A Cross‐National Study of the Relationship Between Elderly Suicide Rates and Urbaninzation

There is mixed evidence of a relationship between suicide rates in the general population and urbanization, and a paucity of studies examining this relationship in the elderly. A cross‐national study with curve estimation regression model analysis, was undertaken to examine the a priori hypothesis that the relationship between elderly suicide rates and urbanization would be curvilinear and follow an inverted U‐shaped curve. There was a curvilinear relationship between male suicide rates in both the elderly age‐bands and the percentage of the population living in urban areas, but this was not observed in females. A three‐stage sequential model was developed to explain the observed relationship between suicide rates in elderly males and urbanization. The relationship between suicide rates in elderly females and urbanization.     

The Relationship between General Population Suicide Rates and the Internet: A Cross‐National Study

Internet Web sites and chat rooms have been reported both to promote suicides and have a positive beneficial effect on suicidal individuals. There is a paucity of studies examining the role of the Internet in general population suicide rates. The relationship between general population suicide rates and the prevalence of Internet users was examined in a cross‐national study using data from the World Health Organization and the United Nations Web sites. The prevalence of Internet users was significantly and positively correlated with general population suicide rates in both sexes. On multiple regression analysis the prevalence of Internet users was independently associated with general population suicide rates in males, and this independent relationship in females approached statistical significance. Caution should be exercised in the attribution of a causal relationship and the direction of this relationship because of the cross‐sectional and ecological study design whereby the findings are subject to ecological fallacy. However, the findings identify and support a need for further research.     

Educational attainment and suicide rates in the United States

We examined the relationship between educational attainment and suicide rate in the United States for 2001. Suicide rates, adjusted for age, were compared with percentage of college graduates, median household income, and poverty in 50 states in 2001. The correlations of suicide rates with educational attainment and median household income were both negative and statistically significant. Poverty was not significantly related to suicide rates. We concluded that higher education and income were associated with a decrease in suicide rates in 2001. Data from other years require examination for this conclusion to be generalizable.     

Educational attainment, intelligence, interstate migration, and suicide rates in the United States: rejoinder to Abel and Kruger (2005)

Abel and Kruger (2005) reported a negative association of educational attainment and suicide rate across the United States. Given strong links between intelligence and educational attainment, this appears to be inconsistent with positive associations of intelligence and suicide rate reported in several other geographical studies. However, the apparent inconsistencies may reflect interstate migration within the U.S. adult population. Testing this hypothesis showed that interstate migration was more strongly related to state suicide rates than educational attainment. Thus, the different results obtained by Abel and Kruger could reflect migration effects, which for the U.S. might render adult-age indicators of educational attainment inappropriate to reflect regional variation in intelligence by place of birth.     

Development, gender equality, and suicide rates

A component of the United Nations Development Programme Human Development Index which measures longevity was negatively associated -.55 with suicide rates in 37 nations for men; the correlation with the suicide sex ratio was also negative (r = -.59). Women's access to social, political, and economic power in a subsample of 26 nations, summarized in the UNDP's Gender Empowerment Measure, was positively correlated with suicide rates (r = .36 for both women and men). UNDP measures of attainment in literacy and income showed no individual relationship with suicide rates. In a multiple regression model, life expectancy was negatively related, and the Gender-related Development index was positively related, to suicide rates.     

Social status,cognitive ability,and educational attainment as predictors of liberal social attitudes and political trust

We examined the prospective associations between family socio-economic background, childhood intelligence (g) at age 11, educational and occupational attainment, and social attitudes at age 33 in a large (N = 8804), representative sample of the British population born in 1958. Structural equation Modeling identified a latent trait of ‘liberal social attitudes’ underlying attitude factors that are antiracist, socially liberal, and in support of gender equality. Another attitude factor—‘political trust’—was relatively independent from the latent attitude trait and has somewhat different pathways in relation to the other variables included in the analysis. There was a direct association between higher g at age 11 and more liberal social attitudes and political trust at age 33. For both men and women the association between g and liberal social attitudes was partly mediated via educational qualifications, and to a much lesser extent via adult occupational attainment. For women the association between g and political trust was partly mediated through both educational qualification and occupational attainment, and for men it was mediated mainly via occupational attainment. Men and women who had higher educational qualifications and higher occupational status tend to be more socially liberal and more trusting of the democratic political system. In terms of socio-economic background, people from less privileged families showed less political trust, but did not differ much in liberal social attitudes from those born into relatively more privileged circumstances. This study shows that social background, cognitive ability, education, and own social status influence perceptions of society.     

