Suicide and Suicidal Behaviour in Ireland 2011

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Suicide and Suicidal Behaviour in Ireland 2011

  1. 1. Suicide Paul Corcoran (pcorcoran@ucc.ie) National Suicide Research Foundation, Ireland Department of Epidemiology & Public Health, UCC
  2. 2. National Suicide Research Foundation Goal To produce a nationally and internationally recognised body of reliable knowledge from a multidisciplinary perspective on the risk and protective factors associated with suicidal behaviour. Research focus Extent of the problem of deliberate self harm and suicide as well as risk and protective factors Effectiveness of intervention and prevention programmes for deliberate self harm and suicide
  3. 3. What is suicidal behaviour? Suicide Suicide attempts Deliberate self harm –Hospital/medically-treated –Untreated Suicidal ideation/thoughts/plans
  4. 4. Suicidal behaviour: an ‘iceberg phenomenon’ Level 1 Suicide Level 2 Level 3 Deliberate self harm medically treated ‘Hidden’ cases of deliberate self harm and suicidal thoughts World Health Organization and Irish Central Statistics Office Suicide Data Surveillance studies and registries Community and school-based studies
  5. 5. The burden of suicidal behaviour An estimated one million people die by suicide annually worldwide 10-20 million people attempt suicide annually worldwide Suicide accounts for ~1.5% of all deaths and is the 10th leading cause of death worldwide Suicide is the second leading cause of death in 15-34 yearold Europeans Among 15-44 year-olds worldwide, self-inflicted injuries is the sixth leading cause of disability-adjusted life years
  6. 6. The burden of suicidal behaviour
  7. 7. The burden of suicidal behaviour
  8. 8. Recording of suicide in Ireland  Coroner notified of death by gardai  Post mortem and inquest  Coroner notifies registrar of death after the inquest  Registrar then registers death and notifies the Central Statistics Office (CSO)  CSO send confidential form to relevant garda sub-district  Garda provides opinion as to the cause of death and returns form to CSO – – – – Suicidal Homicidal Accidental Undetermined
  9. 9. 2010 2008 2006 2004 2002 2000 1998 1996 1994 1992 1990 1988 1986 Men 16 1984 20 1982 1980 1978 1976 1974 1972 1970 1968 1966 1964 1962 1960 Rate per 100,000 age-adjusted to the Standard European Pop. Irish suicide rates, 1960-2010 24 Women 12 8 4 0
  10. 10. Suicide compared to transport accident deaths in Ireland 800 Suicide+UD Suicide Transport accidents Number of deaths 700 600 500 400 300 200 100 0 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
  11. 11. Is suicide a major cause of death in Ireland? Suicide accounted for 527 (1.8%) of the 28,898 deaths that were registered in 2009. 5,243 18% 527, 2% Circulatory system 9,693 34% 1,156 4% Neoplasms Respiratory system Digestive system 3,694 13% Suicide Other 8,585 30%
  12. 12. Is suicide a major cause of death among young adults in Ireland? Suicide accounted for 229 (25%) of the 923 deaths of 15-34 year-olds that were registered in 2009. 23% 6% 10% 1% 2% 8% 13% 25% 13% Circulatory system Malignant neoplasms Respiratory system Digestive system Suicide Transport accidents Accidental poisoning Undetermined intent Other
  13. 13. 0 Based on WHO data accessed on 31 March 2011. Data are for 2004-2008 except for Belgium (1999). Greece Italy Malta UK Spain Netherlands Ireland Luxembourg Romania Portugal Denmark Germany Slovakia Bulgaria Sweden Czech Republic Austria Poland France Estonia Belgium Finland Latvia Slovenia Hungary Lithuania Rate per 100,000 Suicide in Ireland and in other EU countries 35 30 25 20 15 10 5
