Suicide and the contemporary woman: Are male and female suicide rates converging?

Nationwide statistics on White suicide rates for the years 1960–1978 are examined to assess whether the suicide rates of women are increasing relative to those of men. This is accomplished by calculating for the total population and for several age groupings the sex differential (SD), which is defined as the percentage of suicides which are female after adjustments are made for the sex distribution in the population. The data reveal that the SD narrowed from 1960–1967, held steady from 1968–1972, and then widened slightly from 1973–1978. The most important aspects of these trends are that (a) the narrowing of the SD is due more to declining suicide rates among older (over-40) males than to increasing female suicide rates, and (b) the narrowing of the SD and the small increases in female suicide rates occurred prior to 1970 and thus were earlier than would be expected on the basis of changing sex-role expectations. Post hoc explanations of these patterns refer to methodological factors and to changes in social integration resulting from a variety of sociohistorical factors.     

Marital status integration, suicide disapproval, and societal integration as explanations of marital status differences in female age-specific suicide rates

Sociological analyses of suicide have often neglected female suicide rates. Three competing explanations are tested to determine why the suicide rates of married women are, typically, lower than the suicide rates of women who are not married: (1) marital status integration, (2) societal integration, and (3) a nation's normative order about disapproval of suicide. Data refer to age and marital status-specific female suicide rates from 12 developed countries. The results provide the strongest support for the marital status integration theory and consistent support for the social integration perspective. There is also mixed support for the cultural disapproval of suicide hypothesis.     

Suicide: a 15-year review of the sociological literature. Part I: cultural and economic factors

Cultural and economic patterns from 130 sociological works on suicide from 1981 to 1995 are reviewed in this article. The traditional Durkheimian perspective on suicide was often questioned by research on the impact of the mass media, alcohol, class, modernization, religion, and politics. Major theoretical developments included the application of differential identification theory to Phillips's model of copycat suicide, the application of criminology's opportunity theory to suicide, and new explanations for the link between alcohol and the social suicide rate. Explanations are reviewed for the major new suicide trend: after half a century of convergence, male and female suicide rates are diverging. Finally, the review notes patterns of continued stability in suicide research findings in areas such as racial differences and economic strain.     

Sex difference trends in completed suicide

The recent suicide literature increasingly has contained statements suggesting that the differences in completed suicide between the sexes are lessening. A compilation of official suicide data for 1933-1980 verifies such a trend from the 1950s through 1971. However, increased differences (as measured by the ratio of male to female rates) were consistently observed from 1971 to 1980. These trends were found for data for the nation, for whites and nonwhites, for numbers of suicides, for crude rates, and for age-adjusted rates. Decreased sex differences were obtained for those 35-44, 45-54, 55-64, and for 65+ years of age, but increased sex differences were observed for those aged 15-24 and 25-34. Possible explanations for these findings are presented.     

A Durkheimian analysis of youth suicide: Canada, 1971 and 1981.

Durkheim hypothesized that suicide varies inversely with the extent of social integration in family, religious, political, and economic life. In this study I examine the relationship between three of these sources of social integration on young Canadians' (aged 15-29) suicide rate for 1971 and 1981: family integration (as measured by divorce), religious integration (as measured by the percent of the population reporting no religious affiliation), and economic anomie (unemployment). The findings of this research provide confirmation for the hypothesis that religious detachment among the young is associated with increased proneness to commit suicide. The effect of family dissolution was positive and significant for both young men and women in 1981 but not in 1971, giving partial confirmation for the family integration explanation of suicide. These results pertaining to unemployment are not consistent with the American-based literature that calls for a significant and positive impact on the odds of self-destruction.     

Gender in Suicide Attempt Rates and Childhood Sexual Abuse Rates: Is There an Interaction?

