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.

Number of suicides and suicide rates, by sex and age, in England and Wales. Information on conclusion type is provided, along with the proportion of suicides by method and the median registration delay.

India IN: Suicide Mortality Rate: Male data was reported at 17.800 NA in 2016. This records a decrease from the previous number of 18.000 NA for 2015. India IN: Suicide Mortality Rate: Male data is updated yearly, averaging 18.000 NA from Dec 2000 (Median) to 2016, with 5 observations. The data reached an all-time high of 18.600 NA in 2000 and a record low of 17.700 NA in 2010. India IN: Suicide Mortality Rate: Male data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s India – Table IN.World Bank.WDI: Health Statistics. Suicide mortality rate is the number of suicide deaths in a year per 100,000 population. Crude suicide rate (not age-adjusted).; ; World Health Organization, Global Health Observatory Data Repository (http://apps.who.int/ghodata/).; Weighted average;

This dataset shows the Canadian Armed Forces (CAF) rate for suicide per 100,000 for Regular Force males. As the number of events was less than 20 in most years, rates were not calculated annually as these would not have been statistically reliable. Regular Force female rates were not calculated because female suicides were uncommon. This dataset is taken from the yearly Report on Suicide Mortality in the Canadian Armed Forces released on the Canada.ca platform at the homepage link provided down below.

This dataset contains counts of deaths for California as a whole based on information entered on death certificates. Final counts are derived from static data and include out-of-state deaths to California residents, whereas provisional counts are derived from incomplete and dynamic data. Provisional counts are based on the records available when the data was retrieved and may not represent all deaths that occurred during the time period. Deaths involving injuries from external or environmental forces, such as accidents, homicide and suicide, often require additional investigation that tends to delay certification of the cause and manner of death. This can result in significant under-reporting of these deaths in provisional data.

The final data tables include both deaths that occurred in California regardless of the place of residence (by occurrence) and deaths to California residents (by residence), whereas the provisional data table only includes deaths that occurred in California regardless of the place of residence (by occurrence). The data are reported as totals, as well as stratified by age, gender, race-ethnicity, and death place type. Deaths due to all causes (ALL) and selected underlying cause of death categories are provided. See temporal coverage for more information on which combinations are available for which years.

The cause of death categories are based solely on the underlying cause of death as coded by the International Classification of Diseases. The underlying cause of death is defined by the World Health Organization (WHO) as "the disease or injury which initiated the train of events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury." It is a single value assigned to each death based on the details as entered on the death certificate. When more than one cause is listed, the order in which they are listed can affect which cause is coded as the underlying cause. This means that similar events could be coded with different underlying causes of death depending on variations in how they were entered. Consequently, while underlying cause of death provides a convenient comparison between cause of death categories, it may not capture the full impact of each cause of death as it does not always take into account all conditions contributing to the death.

This group of datasets describe the suicides in Scotland for the period 1982-2009. There are 4 separate datasets: All Suicides/Male Suicides/Female Suicides/All Suicide Rate (expressed per 100,000 people). The data is broken down into Local Authority Areas making it easier to investigate any spatial disparity in the suicide figures. A couple of points are worth noting are that it is unclear if the suicide data shows all suicides or just those of Adults. A recent Scottish Government report(http://www.scotland.gov.uk/Publications/2007/03/01145422/20) used deaths of people over 15 years old. Differences in the rates between this data and the results presented in the Scottish Government report may also be due to different population datasets being used. Suicide data sources form the Scottish Public Health Observatory (http://www.scotpho.org.uk/home/Healthwell-beinganddisease/suicide/suicide_data/suicide_la.asp) and the population data used to calculate the rates was sourced from ShareGeo Open (http://hdl.handle.net/10672/95) which uses mid-year estimates downloaded from Nomis (www.nomisweb.co.uk/. Datasets were joined to Local Authority (district, unitary authority and borough) boundaries downloaded from Ordnance Survey OpenData Boundary Line dataset. All spatial analysis was carried out in ArcGIS. GIS vector data. This dataset was first accessioned in the EDINA ShareGeo Open repository on 2011-01-13 and migrated to Edinburgh DataShare on 2017-02-21.