Mechanisms of health: Education and health-related behaviours partially mediate the relationship between conscientiousness and self-reported physical health

The personality trait of conscientiousness is an important predictor of health and longevity. The present research examined how conscientiousness, in combination with educational attainment and health-related behaviours, predicted self-reported physical health across adulthood. These relations were investigated in two studies, one using a large, representative sample of Illinois residents (N = 617) and the other using a community sample with a multi-method assessment of conscientiousness (N = 274). Across both studies, structural path analyses provided evidence for a model wherein conscientiousness predicted health, in part, through its relationship to both educational attainment and health-related behaviours. The findings suggest conscientiousness predicts health through a diverse set of mechanisms including, but not limited to, educational attainment and health-related behaviours.     

Intelligence as a predictor of social mobility in Estonia

The purpose of this study was to explore how individual and environmental predictors of intergenerational social mobility intersect in rarely studied post‐communist developing society of Estonia. We used a contemporary cross‐sectional dataset (n = 759) to assess the influence of cognitive ability and parental socioeconomic status to the participants’ educational and occupational attainment. Our results indicated that cognitive ability and one's own educational level mediated the association of parental socioeconomic status with one's own occupational success. Analysis of separate components of cognitive ability indicated that verbal ability had the highest influence on occupational status. We concluded that both individual‐level and environmental factors have a predictive effect on educational and occupational attainment.     

The Effect of Religious‐Based Mentoring on Educational Attainment: More than Just a Spiritual High?

Although research has found a positive relationship between various forms of adolescent religious involvement and educational outcomes, little research has examined connections to educational attainment. Using a nationally representative sample of youth (the National Longitudinal Study of Adolescent Health—Add Health), we examine the extent to which adolescent religiosity facilitates educational attainment (i.e., high school completion and college enrollment) and whether informal mentorships formed during adolescence with religious and nonreligious adults can help explain the link between adolescent religious involvement and educational attainment. The findings confirm that, like academic outcomes, religious youth are more likely to complete high school and enroll in college even when controlling for other individual and interpersonal factors that affect educational attainment. Furthermore, informal mentorships, particularly those with adults who have official religious positions (e.g., priest, minister, rabbi) play an important role in college enrollment.     

Uncovering the mystery: factors of African American suicide

Traditionally, African Americans have registered lower rates of suicide than other ethnic groups. In the last 20 years this pattern has changed, particularly among young African Americans. To date, the research conducted regarding this phenomenon has been limited for a variety of reasons and previous research has been inconclusive in determining risk factors of African American suicide. The purpose of this paper is to identify risk and protective factors specific to African American suicide. To determine the factors, the 1993 National Mortality Follow-back Survey was analyzed. The risk factors identified include being under age 35, southern and northeastern residence, cocaine use, firearm presence in home, and threatening others with violence. Some of the protective factors associated with African American suicide include rural residence and educational attainment. These results provide valuable information about completed African American suicides in relation to Whites. Several of these factors are unique to African Americans.     

Educational Attainment and Cohort Change Among Conservative Protestants, 1972–2004

A growing literature examines how conservative Protestants have made status gains relative to mainline Protestants over the past three decades. The results of these studies are inconclusive: by some measures conservative Protestants have achieved socioeconomic parity, in other accounts significant discrepancies remain. This article examines the relationship between religion of origin and educational attainment, highlighting the significance of both religious background (rather than adult affiliations) and cohort change in understanding religious stratification. The findings are somewhat mixed: while conservative Protestants born since 1960 are no less likely to finish high school than their mainline counterparts, the negative effect of a conservative Protestant background on college completion remains virtually unchanged for cohorts born before 1940, between 1940 and 1959, and between 1960 and 1972, even when controlling for family background. Conservative Protestants are keeping pace with the educational gains made by mainline Protestants in the postwar era, but other factors associated with a conservative Protestant background still exert a negative influence on educational attainment.     

