Area-level socioeconomic disadvantage and suicidal behaviour in Europe: a systematic review

Cairns, J., Graham, E. and Bambra, C. (2017) Area-level socioeconomic disadvantage and suicidal behaviour in Europe: a systematic review. Social Science and Medicine, 192. pp. 102-111. ISSN 0277-9536.

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The relationship between adverse individual socio-economic circumstances and suicidal behaviour is well established. However, the impact of adverse collective circumstances - such as the socio-economic context where people live - is less well understood.

This systematic review explores the extent to which area-level socioeconomic disadvantage is associated with inequalities in suicidal behaviour and self-harm in Europe. We performed a systematic review (in MEDLINE, Embase, PsycINFO, EconLit and Social Sciences Citation Index) from 2005 to 2015. Observational studies were included if they were based in Europe and had a primary suicidal behaviour and self-harm outcome, compared at least two areas, included an area-level measure of socio-economic disadvantage and were published in the English language.

The review followed The Joanna Briggs Institute guidelines for quality appraisal. We identified 27 studies (30 papers) from 14 different European countries. There was a significant association (in 25/27 studies, all of which were rated as of medium or high quality) between socioeconomic disadvantage and suicidal behaviour (and self-harm), particularly for men, and this was a consistent finding across a variety of European countries. Socio-economic disadvantage was found to have an independent effect in several studies whilst others found evidence of mediating contextual and compositional factors. There is strong evidence of an association between suicidal behaviours (and self-harm) and area-level socio-economic disadvantage in Europe, particularly for men. Suicide prevention strategies should take this into account. "

Item Type: Article
Additional Information: ID: 271821
Uncontrolled Keywords: Deprivation; Europe; health inequalities; neighbourhood effects; self-harm; suicide; systematic review
Subjects: H Social Sciences > HM Sociology > HM1001 Social psychology > HM1106 Interpersonal relations. Social behavior > HM1136 Marginality, social
H Social Sciences > HN Social history and conditions. Social problems. Social reform
R Medicine > RC Internal medicine > RC0435 Psychiatry > RC0569 Suicide
Divisions: Faculty of Health and Wellbeing > School of Public Health, Midwifery and Social Work
Related URLs:
Depositing User: Jo Cairns
Date Deposited: 24 Jul 2018 16:10
Last Modified: 19 Oct 2018 18:45

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Last edited: 29/06/2016 12:23:00