Abstract copyright UK Data Service and data collection copyright owner. The aims of the project were to examine alcohol- and suicide-related beliefs among UK Protestants and Jews, both men and women, to investigate the so-called alcohol-suicide-depression hypothesis. This hypothesis suggests that attitudes to alcohol use and suicide will be more favourable among Protestants than Jews, and among men more than women. Questionnaire measures of alcohol- and suicide-related beliefs and behaviour assessed the dependent variables in an analysis of covariance design. The independent variables were cultural-religious group (Protestant vs. Jewish background or affiliation). Covariates, assessed by questionnaire measures, were religiosity, depression, anxiety, and (a new measure of) tolerance for depression. Main Topics: The data cover: demographics - participant's age, other demographic factors, religious practice; alcohol - consumption, beliefs about alcoholism, expectations about alcohol's effects, attitudes to alcohol use; suicide - attempts, ideation, reasons for living; tolerance for depression; depression, anxiety. Standard Measures Reasons for Living inventory (RFL): Linehan, M. M. et al (1983) 'Reasons for staying alive when you are thinking of killing yourself: the Reasons for Living inventory' Journal of Consulting and Clinical Psychology, 52, pp.276-286. Religious Activity Measure, from: Loewenthal, K. M., Macleod, A. K. and Cinnirella, M. (2001) 'Are women more religious than men? Gender differences in religious activity among different religious groups in the UK' Personality and Individual Differences. Biphasic Alcohol Effects Scale (BAES): Martin, C. S. et al (1993) 'Development and validation of the Biphasic Alcohol Effects Scale' Alcoholism - Clinical and Experimental Research, 17, pp.140-146. Alcohol consumption, from: Weiss, S. and Moore, M. (1992) 'Perception of alcoholism among Jewish, Moslem and Christian teachers in Israel' Journal of Drug Education, 22, pp.253-260. Suicide ideation and attempts, from the Present State Examination: Wing, J. K., Cooper, J. E. and Sartorius, N. (1973) The measurement and classification of psychiatric symptoms, London: Cambridge University Press. Anxiety, depression: Zigmond, A. S. and Snaith, R. P. (1993) 'The Hospital Anxiety and Depression Scale' Acta Psychiatrica Scandinavia, 67, pp.361-370.

Suicide is among the main challenges that need to be addressed in developed countries. In this paper, we analyse suicides across the 17 Spanish regions over the period 2014–2019. More precisely, our objective is to re-study the determinants of suicides focusing on the latest economic expansion period. We use count panel data models and sex stratification. A range of aggregate socioeconomic regional-level factors have been identified. Our empirical results show that: (1) a socioeconomic urban-rural suicide gaps exist; (2) there are significant gender differences, for the women a Mediterranean suicide pattern appears whereas unemployment levels have a significant importance for men, (3) social isolation factors, when significant, they show an (a priori) surprisingly positive result. We provide new highlights for suicide prevention in Spain. Precisely, it is highlighted that jointly policies by gender and attending to vulnerable groups are both necessary.

Rank, number of deaths, percentage of deaths, and age-specific mortality rates for the leading causes of death, by age group and sex, 2000 to most recent year.

Linear regression estimation results for suicidal rate among urban men and urban women.

Linear regression estimation results for suicidal rate among rural men and rural women.

Annual data on death registrations by single year of age for the UK (1974 onwards) and England and Wales (1963 onwards).

Considered suicide in the past 12 months (high school only) by sex, race/ethnicity, and grade, California Healthy Kids Survey, 2015-16METADATA:Notes (String): Lists table title, sourceYear (String): Year of surveyCategory (String): Lists the category representing the data: Santa Clara County is for total surveyed population, sex: Male and Female, race/ethnicity: African American, Asian/Pacific Islander, Latino and White (non-Hispanic White only) and grade level (9th, 11th, or non-traditional).Percent (Numeric): Percentage of high school students who considered suicide in the past 12 months