BackgroundIn Europe, men have lower rates of attempted suicide compared to women and at the same time a higher rate of completed suicides, indicating major gender differences in lethality of suicidal behaviour. The aim of this study was to analyse the extent to which these gender differences in lethality can be explained by factors such as choice of more lethal methods or lethality differences within the same suicide method or age. In addition, we explored gender differences in the intentionality of suicide attempts.Methods and FindingsMethods. Design: Epidemiological study using a combination of self-report and official data. Setting: Mental health care services in four European countries: Germany, Hungary, Ireland, and Portugal. Data basis: Completed suicides derived from official statistics for each country (767 acts, 74.4% male) and assessed suicide attempts excluding habitual intentional self-harm (8,175 acts, 43.2% male).Main Outcome Measures and Data Analysis. We collected data on suicidal acts in eight regions of four European countries participating in the EU-funded “OSPI-Europe”-project (www.ospi-europe.com). We calculated method-specific lethality using the number of completed suicides per method * 100 / (number of completed suicides per method + number of attempted suicides per method). We tested gender differences in the distribution of suicidal acts for significance by using the χ2-test for two-by-two tables. We assessed the effect sizes with phi coefficients (φ). We identified predictors of lethality with a binary logistic regression analysis. Poisson regression analysis examined the contribution of choice of methods and method-specific lethality to gender differences in the lethality of suicidal acts.Findings Main ResultsSuicidal acts (fatal and non-fatal) were 3.4 times more lethal in men than in women (lethality 13.91% (regarding 4106 suicidal acts) versus 4.05% (regarding 4836 suicidal acts)), the difference being significant for the methods hanging, jumping, moving objects, sharp objects and poisoning by substances other than drugs. Median age at time of suicidal behaviour (35–44 years) did not differ between males and females. The overall gender difference in lethality of suicidal behaviour was explained by males choosing more lethal suicide methods (odds ratio (OR) = 2.03; 95% CI = 1.65 to 2.50; p < 0.000001) and additionally, but to a lesser degree, by a higher lethality of suicidal acts for males even within the same method (OR = 1.64; 95% CI = 1.32 to 2.02; p = 0.000005). Results of a regression analysis revealed neither age nor country differences were significant predictors for gender differences in the lethality of suicidal acts. The proportion of serious suicide attempts among all non-fatal suicidal acts with known intentionality (NFSAi) was significantly higher in men (57.1%; 1,207 of 2,115 NFSAi) than in women (48.6%; 1,508 of 3,100 NFSAi) (χ2 = 35.74; p < 0.000001).Main limitations of the studyDue to restrictive data security regulations to ensure anonymity in Ireland, specific ages could not be provided because of the relatively low absolute numbers of suicide in the Irish intervention and control region. Therefore, analyses of the interaction between gender and age could only be conducted for three of the four countries. Attempted suicides were assessed for patients presenting to emergency departments or treated in hospitals. An unknown rate of attempted suicides remained undetected. This may have caused an overestimation of the lethality of certain methods. Moreover, the detection of attempted suicides and the registration of completed suicides might have differed across the four countries. Some suicides might be hidden and misclassified as undetermined deaths.ConclusionsMen more often used highly lethal methods in suicidal behaviour, but there was also a higher method-specific lethality which together explained the large gender differences in the lethality of suicidal acts. Gender differences in the lethality of suicidal acts were fairly consistent across all four European countries examined. Males and females did not differ in age at time of suicidal behaviour. Suicide attempts by males were rated as being more serious independent of the method used, with the exceptions of attempted hanging, suggesting gender differences in intentionality associated with suicidal behaviour. These findings contribute to understanding of the spectrum of reasons for gender differences in the lethality of suicidal behaviour and should inform the development of gender specific strategies for suicide prevention.

Over *** thousand deaths due to suicides were recorded in India in 2022. Furthermore, majority of suicides were reported in the state of Tamil Nadu, followed by Rajasthan. The number of suicides that year had increased from the previous year. Some of the causes for suicides in the country were due to professional problems, abuse, violence, family problems, financial loss, sense of isolation and mental disorders. Depressive disorders and suicide As of 2015, over ****** million people worldwide suffered from some kind of depressive disorder. Furthermore, over ** percent of the total population in India suffer from different forms of mental disorders as of 2017. There exists a positive correlation between the number of suicide mortality rates and people with select mental disorders as opposed to those without. Risk factors for mental disorders Every ******* person in India suffers from some form of mental disorder. Today, depressive disorders are regarded as the leading contributor not only to disease burden and morbidity worldwide, but even suicide if not addressed. In 2022, the leading cause for suicide deaths in India was due to family problems. The second leading cause was due to illness. Some of the risk factors, relative to developing mental disorders including depressive and anxiety disorders, include bullying victimization, poverty, unemployment, childhood sexual abuse and intimate partner violence.

