lorkowski, S, Lotufo, PA, Lozano, R, Lunevicius, R, Mahesh, PA, Majdan, M, Majdzadeh, R, Malekzadeh, R, Manda, AL, Mansournia, MA, Mantovani, LG, Maravilla, JC, Martinez‐raga, J, Mathur, MR, Maulik, PK, McGrath, JJ, Mehrotra, R, Mekonen, T, Mendoza, W, Meretoja, TJ, Mestrovic, T, Miller, TR, Mini, GK, Mirrakhimov, EM, Mitchell, PB, Moazen, B, Mohammad, KA, Mohammadi, M, Mohammed, S, Mokdad, AH, Monasta, L, Moosazadeh, M, Moradi, G, Moradi‐lakeh, M, Moradinazar, M, Velásquez, IM, Morisaki, N, Morrison, SD, Moschos, MM, Mousavi, SM, Mustafa, G, Nagel, G, Naheed, A, Naik, G, Najafi, F, Negoi, I, Negoi, RI, Nguyen, HLT, Nguyen, LH, Nixon, MR, Ofori‐asenso, R, Ogbo, FA, Oh, IH, Olagunju, AT, Olagunju, TO, Øverland, S, Owolabi, MO, Panda‐jonas, S, Parry, CDH, Pati, S, Patten, SB, Patton, GC, Petzold, M, Phillips, MR, Plana‐ripoll, O, Postma, MJ, Pourshams, A, Poustchi, H, Qorbani, M, Radfar, A, Rafay, A, Rafiei, A, Rahim, F, Rahimi‐movaghar, A, Rahimi‐movaghar, V, Rahman, MA, Rai, RK, Rezaeian, S, Roever, L, Ronfani, L, Roshandel, G, Rostami, A, Sachdev, PS, Safari, H, Safiri, S, Salamati, P, Salimi, Y, Salomon, JA, Samy, AM, Santos, IS, Santric‐milicevic, MM, Sartorius, B, Sarvi, S, Satpathy, M, Sawhney, M, Schwebel, DC, Sepanlou, SG, Shaikh, MA, Sharif, M, Shibuya, K, Shigematsu, M, Shiri, R, Shiue, I, Siabani, S, Siddiqi, TJ, Sigfusdottir, ID, Silva, JP, Singh, JA, Filho, AMS, Sobhani, S, Stein, DJ, Stein, MB, Sufiyan, MB, Sunguya, BF, Tabarés‐seisdedos, R, Tabb, KM, Tavakkoli, M, Tehrani‐banihashemi, A, Temsah, MH, Topor‐madry, R, Tran, BX, Tran, KB, Ullah, I, Unutzer, J, Usman, MS, Uthman, OA, Valdez, PR, Vasankari, TJ, Vasconcelos, C, Vlassov, V, Vos, T, Vujcic, IS, Waheed, Y, Wang, YP, Weiderpass, E, Werdecker, A, Westerman, R, Whiteford, HA, Wyper, GMA, Yaseri, M, Yimer, EM, Yisma, E, Yonemoto, N, Yoon, SJ, Yotebieng, M, Yousefifard, M, Yu, C, Zaidi, Z, Zamani, M, Murray, CJL & Naghavi, M 2019, 'Global, regional, and national burden of suicide mortality 1990 to 2016: Systematic analysis for the Global Burden of Disease Study 2016', BMJ (Online), vol. 364, 94. https://doi.org/10.1136/bmj.l94
Orpana, Heather M. ; Marczak, Laurie B. ; Arora, Megha ; Abbasi, Nooshin ; Abdulkader, Rizwan Suliankatchi ; Abebe, Zegeye ; Abraha, Haftom Niguse ; Afarideh, Mohsen ; Afshari, Mahdi ; Ahmadi, Alireza ; Aichour, Amani Nidhal ; Aichour, Ibtihel ; Aichour, Miloud Taki Eddine ; Akseer, Nadia ; Al‐raddadi, Rajaa M. ; Alahdab, Fares ; Alkerwi, Ala'a ; Allebeck, Peter ; Alvis‐guzman, Nelson ; Anber, Nahla Hamed ; Anjomshoa, Mina ; Antonio, Carl Abelardo T. ; Arora, Amit ; Aryal, Krishna K. ; Asgedom, Solomon Weldegebreal ; Awasthi, Ashish ; Quintanilla, Beatriz Paulina Ayala ; Badali, Hamid ; Barker‐collo, Suzanne Lyn ; Bärnighausen, Till Winfried ; Bazargan‐hejazi, Shahrzad ; Benjet, Corina ; Bensenor, Isabela M. ; Berfeld, Noami ; Beuran, Mircea ; Bhutta, Zulfiqar A. ; Biadgo, Belete ; Bililign, Nigus ; Borges, Guilherme ; Borschmann, Rohan ; Brazinova, Alexandra ; Breitborde, Nicholas J.K. ; Brugha, Traolach ; Butt, Zahid A. ; Carrero, Juan J. ; Carvalho, Félix ; Malta, Deborah Carvalho ; Castañeda‐orjuela, Carlos A. ; Catalá‐lópez, Ferrán ; Ciobanu, Liliana G. ; Dachew, Berihun Assefa ; Dandona, Lalit ; Dandona, Rakhi ; Dargan, Paul I. ; Daryani, Ahmad ; Davitoiu, Dragos Virgil ; Davletov, Kairat ; Degenhardt, Louisa ; Demoz, Gebre Teklemariam ; Jarlais, Don C.Des ; Dharmaratne, Samath Dhamminda ; Djalalinia, Shirin ; Doan, Linh ; Doku, David Teye ; Dubey, Manisha ; El‐khatib, Ziad ; Eskandarieh, Sharareh ; Esteghamati, Alireza ; Esteghamati, Sadaf ; Faro, Andre ; Farzadfar, Farshad ; Fekadu, Wubalem ; Fernandes, Eduarda ; Ferrari, Alize J. ; Filip, Irina ; Fischer, Florian ; Foreman, Kyle J. ; Fukumoto, Takeshi ; Gebre, Abadi Kahsu ; Grosso, Giuseppe ; Gupta, Rahul ; Haagsma, Juanita A. ; Bidgoli, Hassan Haghparast ; Haj‐mirzaian, Arvin ; Hamidi, Samer ; Hankey, Graeme J. ; Haro, Josep Maria ; Hassen, Hamid Yimam ; Hay, Simon I. ; Heidari, Behnam ; Hendrie, Delia ; Rad, Enayatollah Homaie ; Hosseini, Seyed Mostafa ; Hostiuc, Sorin ; Irvani, Seyed Sina Naghibi ; Islam, Sheikh Mohammed Shariful ; Jakovljevic, Mihajlo ; James, Spencer ; Jayatilleke, Achala Upendra ; Jha, Ravi Prakash ; Jonas, Jost B. ; Jozwiak, Jacek Jerzy ; Kadel, Rajendra ; Kahsay, Amaha ; Kasaeian, Amir ; Kassa, Getachew Mullu ; Kawakami, Norito ; Kefale, Adane Teshome ; Kemp, Grant Rodgers ; Khader, Yousef Saleh ; Khafaie, Morteza Abdullatif ; Khalil, Ibrahim A. ; Khan, Ejaz Ahmad ; Khan, Muhammad Ali ; Khan, Muhammad Shahzeb ; Khang, Young Ho ; Khubchandani, Jagdish ; Kiadaliri, Aliasghar A. ; Kieling, Christian ; Kim, Young Eun ; Kisa, Adnan ; Knudsen, Ann Kristin Skrindo ; Kokubo, Yoshihiro ; Koyanagi, Ai ; Krish, Varsha Sarah ; Defo, Barthelemy Kuate ; Kumar, G. Anil ; Kumar, Manasi ; Lamichhane, Prabhat ; Lang, Justin J. ; Latifi, Arman ; Lee, Paul H. ; Leung, Janni ; Lim, Lee Ling ; Lopez, Alan D. ; Lorkowski, Stefan ; Lotufo, Paulo A. ; Lozano, Rafael ; Lunevicius, Raimundas ; Mahesh, P. A. ; Majdan, Marek ; Majdzadeh, Reza ; Malekzadeh, Reza ; Manda, Ana Laura ; Mansournia, Mohammad Ali ; Mantovani, Lorenzo Giovanni ; Maravilla, Joemer C. ; Martinez‐raga, Jose ; Mathur, Manu Raj ; Maulik, Pallab K. ; McGrath, John J. ; Mehrotra, Ravi ; Mekonen, Tesfa ; Mendoza, Walter ; Meretoja, Tuomo J. ; Mestrovic, Tomislav ; Miller, Ted R. ; Mini, G. K. ; Mirrakhimov, Erkin M. ; Mitchell, Philip B. ; Moazen, Babak ; Mohammad, Karzan Abdulmuhsin ; Mohammadi, Moslem ; Mohammed, Shafiu ; Mokdad, Ali H. ; Monasta, Lorenzo ; Moosazadeh, Mahmood ; Moradi, Ghobad ; Moradi‐lakeh, Maziar ; Moradinazar, Mehdi ; Velásquez, Ilais Moreno ; Morisaki, Naho ; Morrison, Shane Douglas ; Moschos, Marilita M. ; Mousavi, Seyyed Meysam ; Mustafa, Ghulam ; Nagel, Gabriele ; Naheed, Aliya ; Naik, Gurudatta ; Najafi, Farid ; Negoi, Ionut ; Negoi, Ruxandra Irina ; Nguyen, Huong Lan Thi ; Nguyen, Long Hoang ; Nixon, Molly R. ; Ofori‐asenso, Richard ; Ogbo, Felix Akpojene ; Oh, In Hwan ; Olagunju, Andrew T. ; Olagunju, Tinuke O. ; Øverland, Simon ; Owolabi, Mayowa Ojo ; Panda‐jonas, Songhomitra ; Parry, Charles D.H. ; Pati, Sanghamitra ; Patten, Scott B. ; Patton, George C. ; Petzold, Max ; Phillips, Michael R. ; Plana‐ripoll, Oleguer ; Postma, Maarten J. ; Pourshams, Akram ; Poustchi, Hossein ; Qorbani, Mostafa ; Radfar, Amir ; Rafay, Anwar ; Rafiei, Alireza ; Rahim, Fakher ; Rahimi‐movaghar, Afarin ; Rahimi‐movaghar, Vafa ; Rahman, Muhammad Aziz ; Rai, Rajesh Kumar ; Rezaeian, Shahab ; Roever, Leonardo ; Ronfani, Luca ; Roshandel, Gholamreza ; Rostami, Ali ; Sachdev, Perminder S. ; Safari, Hosein ; Safiri, Saeid ; Salamati, Payman ; Salimi, Yahya ; Salomon, Joshua A. ; Samy, Abdallah M. ; Santos, Itamar S. ; Santric‐milicevic, Milena M. ; Sartorius, Benn ; Sarvi, Shahabeddin ; Satpathy, Maheswar ; Sawhney, Monika ; Schwebel, David