Two competing explanations for higher rates of attempted suicide in women than men were compared. Because childhood sexual abuse is more prevalent in girls than boys, one explanation of higher rates of suicide attempts in women is that it is a direct result of the higher incidence of sexual abuse in girls. Alternatively, higher rates of suicide attempts might result from gender differences in the impact of childhood sexual abuse on suicidal behavior. To compare these theories, data from 1,889 abstinent, substance-dependent patients who completed the Childhood Trauma Questionnaire (CTQ) and who were interviewed about suicide attempts was examined. Scores on each scale of the CTQ were examined as a function of gender and attempter status. Results showed higher rates of suicide attempts in women than in men, higher CTQ scores in women than men, and a higher CTQ score in attempters than nonattempters. However, logistic regression indicated that gender and abuse did not interact to determine attempter status. Thus, the data support the first hypothesis that the greater frequency of suicide attempts in women may be partly attributed to the higher prevalence of childhood sexual abuse in girls. The generalizability of these results to the general population and to other diagnostic groups requires further study.     

Suicides in active-duty enlisted Navy personnel.

Cases of completed suicide among U.S. Navy enlisted personnel occurring from 1974 through 1985 were identified and compared with similar rates in the U.S. general population and in the U.S. Army. Although the Navy suicide rate was the lowest of the three groups, this rate increased between 1976 and 1983. This was in contrast to national and Army trends during the same period. Young white males in the apprentice/recruit and blue-collar occupations had the highest rates of completed suicide in the Navy. Recommendations for prevention and treatment are discussed.     

Suicide: A decade review of the sociological literature

Major works on suicide are reviewed and classified into four analytic categories according to their theoretical emphasis: cultural, economic, modernization, and social integration perspectives. The research under these paradigms is assessed in terms of four themes. First, attention is drawn to research evidence that questions traditional theories. An example is Durkheim's position on social class and suicide. Second, the review notes several new theories including Phillips’ imitation thesis and the author's own model of migration's effects on suicide. Third, the paper observes and reviews explanations of new trends in suicide rates such as the rapid increase in youth suicide and the decline in suicide among the elderly. Finally, the review calls attention to explanations of suicide, such as that linking suicide to low marital solidarity, that have withstood the test of the more rigorous empirical testing of recent times.     

The Gender Ratio of Chinese Suicide Rates: An Explanation in Confucianism

The gender (male to female) ratio of the Chinese suicide rates is different from those found in the rest of the world. None of the other societies with known suicide data has had female suicide rates higher than those for the males. While we investigate the factors that contribute to the relatively high suicide rates for Chinese women, we also need to ask what makes the relatively low suicide rates for Chinese men. In this study we try to examine some social and cultural variables in rural Chinese youths in order to identify the factors that account for the relatively low rate for men and relatively high rate for women. In rural China, 392 suicides (both men and women) aged 14–35 years consecutively sampled from 16 counties of three provinces were studied with 416 community living controls of the same age range and from the same locations. Case–control psychological autopsy method was used for the data collection. It is found that believing in Confucianism and being married are both protecting the rural young men from suicide, while the two same variables are either risk or non-protecting factors for the Chinese rural young women’s suicide. In rural China, social structure and culture may play an even more important role determining a society’s suicide rates as well as the gender ratios. Thus, suicide prevention may need to include culture specific measures.     

Biased processing of stereotype-incongruency is greater for low than high status groups

Two studies assessed whether a stereotypic explanatory bias emerges primarily when members of low (compared to high) social status groups engage in behaviors inconsistent with group stereotypes. A preliminary study showed that male and female participants spontaneously showed more stereotypically biased explanatory processing of female stereotype-inconsistency (i.e., explanation of male-stereotypic behaviors performed by female compared to male actors) than male stereotype-inconsistency (i.e., explanation of female-stereotypic behaviors performed by male compared to female actors). The main experiment provided a manipulation of social status of target groups, and both external (i.e., situational) and internal (i.e., dispositional) explanations for stereotype-inconsistent behaviors were assessed. Results showed that external explanations for female stereotype-inconsistency were greater for targets described as low, not high in socioeconomic status. This research suggests that information processing is biased when members of a low status group engage in stereotype-inconsistent behaviors, whereas members of high status groups can engage in either stereotypic or counter-stereotypic behaviors without instigating biases in information processing.     

