Association between adolescent suicide and sociodemographic factors in Chile: cross-sectional ecological study

Crisis. 2015;36(4):281-90. doi: 10.1027/0227-5910/a000324.

Abstract

Background: Adolescent suicide rates (ASR) are a matter of concern worldwide. Causes of this trend are not understood and could correspond to socioeconomic factors such as inequality.

Aim: To investigate sociodemographic variables related to ASR, particularly the potential association with indicators of socioeconomic inequality.

Method: Cross-sectional ecological study analyzing data from 29 health districts with univariate and multivariable multilevel Poisson models.

Results: ASR were higher in male adolescents and at increasing age. No association was found between ASR and inequality (Gini coefficient and 20/20 ratio). Analysis revealed that living in a single-parent family is associated with ASR.

Conclusions: The usual demographic patterns of adolescent suicide apply in Chile. An emerging variable of interest is single-parent family. No cross-sectional association between social inequality and ASR was found based on conflicting evidence. These results should be explored in future prospective population studies to further understand associated social factors.

Keywords: income inequality; social determinants of health; social epidemiology; youth suicide.

MeSH terms

  • Adolescent
  • Child
  • Chile / epidemiology
  • Cross-Sectional Studies
  • Educational Status
  • Family Characteristics
  • Female
  • Humans
  • Income / statistics & numerical data*
  • Male
  • Poverty / statistics & numerical data*
  • Residence Characteristics / statistics & numerical data
  • Single-Parent Family / statistics & numerical data*
  • Socioeconomic Factors
  • Suicide / statistics & numerical data*
  • Unemployment / statistics & numerical data*