BACKGROUND: Suicide rates in Scotland have increased markedly relative to those in England in recent decades. AIMS: To compare changing patterns of suicide risk in Scotland with those in England & Wales, 1960-2008. METHOD: For Scotland and for England & Wales separately, we obtained national data on suicide counts and population estimates. Gender-specific, directly age-standardised rates were calculated. RESULTS: We identified three distinct temporal phases: 1960-1967, when suicide rates in England & Wales were initially higher than in Scotland, but then converged; 1968-1991, when male suicide rates in Scotland rose slightly faster than in England & Wales; and 1992-2008, when there was a marked divergence in national trends. Much of the recent divergence in rates is attributable to the rise in suicide among young men and deaths by hanging in Scotland. Introduction of the 'undetermined intent' category in 1968 had a significant impact on suicide statistics across Great Britain, but especially so in Scotland. CONCLUSIONS: Differences in temporal patterns in suicide risk between the countries are complex. Reversal of the divergent trends may require a change in the perception of hanging as a 'painless' method of suicide.
BACKGROUND: Suicide rates in Scotland have increased markedly relative to those in England in recent decades. AIMS: To compare changing patterns of suicide risk in Scotland with those in England & Wales, 1960-2008. METHOD: For Scotland and for England & Wales separately, we obtained national data on suicide counts and population estimates. Gender-specific, directly age-standardised rates were calculated. RESULTS: We identified three distinct temporal phases: 1960-1967, when suicide rates in England & Wales were initially higher than in Scotland, but then converged; 1968-1991, when male suicide rates in Scotland rose slightly faster than in England & Wales; and 1992-2008, when there was a marked divergence in national trends. Much of the recent divergence in rates is attributable to the rise in suicide among young men and deaths by hanging in Scotland. Introduction of the 'undetermined intent' category in 1968 had a significant impact on suicide statistics across Great Britain, but especially so in Scotland. CONCLUSIONS: Differences in temporal patterns in suicide risk between the countries are complex. Reversal of the divergent trends may require a change in the perception of hanging as a 'painless' method of suicide.
Authors: Matthew J Carr; Darren M Ashcroft; Evangelos Kontopantelis; Yvonne Awenat; Jayne Cooper; Carolyn Chew-Graham; Nav Kapur; Roger T Webb Journal: BMC Psychiatry Date: 2016-02-29 Impact factor: 3.630
Authors: Jane Parkinson; Jon Minton; James Lewsey; Janet Bouttell; Gerry McCartney Journal: J Epidemiol Community Health Date: 2016-07-18 Impact factor: 3.710
Authors: Nadine Dougall; Cameron Stark; Tim Agnew; Rob Henderson; Margaret Maxwell; Paul Lambert Journal: BMC Public Health Date: 2017-12-20 Impact factor: 3.295
Authors: Rory C O'Connor; Karen Wetherall; Seonaid Cleare; Sarah Eschle; Julie Drummond; Eamonn Ferguson; Daryl B O'Connor; Ronan E O'Carroll Journal: BJPsych Open Date: 2018-05-09
Authors: Gerry McCartney; Tom C Russ; David Walsh; Jim Lewsey; Michael Smith; George Davey Smith; Emmanuel Stamatakis; G David Batty Journal: J Epidemiol Community Health Date: 2014-09-12 Impact factor: 3.710