C. ; Sepanlou, Sadaf G. ; Shaikh, Masood Ali ; Sharif, Mehdi ; Shibuya, Kenji ; Shigematsu, Mika ; Shiri, Rahman ; Shiue, Ivy ; Siabani, Soraya ; Siddiqi, Tariq J. ; Sigfusdottir, Inga Dora ; Silva, João Pedro ; Singh, Jasvinder A. ; Filho, Adauto Martins Soares ; Sobhani, Soheila ; Stein, Dan J. ; Stein, Murray B. ; Sufiyan, Mu'awiyyah Babale ; Sunguya, Bruno F. ; Tabarés‐seisdedos, Rafael ; Tabb, Karen M. ; Tavakkoli, Mohammad ; Tehrani‐banihashemi, Arash ; Temsah, Mohamad Hani ; Topor‐madry, Roman ; Tran, Bach Xuan ; Tran, Khanh Bao ; Ullah, Irfan ; Unutzer, Jurgen ; Usman, Muhammad Shariq ; Uthman, Olalekan A. ; Valdez, Pascual R. ; Vasankari, Tommi Juhani ; Vasconcelos, Cintia ; Vlassov, Vasily ; Vos, Theo ; Vujcic, Isidora S. ; Waheed, Yasir ; Wang, Yuan Pang ; Weiderpass, Elisabete ; Werdecker, Andrea ; Westerman, Ronny ; Whiteford, Harvey A. ; Wyper, Grant M.A. ; Yaseri, Mehdi ; Yimer, Ebrahim M. ; Yisma, Engida ; Yonemoto, Naohiro ; Yoon, Seok Jun ; Yotebieng, Marcel ; Yousefifard, Mahmoud ; Yu, Chuanhua ; Zaidi, Zoubida ; Zamani, Mohammad ; Murray, Christopher J.L. ; Naghavi, Mohsen. / Global, regional, and national burden of suicide mortality 1990 to 2016 : Systematic analysis for the Global Burden of Disease Study 2016. In: BMJ (Online). 2019 ; Vol. 364.
@article{b356cc3ca4724b7281232cec429bdc60,
title = "Global, regional, and national burden of suicide mortality 1990 to 2016: Systematic analysis for the Global Burden of Disease Study 2016",
abstract = "Objectives To use the estimates from the Global Burden of Disease Study 2016 to describe patterns of suicide mortality globally, regionally, and for 195 countries and territories by age, sex, and Socio-demographic index, and to describe temporal trends between 1990 and 2016. Design Systematic analysis. Main outcome measures Crude and age standardised rates from suicide mortality and years of life lost were compared across regions and countries, and by age, sex, and Socio-demographic index (a composite measure of fertility, income, and education). Results The total number of deaths from suicide increased by 6.7{\%} (95{\%} uncertainty interval 0.4{\%} to 15.6{\%}) globally over the 27 year study period to 817 000 (762 000 to 884 000) deaths in 2016. However, the age standardised mortality rate for suicide decreased by 32.7{\%} (27.2{\%} to 36.6{\%}) worldwide between 1990 and 2016, similar to the decline in the global age standardised mortality rate of 30.6{\%}. Suicide was the leading cause of age standardised years of life lost in the Global Burden of Disease region of high income Asia Pacific and was among the top 10 leading causes in eastern Europe, central Europe, western Europe, central Asia, Australasia, southern Latin America, and high income North America. Rates for men were higher than for women across regions, countries, and age groups, except for the 15 to 19 age group. There was variation in the female to male ratio, with higher ratios at lower levels of Socio-demographic index. Women experienced greater decreases in mortality rates (49.0{\%}, 95{\%} uncertainty interval 42.6{\%} to 54.6{\%}) than men (23.8{\%}, 15.6{\%} to 32.7{\%}). Conclusions Age standardised mortality rates for suicide have greatly reduced since 1990, but suicide remains an important contributor to mortality worldwide. Suicide mortality was variable across locations, between sexes, and between age groups. Suicide prevention strategies can be targeted towards vulnerable populations if they are informed by variations in mortality rates.",