Context - Covid data falsification discussion:

An active discussion about the mortality data in Moscow has erupted in the days. The Moscow Times newspaper drew attention to a significant increase in official mortality rates in April 2020: "Moscow recorded 20% more fatalities in April 2020 compared to its average April mortality total over the past decade, according to newly published preliminary data from Moscow’s civil registry office. The data comes as Russia sees the fastest growth in coronavirus infections in Europe, while its mortality rate remains much lower than in many countries. Moscow, the epicenter of Russia’s coronavirus outbreak, has continued to see daily spikes in new cases despite being under lockdown since March 30. According to the official data, 11,846 people died in Russia’s capital in April of this year, roughly a 20% increase from the 10-year average for April deaths, which is 9,866. The numbers suggest that the city’s statistics of coronavirus deaths may be higher in reality than official numbers indicate. Russia boasts a relatively low coronavirus mortality rate of 0.9%, which experts believe is linked to the way coronavirus-related deaths are counted."

After this publication have been realesed The Moscow Department of Health has denied the statement of the inaccuracy of counting.:

First, Moscow is a region that openly publishes mortality data on its websites. Moscow on an initiative basis published data for April before the federal structures did it. Secondly, the comparison of mortality rates in the monthly dynamics is incorrect and is not a clear evidence of any trends. In April 2020, indeed, according to the Civil Registry Office in Moscow, 11,846 death certificates were issued. So, the increase compared to April 2019 amounted to 1841 people, and compared to the same month of 2018 - 985 people, i.e. 2 times less. Thirdly, the diagnosis of coronavirus-infected deaths in Moscow is established after a mandatory autopsy is performed in strict accordance with the Provisional Guidelines of the Russian Ministry of Health.Of the total number of deaths in April 2020, 639 are people whose cause of death is coronavirus infection and its complications, most often pneumonia.It should be emphasized that the pathological autopsy of the dead with suspected CoV-19 in Russia and Moscow is carried out in 100% of cases, unlike most other countries.It is impossible to name the cause of death of COVID-19 in other cases. For example, over 60% of deaths occurred from obvious alternative causes, such as vascular accidents (myocardial infarction and stroke), stage 4 malignant diseases (essentially palliative patients), leukemia, systemic diseases with the development of organ failure (e.g. amyloidosis and terminal renal insufficiency) and other non-curable deadly diseases. Fourth, any seasonal increase in the incidence of SARS, not to mention the pandemic caused by the spread of the new coronavirus, is always accompanied by an increase in mortality. This is due to the appearance of the dead directly from an infectious disease, but to an even greater extent from other diseases, the exacerbation of which and the decompensation of the condition of patients suffering from these diseases also leads to death. In these cases, the infectious onset is a catalyst for the rapid progression of chronic diseases and the manifestation of new diseases. Fifthly, a similar situation with statistics is observed in other countries - mortality from COVID-19 is lower than the overall increase in mortality. According to the official sites of cities:In New York, mortality from coronavirus in April amounted to 11,861 people. At the same time, the total increase in mortality compared to the same period in 2019 is 15709.In London, in April, 3,589 people died with a diagnosis of coronavirus, while the total increase was 5531 Sixth, even if all the additional mortality for April in Moscow is attributed to coronavirus, the mortality from COVID will be slightly more than 3%, which is lower than the official mortality in New York and London (10% and 23%, respectively). Moreover, if you make such a recount in these cities, the mortality rate in them will be 13% and 32%, respectively. Seventh, Moscow is open for discussion and is ready to share experience with both Russian and foreign experts.

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I think community members would be interested in studying the data on mortality in the Russian capital themselves and conducting a competent statistical check.

This may be of particular interest in connection with that he [US announced a grant of $ 250 thousand to "expose the disinformation of health care" in Russia](https://www....