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High temperatures trigger suicide mortality in Brussels, Belgium: A case-crossover study (2002-2011)
Lidia Casas1, Bianca Cox2, Benoit Nemery3
1Social Epidemiology and Health Policy, Department Family Medicine and Population Health, University of Antwerp, Doornstraat 331, 2610, Wilrijk, Belgium; Institute for Environment and Sustainable Development (IMDO), University of Antwerp, Belgium.
High temperatures in Brussels significantly increase suicide risk within a week. Cold weather showed no significant association with suicide deaths. Climate change adaptation must consider temperature impacts on mental health.
Area of Science:
- Environmental Epidemiology
- Public Health
- Climate Change Research
Background:
- Temperature variations are linked to suicide risk, but geographical differences exist.
- This study examines the short-term impact of temperature on suicide deaths in Brussels.
Purpose of the Study:
- To investigate the association between daily average temperature and suicide deaths in Brussels.
- To quantify the risk of suicide mortality associated with moderate and extreme heat and cold events.
Main Methods:
- A bidirectional time-stratified case-crossover study design was employed.
- Suicide deaths (ages 5+) in Brussels (2002-2011) were analyzed using conditional logistic regression and distributed lag non-linear models (DLNM).
- Daily average temperatures from Uccle station were used to assess risks relative to median temperature over a one-week lag period.
Main Results:
- 1891 suicide deaths were included in the analysis.
- Moderate and extreme heat (20.9°C and 24.4°C respectively) showed a nearly twofold increased cumulative risk of suicide mortality (RR=1.80, CI: 1.27-2.54 for moderate heat).
- No statistically significant associations were found between cold temperatures and suicide mortality.
Conclusions:
- Elevated temperatures in Brussels are associated with an increased risk of suicide deaths occurring up to one week later.
- Findings highlight the need to incorporate temperature effects on mental health into climate change adaptation strategies.
- Public health interventions should consider the impact of heat on suicide prevention.
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