author = "Orpana, {Heather M.} and Marczak, {Laurie B.} and Megha Arora and Nooshin Abbasi and Abdulkader, {Rizwan Suliankatchi} and Zegeye Abebe and Abraha, {Haftom Niguse} and Mohsen Afarideh and Mahdi Afshari and Alireza Ahmadi and Aichour, {Amani Nidhal} and Ibtihel Aichour and Aichour, {Miloud Taki Eddine} and Nadia Akseer and Al‐raddadi, {Rajaa M.} and Fares Alahdab and Ala'a Alkerwi and Peter Allebeck and Nelson Alvis‐guzman and Anber, {Nahla Hamed} and Mina Anjomshoa and Antonio, {Carl Abelardo T.} and Amit Arora and Aryal, {Krishna K.} and Asgedom, {Solomon Weldegebreal} and Ashish Awasthi and Quintanilla, {Beatriz Paulina Ayala} and Hamid Badali and Barker‐collo, {Suzanne Lyn} and B{\"a}rnighausen, {Till Winfried} and Shahrzad Bazargan‐hejazi and Corina Benjet and Bensenor, {Isabela M.} and Noami Berfeld and Mircea Beuran and Bhutta, {Zulfiqar A.} and Belete Biadgo and Nigus Bililign and Guilherme Borges and Rohan Borschmann and Alexandra Brazinova and Breitborde, {Nicholas J.K.} and Traolach Brugha and Butt, {Zahid A.} and Carrero, {Juan J.} and F{\'e}lix Carvalho and Malta, {Deborah Carvalho} and Casta{\~n}eda‐orjuela, {Carlos A.} and Ferr{\'a}n Catal{\'a}‐l{\'o}pez and Ciobanu, {Liliana G.} and Dachew, {Berihun Assefa} and Lalit Dandona and Rakhi Dandona and Dargan, {Paul I.} and Ahmad Daryani and Davitoiu, {Dragos Virgil} and Kairat Davletov and Louisa Degenhardt and Demoz, {Gebre Teklemariam} and Jarlais, {Don C.Des} and Dharmaratne, {Samath Dhamminda} and Shirin Djalalinia and Linh Doan and Doku, {David Teye} and Manisha Dubey and Ziad El‐khatib and Sharareh Eskandarieh and Alireza Esteghamati and Sadaf Esteghamati and Andre Faro and Farshad Farzadfar and Wubalem Fekadu and Eduarda Fernandes and Ferrari, {Alize J.} and Irina Filip and Florian Fischer and Foreman, {Kyle J.} and Takeshi Fukumoto and Gebre, {Abadi Kahsu} and Giuseppe Grosso and Rahul Gupta and Haagsma, {Juanita A.} and Bidgoli, {Hassan Haghparast} and Arvin Haj‐mirzaian and Samer Hamidi and Hankey, {Graeme J.} and Haro, {Josep Maria} and Hassen, {Hamid Yimam} and Hay, {Simon I.} and Behnam Heidari and Delia Hendrie and Rad, {Enayatollah Homaie} and Hosseini, {Seyed Mostafa} and Sorin Hostiuc and Irvani, {Seyed Sina Naghibi} and Islam, {Sheikh Mohammed Shariful} and Mihajlo Jakovljevic and Spencer James and Jayatilleke, {Achala Upendra} and Jha, {Ravi Prakash} and Jonas, {Jost B.} and Jozwiak, {Jacek Jerzy} and Rajendra Kadel and Amaha Kahsay and Amir Kasaeian and Kassa, {Getachew Mullu} and Norito Kawakami and Kefale, {Adane Teshome} and Kemp, {Grant Rodgers} and Khader, {Yousef Saleh} and Khafaie, {Morteza Abdullatif} and Khalil, {Ibrahim A.} and Khan, {Ejaz Ahmad} and Khan, {Muhammad Ali} and Khan, {Muhammad Shahzeb} and Khang, {Young Ho} and Jagdish Khubchandani and Kiadaliri, {Aliasghar A.} and Christian Kieling and Kim, {Young Eun} and Adnan Kisa and Knudsen, {Ann Kristin Skrindo} and Yoshihiro Kokubo and Ai Koyanagi and Krish, {Varsha Sarah} and Defo, {Barthelemy Kuate} and Kumar, {G. Anil} and Manasi Kumar and Prabhat Lamichhane and Lang, {Justin J.} and Arman Latifi and Lee, {Paul H.} and Janni Leung and Lim, {Lee Ling} and Lopez, {Alan D.} and Stefan Lorkowski and Lotufo, {Paulo A.} and Rafael Lozano and Raimundas Lunevicius and Mahesh, {P. A.