  14. 14. 0 Based on WHO data accessed on 31 March 2011. Data are for 2004-2008 except for Belgium (1999). Greece Italy Malta Portugal Spain UK Netherlands Bulgaria Romania Denmark Germany France Hungary Slovakia Austria Czech Republic Slovenia Latvia Sweden Poland Belgium Luxembourg Ireland Estonia Finland Lithuania Rate per 100,000 35 Suicide rate of 15-24 year-olds in Ireland and in other EU countries 30 25 20 15 10 5
  15. 15. 85yrs+ 80-84yrs 75-79yrs 105 70-74yrs 120 65-69yrs 60-64yrs 55-59yrs 50-54yrs 45-49yrs 40-44yrs 35-39yrs 30-34yrs 25-29yrs 20-24yrs 15-19yrs 10-14yrs Average annual rate per 100,000 150 Suicide in Europe by age 135 Male Female 90 75 60 45 30 15 0
  16. 16. 85yrs+ 80-84yrs 75-79yrs 70-74yrs 30 65-69yrs 60-64yrs 55-59yrs 50-54yrs 45-49yrs 40-44yrs 35-39yrs 30-34yrs 25-29yrs 20-24yrs 15-19yrs 10-14yrs Average annual rate per 100,000 Suicide in Ireland by age, 2004-2009 35 Men Women 25 20 15 10 5 0
  17. 17. Method of suicide in Ireland by gender 100% 80% 6% 7% 5% 1% 9% 20% 12% Other 24% 60% Firearms Poisoning Drowning Hanging 40% 66% 50% 20% 0% Men Women Based on 2004-2008 data
  18. 18. Method of suicide in Ireland by gender and age 100% 80% 5% 5% 7% 7% 7% 6% 5% 4% 2% 12% 13% 11% 8% 14% 60% 40% 5% 1% 7% 1% 26% 20% 12% Other 22% 25% 76% 61% 40% Firearms Poisoning Drowning Hanging 68% 53% 43% 20% 32% 0% Men <30yrs Men 30-54yrs Men 55yrs+ Women <30yrs Women 30-54yrs Women 55yrs+ Based on 2004-2008 data
  19. 19. Monthly variation in suicide, 2006-2008 150 Expected 125 Number of suicide deaths Observed 100 75 50 25 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
  20. 20. Monthly variation in suicide, 2006-2008 25 20 % difference from expected 15 10 5 0 Jan -5 -10 -15 -20 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
  21. 21. Suicide in Ireland by day of death 20 % of deaths 15 10 5 0 Mon Tue Wed Thu Fri Sat Sun Based on 2005-2006 data
  22. 22. Location of suicide deaths in Ireland At or near home River/waterway At sea Institution Farm/agri area Other persons residence Road/roadside Work site Other Based on 2002 data
  23. 23. Suicide by county/city, 2004-2010 19 Cork City 17 17 16 16 Leitrim Cavan Carlow Tipperary North 14 14 14 13 13 13 12 12 12 12 12 12 11 11 11 11 11 11 11 11 11 11 10 10 10 9 9 W aterford County W exford Example of volatile rates: Offaly Cork County W estmeath Carlow 2007: 22 per 100,000 Clare Tipperary South Limerick City Carlow 2008: 11 per 100,000 M ayo Roscommon Galway county, 8 deaths in 2004 Galway County Kerry W aterford City Galway county, 25 deaths in 2005 M onaghan M eath W icklow Longford Limerick County Kildare Louth Laois Dublin City Donegal Sligo Kilkenny South Dublin Galway City 7 7 Dun Laoghaire/Rathdown Fingal 0 5 10 Crude rate per 100,000 15 20
  24. 24. Suicide in Ireland by marital status and gender 70 Rate per 100,000 60 50 40 30 20 10 0 Single Married Widowed Separated Single Men Married Widowed Separated Women Based on 2002 data
  25. 25. Suicide in Ireland by domestic situation and gender 70 Rate per 100,000 60 50 40 30 20 10 0 Alone With parent(s) Men With partner Alone With parent(s) Women With partner Based on 2002 data
  26. 26. Suicide in Ireland by employment status and gender 90 80 Rate per 100,000 70 60 50 40 30 20 10 0 Unemployed Employed Men Unemployed Employed Home duties Women Based on 2002 data

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