The Clustering and Contagion of Suicide

Two general types of suicide cluster have been discussed in the literature; roughly, these can be classified as mass clusters and point clusters. Mass clusters are media related, and the evidence for them is equivocal; point clusters are local phenomena, and these do appear to occur. Contagion has not been conceptually well developed nor empirically well supported as an explanation for suicide clusters. An alternative explanation for why suicides sometimes cluster is articulated: People who are vulnerable to suicide may cluster well before the occurrence of any overt suicidal stimulus, and when they experience severe negative events, including but not limited to the suicidal behavior of one member of the cluster, all members of the cluster are at increased risk for suicidality (a risk that may be offset by good social support).     

Cultural aspects of male sex aggression

Sex aggression is the forceful pursuit of a sexual goal that offends the victim. Most college women report encountering sex aggression, and about one quarter of college males admit forcefully persisting in their pursuit of a sexual goal after they realize that it is disagreeable and offensive to the female. Three explanations for the existence of this substantial number of sex aggressors are discussed and tested. The data are not consistent with the explanation that the young men are responding to feelings of powerlessness. The data are consistent with the explanation that sex aggression is a socially learned aggressive behavior. The data are also consistent with the explanation that sex aggression is a response to structural strain (Merton's anomie) that is mediated by cultural legitimations.     

An assessment of community suicide risk

The contributions of several core variables to the white suicide rates in 24 Florida counties were examined, and a prediction equation, using multiple linear regression, was developed. Age was found to be about 50% more important than divorce. With both age and divorce controlled, loneliness and insanity were found to be significant core variables (p less than .05). A prediction equation including age, crime rate, insanity, and alcoholism was found that accounted for 79% of the variation in the suicide rates across counties. The observed rates were divided by predicted rates to yield standardized mortality ratios. It is proposed that these ratios may serve to assess both the need for and the impact of community suicide prevention services by placing suicide rates in the context of relevant social conditions.     

Explaining cross-state differences in elderly suicide rates and identifying state-level public policy responses that reduce rates

Elderly Americans commit suicide at higher rates than other age groups. We contend that macro- and micro-social variables contribute distinct aspects to explanations of this tragic loss: the former focus on circumstances that affect overall rates, the latter reveal why certain individuals succumb to suicide. Our analysis focuses on the macro-social end of a causal sequence including variables at both levels. We describe how elderly suicide rates vary among states, show that macrosocial indicators of social integration contribute to cross-state variation in elderly suicide rates, and explain how selected aspects of state-level public policy contribute to reducing elderly suicide rates.     

California's Suicide Decline, 1970–1990

From 1970 to 1990 California experienced a 32% decline in suicide, which was particularly pronounced among women, non-whites, the young, and urban dwellers. Suicide declines of over 50% were recorded in San Francisco and Los Angeles, and large decreases occurred in other coastal counties. Additionally, California was the only one of 51 states to show a consistent decline in teenage and young-adult suicide (accompanied by an 88% decrease in teenage drug and other poisoning deaths). Initial investigation of death certification, accident and homicide trends, economic measures, and prevention efforts did not produce an explanation for a suicide decrease of California's magnitude. However, the state does display anomalous trends in certain social measures (reduced divorce, rising non-White population, and rising homicide) that point to multifactorial hypotheses including demographic changes and changed attitudes toward violence. Review of the accuracy of past suicide certification procedures nationally is also indicated.     

Trends in Hanging and Firearm Suicide Rates in Australia: Substitution of Method?