} and Marek Majdan and Reza Majdzadeh and Reza Malekzadeh and Manda, {Ana Laura} and Mansournia, {Mohammad Ali} and Mantovani, {Lorenzo Giovanni} and Maravilla, {Joemer C.} and Jose Martinez‐raga and Mathur, {Manu Raj} and Maulik, {Pallab K.} and McGrath, {John J.} and Ravi Mehrotra and Tesfa Mekonen and Walter Mendoza and Meretoja, {Tuomo J.} and Tomislav Mestrovic and Miller, {Ted R.} and Mini, {G. K.} and Mirrakhimov, {Erkin M.} and Mitchell, {Philip B.} and Babak Moazen and Mohammad, {Karzan Abdulmuhsin} and Moslem Mohammadi and Shafiu Mohammed and Mokdad, {Ali H.} and Lorenzo Monasta and Mahmood Moosazadeh and Ghobad Moradi and Maziar Moradi‐lakeh and Mehdi Moradinazar and Vel{\'a}squez, {Ilais Moreno} and Naho Morisaki and Morrison, {Shane Douglas} and Moschos, {Marilita M.} and Mousavi, {Seyyed Meysam} and Ghulam Mustafa and Gabriele Nagel and Aliya Naheed and Gurudatta Naik and Farid Najafi and Ionut Negoi and Negoi, {Ruxandra Irina} and Nguyen, {Huong Lan Thi} and Nguyen, {Long Hoang} and Nixon, {Molly R.} and Richard Ofori‐asenso and Ogbo, {Felix Akpojene} and Oh, {In Hwan} and Olagunju, {Andrew T.} and Olagunju, {Tinuke O.} and Simon {\O}verland and Owolabi, {Mayowa Ojo} and Songhomitra Panda‐jonas and Parry, {Charles D.H.} and Sanghamitra Pati and Patten, {Scott B.} and Patton, {George C.} and Max Petzold and Phillips, {Michael R.} and Oleguer Plana‐ripoll and Postma, {Maarten J.} and Akram Pourshams and Hossein Poustchi and Mostafa Qorbani and Amir Radfar and Anwar Rafay and Alireza Rafiei and Fakher Rahim and Afarin Rahimi‐movaghar and Vafa Rahimi‐movaghar and Rahman, {Muhammad Aziz} and Rai, {Rajesh Kumar} and Shahab Rezaeian and Leonardo Roever and Luca Ronfani and Gholamreza Roshandel and Ali Rostami and Sachdev, {Perminder S.} and Hosein Safari and Saeid Safiri and Payman Salamati and Yahya Salimi and Salomon, {Joshua A.} and Samy, {Abdallah M.} and Santos, {Itamar S.} and Santric‐milicevic, {Milena M.} and Benn Sartorius and Shahabeddin Sarvi and Maheswar Satpathy and Monika Sawhney and Schwebel, {David C.} and Sepanlou, {Sadaf G.} and Shaikh, {Masood Ali} and Mehdi Sharif and Kenji Shibuya and Mika Shigematsu and Rahman Shiri and Ivy Shiue and Soraya Siabani and Siddiqi, {Tariq J.} and Sigfusdottir, {Inga Dora} and Silva, {Jo{\~a}o Pedro} and Singh, {Jasvinder A.} and Filho, {Adauto Martins Soares} and Soheila Sobhani and Stein, {Dan J.} and Stein, {Murray B.} and Sufiyan, {Mu'awiyyah Babale} and Sunguya, {Bruno F.} and Rafael Tabar{\'e}s‐seisdedos and Tabb, {Karen M.} and Mohammad Tavakkoli and Arash Tehrani‐banihashemi and Temsah, {Mohamad Hani} and Roman Topor‐madry and Tran, {Bach Xuan} and Tran, {Khanh Bao} and Irfan Ullah and Jurgen Unutzer and Usman, {Muhammad Shariq} and Uthman, {Olalekan A.} and Valdez, {Pascual R.} and Vasankari, {Tommi Juhani} and Cintia Vasconcelos and Vasily Vlassov and Theo Vos and Vujcic, {Isidora S.} and Yasir Waheed and Wang, {Yuan Pang} and Elisabete Weiderpass and Andrea Werdecker and Ronny Westerman and Whiteford, {Harvey A.} and Wyper, {Grant M.A.} and Mehdi Yaseri and Yimer, {Ebrahim M.} and Engida Yisma and Naohiro Yonemoto and Yoon, {Seok Jun} and Marcel Yotebieng and Mahmoud Yousefifard and Chuanhua Yu and Zoubida Zaidi and Mohammad Zamani and Murray, {Christopher J.L.} and Mohsen Naghavi",
year = "2019",
month = "1",
day = "1",
doi = "10.1136/bmj.l94",
language = "English (US)",
volume = "364",
journal = "BMJ (Online)",
issn = "0959-8146",
publisher = "BMJ Publishing Group",

