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Might the decrease in the suicide rates in France be due to regional prevention programmes?

Martine Marie Bellanger¹, Alain Jourdain, Agnes Batt-Moillo

¹Ecole Nationale de la Sante Publique (ENSP), Rennes, France. martine.bellanger@ensp.fr

Social Science & Medicine (1982)

|May 4, 2007

Summary

Suicide rates declined in France, with regions with suicide prevention programmes (PRS) showing greater decreases. Factors like unemployment and economic inequality were linked to mortality, but didn't fully explain regional differences.

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Area of Science:

Public Health
Epidemiology
Sociology

Background:

Suicide mortality rates in France exhibited regional variations between 1996 and 1999.
A distinction was noted between regions implementing suicide prevention programmes (Programmes régionaux de santé - PRS) and those without.

Purpose of the Study:

To investigate the explanatory factors behind differential regional trends in suicide mortality.
To analyze the association between socio-economic factors, prescription rates, and suicide rates.

Main Methods:

Ecological model utilized for trend analysis.
Principal Component Analysis (PCA) and multiple regression procedures employed.
Correlation analysis between suicide rates and regional prescription data (lithium, alcohol withdrawal drugs).

Main Results:

Unemployment and economic inequality were identified as key factors associated with male and female suicide mortality, respectively.
These socio-economic factors did not fully account for the observed regional differences in suicide rate trends.
Male suicide rates showed a negative correlation with regional lithium prescription rates.
Female suicide rates demonstrated a positive correlation with alcohol withdrawal drug prescription rates.

Conclusions:

The study highlights complex multifactorial influences on suicide mortality trends.
While PRS regions showed sharper decreases, the direct impact of PRS remains inconclusive.
No single variable adequately explains all observed trends in suicide rates, suggesting a need for comprehensive prevention strategies.