Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.14279/2062
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dc.contributor.authorGunnell, David J.-
dc.contributor.authorMiddleton, Nicos-
dc.contributor.authorFrankel, Stephen J.-
dc.contributor.otherΜίτλεττον, Νίκος-
dc.date.accessioned2010-03-15T11:49:49Zen
dc.date.accessioned2013-05-16T08:35:48Z-
dc.date.accessioned2015-12-02T09:34:51Z-
dc.date.available2010-03-15T11:49:49Zen
dc.date.available2013-05-16T08:35:48Z-
dc.date.available2015-12-02T09:34:51Z-
dc.date.issued2000-10-
dc.identifier.citationSocial Psychiatry and Psychiatric Epidemiology, 2000, vol. 35, no. 10, pp. 437-443en_US
dc.identifier.issn14339285-
dc.identifier.urihttps://hdl.handle.net/20.500.14279/2062-
dc.description.abstractBackground: In England and Wales in the 1960s there were marked declines in suicide rates. These reductions were partly attributable to the detoxification of the domestic gas supplies; however, their extent varied by age and gender, with the most striking effects seen in older men. The objective of this study was to investigate method-specific trends in suicide between 1950 and 1975 to elucidate possible explanations for the patterns seen in different demographic groups. Methods: An analysis of age-standardised method-specific suicide rates for England and Wales between 1950 and 1975 was carried out using routinely available mortality and population statistics. Results: As has previously been shown, there were marked reductions in suicides by gassing in men and women of all ages between 1960 and 1975. In women and younger men, the effects of these reductions on overall suicide rates were partially offset by rises in drug overdose deaths (method substitution), but there were no immediate increases in the use of other suicide methods. In contrast, in older men, reductions in suicide by gassing were accompanied by only a slight increase in overdose suicides as well as reductions in rates of suicide using all other methods. The modest rise in overdose fatalities in older men occurred despite the fact that they were more often prescribed barbiturates and tricyclic antidepressants than younger men. Conclusions: Accessibility to and the lethality of particular methods of suicide may have profound effects on overall suicide rates. Such effects appear to depend upon the popularity of the method and the extent to which alternative methods that are acceptable to the individual are available. Social and psychological interpretations of fluctuations in suicide rates should only be made after assessing the possible contribution to these of changes in method availability and lethality.en
dc.formatpdfen
dc.language.isoenen_US
dc.relation.ispartofSocial Psychiatry and Psychiatric Epidemiologyen_US
dc.subjectSuicideen
dc.subjectMethod availabilityen
dc.subjectLethalityen
dc.titleMethod availability and the prevention of suicide: a re-analysis of secular trends in Britain, 1950-1975en_US
dc.typeArticleen_US
dc.affiliationUniversity of Bristolen
dc.collaborationUniversity of Bristolen_US
dc.identifier.doi10.1007/s001270050261en_US
dc.dept.handle123456789/54en
dc.relation.issue10en_US
dc.relation.volume35en_US
cut.common.academicyear2000-2001en_US
dc.identifier.spage437en_US
dc.identifier.epage443en_US
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_6501-
item.fulltextNo Fulltext-
item.languageiso639-1en-
item.cerifentitytypePublications-
item.openairetypearticle-
crisitem.journal.journalissn1433-9285-
crisitem.journal.publisherSpringer Nature-
crisitem.author.deptDepartment of Nursing-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.orcid0000-0001-6358-8591-
crisitem.author.parentorgFaculty of Health Sciences-
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