}

TY - JOUR

T1 - Global, regional, and national burden of suicide mortality 1990 to 2016

T2 - Systematic analysis for the Global Burden of Disease Study 2016

AU - Orpana, Heather M.

AU - Marczak, Laurie B.

AU - Arora, Megha

AU - Abbasi, Nooshin

AU - Abdulkader, Rizwan Suliankatchi

AU - Abebe, Zegeye

AU - Abraha, Haftom Niguse

AU - Afarideh, Mohsen

AU - Afshari, Mahdi

AU - Ahmadi, Alireza

AU - Aichour, Amani Nidhal

AU - Aichour, Ibtihel

AU - Aichour, Miloud Taki Eddine

AU - Akseer, Nadia

AU - Al‐raddadi, Rajaa M.

AU - Alahdab, Fares

AU - Alkerwi, Ala'a

AU - Allebeck, Peter

AU - Alvis‐guzman, Nelson

AU - Anber, Nahla Hamed

AU - Anjomshoa, Mina

AU - Antonio, Carl Abelardo T.

AU - Arora, Amit

AU - Aryal, Krishna K.

AU - Asgedom, Solomon Weldegebreal

AU - Awasthi, Ashish

AU - Quintanilla, Beatriz Paulina Ayala

AU - Badali, Hamid

AU - Barker‐collo, Suzanne Lyn

AU - Bärnighausen, Till Winfried

AU - Bazargan‐hejazi, Shahrzad

AU - Benjet, Corina

AU - Bensenor, Isabela M.

AU - Berfeld, Noami

AU - Beuran, Mircea

AU - Bhutta, Zulfiqar A.

AU - Biadgo, Belete

AU - Bililign, Nigus

AU - Borges, Guilherme

AU - Borschmann, Rohan

AU - Brazinova, Alexandra

AU - Breitborde, Nicholas J.K.

AU - Brugha, Traolach

AU - Butt, Zahid A.

AU - Carrero, Juan J.

AU - Carvalho, Félix

AU - Malta, Deborah Carvalho

AU - Castañeda‐orjuela, Carlos A.

AU - Catalá‐lópez, Ferrán

AU - Ciobanu, Liliana G.

AU - Dachew, Berihun Assefa

AU - Dandona, Lalit

AU - Dandona, Rakhi

AU - Dargan, Paul I.

AU - Daryani, Ahmad

AU - Davitoiu, Dragos Virgil

AU - Davletov, Kairat

AU - Degenhardt, Louisa

AU - Demoz, Gebre Teklemariam

AU - Jarlais, Don C.Des

AU - Dharmaratne, Samath Dhamminda

AU - Djalalinia, Shirin

AU - Doan, Linh

AU - Doku, David Teye

AU - Dubey, Manisha

AU - El‐khatib, Ziad

AU - Eskandarieh, Sharareh

AU - Esteghamati, Alireza

AU - Esteghamati, Sadaf

AU - Faro, Andre

AU - Farzadfar, Farshad

AU - Fekadu, Wubalem

AU - Fernandes, Eduarda

AU - Ferrari, Alize J.

AU - Filip, Irina

AU - Fischer, Florian

AU - Foreman, Kyle J.

AU - Fukumoto, Takeshi

AU - Gebre, Abadi Kahsu

AU - Grosso, Giuseppe

AU - Gupta, Rahul

AU - Haagsma, Juanita A.

AU - Bidgoli, Hassan Haghparast

AU - Haj‐mirzaian, Arvin

AU - Hamidi, Samer

AU - Hankey, Graeme J.

AU - Haro, Josep Maria

AU - Hassen, Hamid Yimam

AU - Hay, Simon I.

AU - Heidari, Behnam

AU - Hendrie, Delia

AU - Rad, Enayatollah Homaie

AU - Hosseini, Seyed Mostafa

AU - Hostiuc, Sorin

AU - Irvani, Seyed Sina Naghibi

AU - Islam, Sheikh Mohammed Shariful

AU - Jakovljevic, Mihajlo

AU - James, Spencer

AU - Jayatilleke, Achala Upendra

AU - Jha, Ravi Prakash

AU - Jonas, Jost B.

AU - Jozwiak, Jacek Jerzy

AU - Kadel, Rajendra

AU - Kahsay, Amaha

AU - Kasaeian, Amir

AU - Kassa, Getachew Mullu

AU - Kawakami, Norito

AU - Kefale, Adane Teshome

AU - Kemp, Grant Rodgers

AU - Khader, Yousef Saleh

AU - Khafaie, Morteza Abdullatif

AU - Khalil, Ibrahim A.

AU - Khan, Ejaz Ahmad

AU - Khan, Muhammad Ali

AU - Khan, Muhammad Shahzeb

AU - Khang, Young Ho

AU - Khubchandani, Jagdish

AU - Kiadaliri, Aliasghar A.

