University of Oulu

Huikari S, Miettunen J, Korhonen M, Economic crises and suicides between 1970 and 2011: time trend study in 21 developed countries, J Epidemiol Community Health 2019;73:311-316

Economic crises and suicides between 1970 and 2011 : time trend study in 21 developed countries

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Author: Huikari, Sanna1; Miettunen, Jouko2,3; Korhonen, Marko1
Organizations: 1Department of Economics, University of Oulu, Oulu, Finland
2Center for Life Course Health Research, University of Oulu, Finland
3Medical Research Centre Oulu, Oulu University Hospital and University of Oulu, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.2 MB)
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Language: English
Published: BMJ, 2019
Publish Date: 2019-07-31


Background: Existing research on the relationship between economic recessions and suicides has almost completely concentrated on the most recent global financial crisis (2008). We provide the most comprehensive explanation to date of how different types of economic/financial crises since 1970 have affected suicides in developed countries.

Methods: Negative binomial regressions were used to estimate what the suicide rates would have been during and 1 year after each crisis began in 21 Organisation for Economic Co-operation and Development countries from 1970 to 2011 if the suicide rates had followed the pre-crisis trends.

Results: We found that every economic/financial crisis since 1970, except the European Exchange Rate Mechanism crisis in 1992, led to excess suicides in developed countries. Among males, the excess suicide rate (per 100 000 persons) varied from 1.1 (95% CI 0.7 to 1.5) to 9.5 (7.6 to 11.2) and, among females, from 0 to 2.4 (1.9 to 2.9). For both sexes, suicides increased mostly due to stock market crashes and banking crises. In terms of actual numbers, the post-1969 economic/financial crises caused >60 000 excess suicides in the 21 developed countries. The Asian financial crisis in 1997 was the most damaging crisis when assessed based on excess suicides.

Conclusions: Evidence indicates that, when considered in terms of effects on suicide mortality, the most recent global financial crisis is not particularly severe compared with previous global economic/financial crises. The distinct types of crises (ie, banking, currency and inflation crises, and stock market crashes) have different effects on suicide.

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Series: Journal of epidemiology and community health
ISSN: 0143-005X
ISSN-E: 1470-2738
ISSN-L: 0143-005X
Volume: 73
Issue: 4
Pages: 311 - 316
DOI: 10.1136/jech-2018-210781
Type of Publication: A1 Journal article – refereed
Field of Science: 511 Economics
3142 Public health care science, environmental and occupational health
Funding: This work was supported by the Finnish Cultural Foundation [#00150254 to SH] and Academy of Finland (#268336 to JM).
Academy of Finland Grant Number: 268336
Detailed Information: 268336 (Academy of Finland Funding decision)
Copyright information: © Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.