This study examined the increase in the rate of suicide by hanging and an apparently simultaneous decrease in the rate of suicide by firearm as hypothetical evidence that Australian males have substituted one method of suicide for another. Trends in hanging and firearm suicide rates were examined from 1975 to 1998 for all Australian males and from 1971 to 1998 for a subset of Australian male youth, as well as a group of Australian males aged over 64 years at the time of their death. When the firearm suicide rate for Australian males declined the hanging rate increased simultaneously, with no statistical difference in the rate of change of the two methods. A similar pattern of simultaneous divergence in hanging and firearm suicide rates of a 15- to 24-year-old subgroup occurred at a not dissimilar rate over a longer time period. Rates of suicide by hanging were found to have begun increasing prior to the decline in firearm suicide. The declining rate of firearm suicide in the 15- to 24-year-old subgroup coincided with an increase in the overall suicide rate. Relationships between trends in hanging and firearm suicide differed between states and between urban and non-urban areas within Queensland, with the firearm suicide rate falling more rapidly in urban areas, especially following the introductions of restrictions to weapon purchases. Individual suicide method choice may be related to independent changes in the social acceptability of each method, as well as to an increasing prevalence of suicide in younger males, who are more likely to use the hanging method. The functioning and effect of social acceptability remains unclear, however. Intervention and prevention strategies should focus on challenging the social acceptability of hanging, especially among males aged 15 to 24 years.     

Questions of culture,age and gender in the epidemiology of suicide

Cultural values were examined as predictors of suicide incidence rates compiled for men and women in six age groups for 33 nations for the years 1965, 1970, 1975, 1980, and 1985. Hofstede's cultural values of Power-Distance, Uncertainty Avoidance, and Masculinity (i.e., social indifference) were negative correlates of reported suicide, and Individualism was a strong positive correlate. The proportion of variance in suicide reports generally related to these four cultural values was R2 = 0.25. Suicide by women and by middle-aged people was most related to cultural values, even though international variance in suicide is greater for men and for the elderly. Suicide incidence for girls and young women showed unique negative correlations with Individualism. For all age groups, Individualism predicted a greater preponderance of male suicides, and Power-Distance predicted more similar male and female suicide rates. Social alienation and Gilligan's feminist theory of moral judgment were hypothesized to explain some gender differences.     

Modernization and the Male–Female Suicide Ratio in India 1967–1997: Divergence or Convergence?

The traditional view that modernization is likely to increase male vulnerability to suicide while protecting females from such self-destruction was offered by Durkheim (1951). This implies a theory of divergence of suicide rates such that the male-female suicide ratio should increase with modernization. Contemporary researchers have questioned whether modernization has had such an impact. We conducted a time series analysis of male and female suicide data to determine the impact on the suicide ratio for India for the years 1967 to 1997. We developed a modernization index comprised of urbanization, female literacy, and female work participation rates. Moreover, to improve methodological efficacy, we controlled for the passage of time. However, we found that there is no significant relationship between modernization and the male-female suicide ratio. Our conclusion is that using national male-female suicide ratios to determine modernization effects may mask significant regional gender and age differences, particularly in developing countries such as India.     

Self-injury behavior, economic status and the family anomie syndrome among adolescents.

Only recently has there been a focus upon the psychosocial environment of the family that surrounds the suicide-prone individual. The purpose of this research was to learn more about the association of economic status and family anomie, operationationalized by family normlessness and powerlessness scales, to the differential vulnerability of adolescents to suicide potential. The research design called for a detailed interview with the persons attempting suicide and members of their families. The study samples consisted of 30 low economic and 25 high economic status families. It was predicted that social anomie could be translated into behavioral (attempted suicide) and attitudinal (normlessness and powerlessness) determinants when viewed with regard to its impact upon the family. Significant differences in the degree of normlessness and powerlessness were found for suicidal and nonsuicidal adolescents and their families. These differences appear to be part of a family anomie syndrome.     

Young male violent death trends in the general population during the Vietnam era.

Suicide and homicide rates significantly increased throughout the Vietnam War among young American civilian males who constituted the principal manpower pool for the war. Ironically, men who reached military age after the war were at greatest risk. Years of high combat intensity were not associated with higher suicide or homicide rates than years of low combat intensity. Suicide and homicide rates were correlated at .95, suggesting a common source of pathogenesis. No similar trend was found for motor vehicle death. Broad social forces, not the Vietnam War itself, were responsible for the changes in violent mortality trends that we observed among the birth cohorts of men in our study.