AU - Kieling, Christian

AU - Kim, Young Eun

AU - Kisa, Adnan

AU - Knudsen, Ann Kristin Skrindo

AU - Kokubo, Yoshihiro

AU - Koyanagi, Ai

AU - Krish, Varsha Sarah

AU - Defo, Barthelemy Kuate

AU - Kumar, G. Anil

AU - Kumar, Manasi

AU - Lamichhane, Prabhat

AU - Lang, Justin J.

AU - Latifi, Arman

AU - Lee, Paul H.

AU - Leung, Janni

AU - Lim, Lee Ling

AU - Lopez, Alan D.

AU - Lorkowski, Stefan

AU - Lotufo, Paulo A.

AU - Lozano, Rafael

AU - Lunevicius, Raimundas

AU - Mahesh, P. A.

AU - Majdan, Marek

AU - Majdzadeh, Reza

AU - Malekzadeh, Reza

AU - Manda, Ana Laura

AU - Mansournia, Mohammad Ali

AU - Mantovani, Lorenzo Giovanni

AU - Maravilla, Joemer C.

AU - Martinez‐raga, Jose

AU - Mathur, Manu Raj

AU - Maulik, Pallab K.

AU - McGrath, John J.

AU - Mehrotra, Ravi

AU - Mekonen, Tesfa

AU - Mendoza, Walter

AU - Meretoja, Tuomo J.

AU - Mestrovic, Tomislav

AU - Miller, Ted R.

AU - Mini, G. K.

AU - Mirrakhimov, Erkin M.

AU - Mitchell, Philip B.

AU - Moazen, Babak

AU - Mohammad, Karzan Abdulmuhsin

AU - Mohammadi, Moslem

AU - Mohammed, Shafiu

AU - Mokdad, Ali H.

AU - Monasta, Lorenzo

AU - Moosazadeh, Mahmood

AU - Moradi, Ghobad

AU - Moradi‐lakeh, Maziar

AU - Moradinazar, Mehdi

AU - Velásquez, Ilais Moreno

AU - Morisaki, Naho

AU - Morrison, Shane Douglas

AU - Moschos, Marilita M.

AU - Mousavi, Seyyed Meysam

AU - Mustafa, Ghulam

AU - Nagel, Gabriele

AU - Naheed, Aliya

AU - Naik, Gurudatta

AU - Najafi, Farid

AU - Negoi, Ionut

AU - Negoi, Ruxandra Irina

AU - Nguyen, Huong Lan Thi

AU - Nguyen, Long Hoang

AU - Nixon, Molly R.

AU - Ofori‐asenso, Richard

AU - Ogbo, Felix Akpojene

AU - Oh, In Hwan

AU - Olagunju, Andrew T.

AU - Olagunju, Tinuke O.

AU - Øverland, Simon

AU - Owolabi, Mayowa Ojo

AU - Panda‐jonas, Songhomitra

AU - Parry, Charles D.H.

AU - Pati, Sanghamitra

AU - Patten, Scott B.

AU - Patton, George C.

AU - Petzold, Max

AU - Phillips, Michael R.

AU - Plana‐ripoll, Oleguer

AU - Postma, Maarten J.

AU - Pourshams, Akram

AU - Poustchi, Hossein

AU - Qorbani, Mostafa

AU - Radfar, Amir

AU - Rafay, Anwar

AU - Rafiei, Alireza

AU - Rahim, Fakher

AU - Rahimi‐movaghar, Afarin

AU - Rahimi‐movaghar, Vafa

AU - Rahman, Muhammad Aziz

AU - Rai, Rajesh Kumar

AU - Rezaeian, Shahab

AU - Roever, Leonardo

AU - Ronfani, Luca

AU - Roshandel, Gholamreza

AU - Rostami, Ali

AU - Sachdev, Perminder S.

AU - Safari, Hosein

AU - Safiri, Saeid

AU - Salamati, Payman

AU - Salimi, Yahya

AU - Salomon, Joshua A.

AU - Samy, Abdallah M.

AU - Santos, Itamar S.

AU - Santric‐milicevic, Milena M.

AU - Sartorius, Benn

AU - Sarvi, Shahabeddin

AU - Satpathy, Maheswar

AU - Sawhney, Monika

AU - Schwebel, David C.

AU - Sepanlou, Sadaf G.

AU - Shaikh, Masood Ali

AU - Sharif, Mehdi

AU - Shibuya, Kenji

AU - Shigematsu, Mika

AU - Shiri, Rahman

AU - Shiue, Ivy

AU - Siabani, Soraya

AU - Siddiqi, Tariq J.

AU - Sigfusdottir, Inga Dora

AU - Silva, João Pedro

AU - Singh, Jasvinder A.

AU - Filho, Adauto Martins Soares

AU - Sobhani, Soheila

AU - Stein, Dan J.

AU - Stein, Murray B.

AU - Sufiyan, Mu'awiyyah Babale

AU - Sunguya, Bruno F.

AU - Tabarés‐seisdedos, Rafael

AU - Tabb, Karen M.

AU - Tavakkoli, Mohammad

AU - Tehrani‐banihashemi, Arash

AU - Temsah, Mohamad Hani

AU - Topor‐madry, Roman

AU - Tran, Bach Xuan

AU - Tran, Khanh Bao

AU - Ullah, Irfan

AU - Unutzer, Jurgen

AU - Usman, Muhammad Shariq

AU - Uthman, Olalekan A.

AU - Valdez, Pascual R.

AU - Vasankari, Tommi Juhani

AU - Vasconcelos, Cintia

AU - Vlassov, Vasily

AU - Vos, Theo

AU - Vujcic, Isidora S.

AU - Waheed, Yasir

AU - Wang, Yuan Pang

AU - Weiderpass, Elisabete

AU - Werdecker, Andrea

AU - Westerman, Ronny

AU - Whiteford, Harvey A.

AU - Wyper, Grant M.A.

AU - Yaseri, Mehdi

AU - Yimer, Ebrahim M.

AU - Yisma, Engida

AU - Yonemoto, Naohiro

AU - Yoon, Seok Jun

AU - Yotebieng, Marcel

AU - Yousefifard, Mahmoud

AU - Yu, Chuanhua

AU - Zaidi, Zoubida

AU - Zamani, Mohammad

AU - Murray, Christopher J.L.

AU - Naghavi, Mohsen

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objectives To use the estimates from the Global Burden of Disease Study 2016 to describe patterns of suicide mortality globally, regionally, and for 195 countries and territories by age, sex, and Socio-demographic index, and to describe temporal trends between 1990 and 2016. Design Systematic analysis. Main outcome measures Crude and age standardised rates from suicide mortality and years of life lost were compared across regions and countries, and by age, sex, and Socio-demographic index (a composite measure of fertility, income, and education). Results The total number of deaths from suicide increased by 6.7% (95% uncertainty interval 0.4% to 15.6%) globally over the 27 year study period to 817 000 (762 000 to 884 000) deaths in 2016. However, the age standardised mortality rate for suicide decreased by 32.7% (27.2% to 36.6%) worldwide between 1990 and 2016, similar to the decline in the global age standardised mortality rate of 30.6%. Suicide was the leading cause of age standardised years of life lost in the Global Burden of Disease region of high income Asia Pacific and was among the top 10 leading causes in eastern Europe, central Europe, western Europe, central Asia, Australasia, southern Latin America, and high income North America. Rates for men were higher than for women across regions, countries, and age groups, except for the 15 to 19 age group. There was variation in the female to male ratio, with higher ratios at lower levels of Socio-demographic index. Women experienced greater decreases in mortality rates (49.0%, 95% uncertainty interval 42.6% to 54.6%) than men (23.8%, 15.6% to 32.7%). Conclusions Age standardised mortality rates for suicide have greatly reduced since 1990, but suicide remains an important contributor to mortality worldwide. Suicide mortality was variable across locations, between sexes, and between age groups. Suicide prevention strategies can be targeted towards vulnerable populations if they are informed by variations in mortality rates.

AB - Objectives To use the estimates from the Global Burden of Disease Study 2016 to describe patterns of suicide mortality globally, regionally, and for 195 countries and territories by age, sex, and Socio-demographic index, and to describe temporal trends between 1990 and 2016. Design Systematic analysis. Main outcome measures Crude and age standardised rates from suicide mortality and years of life lost were compared across regions and countries, and by age, sex, and Socio-demographic index (a composite measure of fertility, income, and education). Results The total number of deaths from suicide increased by 6.7% (95% uncertainty interval 0.4% to 15.6%) globally over the 27 year study period to 817 000 (762 000 to 884 000) deaths in 2016. However, the age standardised mortality rate for suicide decreased by 32.7% (27.2% to 36.6%) worldwide between 1990 and 2016, similar to the decline in the global age standardised mortality rate of 30.6%. Suicide was the leading cause of age standardised years of life lost in the Global Burden of Disease region of high income Asia Pacific and was among the top 10 leading causes in eastern Europe, central Europe, western Europe, central Asia, Australasia, southern Latin America, and high income North America. Rates for men were higher than for women across regions, countries, and age groups, except for the 15 to 19 age group. There was variation in the female to male ratio, with higher ratios at lower levels of Socio-demographic index. Women experienced greater decreases in mortality rates (49.0%, 95% uncertainty interval 42.6% to 54.6%) than men (23.8%, 15.6% to 32.7%). Conclusions Age standardised mortality rates for suicide have greatly reduced since 1990, but suicide remains an important contributor to mortality worldwide. Suicide mortality was variable across locations, between sexes, and between age groups. Suicide prevention strategies can be targeted towards vulnerable populations if they are informed by variations in mortality rates.

UR - http://www.scopus.com/inward/record.url?scp=85061305951&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85061305951&partnerID=8YFLogxK

U2 - 10.1136/bmj.l94

DO - 10.1136/bmj.l94

M3 - Article

AN - SCOPUS:85061305951

VL - 364

JO - BMJ (Online)

JF - BMJ (Online)

SN - 0959-8146

M1 - 94

ER -