Ambitious mothers – successful daughters: Mothers' early expectations for children's education and children's earnings and sense of control in adult life

Background . Mothers' expectations for their children's educational attainment are related to children's educational and occupational attainment. Studies have yet to establish, however, the long‐term links between maternal expectations and offspring earnings, which are not always related to occupational attainment especially in women, or between maternal expectations and offspring sense of control and self‐efficacy, which are pivotal factors in career choice and development. Aims . To explore the role of mothers' expectations for their children's educational attainment in children's earnings attainment and sense of control later in life. Method . Data from sweeps of the 1970 British Cohort Study (BCS70) were used. The study sample was those cohort members with complete information on all the variables of interest. The study sample (N = 3,285) was more educated and less disadvantaged than the whole sample. If cohort members of this type are more likely to have a mother who has high expectations, then our results are biased downwards, which suggests that we underestimate the effect of expectations on our two outcome variables. Results . Mothers' expectations at the age of 10 were positively related to daughters' sense of control at the age of 30 even after controlling for ethnicity, educational attainment, and concurrent partner, parent, and labour market participation status, as well as the following confounding variables (measured at the ages of 0–10): general ability and general ability squared, locus of control, emotional and behavioural problems and emotional and behavioural problems squared, socio‐economic disadvantage, parental social class, parental family structure, and mothers' education, child‐rearing attitudes, and mental health. Mothers' expectations had no effect on sons' adult outcomes. Conclusions . Given that women are particularly at risk for poor psychological and economic outcomes in adulthood, and that this study likely underestimated the effect of expectations on these two outcomes, this is an important conclusion.     

Parental interest in children's education,children's self‐esteem and locus of control,and later educational attainment: Twenty‐six year follow‐up of the 1970 British Birth Cohort

Background. Few studies have investigated if mother's interest and father's interest in child's education are linked to educational attainment via their impact on child's self‐esteem and locus of control. Aims. (1) To investigate (after controlling for known confounding factors) the long‐term effect of mother's and father's interest in child's education at age 10 and child's locus of control and self‐esteem at age 10 in educational attainment at age 26; and (2) to explore if mother's interest and father's interest in child's education are linked to child's educational attainment via their effect in increasing child's self‐esteem and internal locus of control. Sample. The study used longitudinal data from sweeps of the 1970 British Cohort Study (BCS70). The initial sample was those 1,737 men and 2,033 women with valid data on age 10 self‐esteem, locus of control, father's interest, mother's interest, and age 26 educational attainment. Of these, 1,326 men and 1,578 women were included in the final analysis. Method. The birth to age 10 factors that were controlled for were birth weight, parental social class, socio‐economic disadvantage, emotional/behavioural problems, cognitive ability, and mother's educational attainment. Results. At the multivariate level, internal locus of control and mother's interest (but not self‐esteem) were significantly related to educational attainment in both men and women. Father's interest was a significant predictor of educational attainment only in women. Parent's interest was not linked to educational attainment via its impact on child's self‐esteem or locus of control. Self‐esteem predicted educational attainment in both genders by increasing internal locus of control, and fathers' interest predicted educational attainment in men by increasing mother's involvement. Conclusion. Although mothers' and fathers' interest in their children's education were not linked to educational attainment via their impact on children's self‐esteem or locus of control, they were significant predictors of educational attainment especially in daughters.     

Longitudinal pathways between mental health difficulties and academic performance during middle childhood and early adolescence

There is a growing appreciation that child functioning in different domains, levels, or systems are interrelated over time. Here, we investigate links between internalizing symptoms, externalizing problems, and academic attainment during middle childhood and early adolescence, drawing on two large data sets (child: mean age 8.7 at enrolment, n = 5,878; adolescent: mean age 11.7, n = 6,388). Using a 2‐year cross‐lag design, we test three hypotheses – adjustment erosion, academic incompetence, and shared risk – while also examining the moderating influence of gender. Multilevel structural equation models provided consistent evidence of the deleterious effect of externalizing problems on later academic achievement in both cohorts, supporting the adjustment‐erosion hypothesis. Evidence supporting the academic‐incompetence hypothesis was restricted to the middle childhood cohort, revealing links between early academic failure and later internalizing symptoms. In both cohorts, inclusion of shared‐risk variables improved model fit and rendered some previously established cross‐lag pathways non‐significant. Implications of these findings are discussed, and study strengths and limitations noted.

Statement of contribution

What is already known on this subject?

• Longitudinal research and in particular developmental cascades literature make the case for weaker associations between internalizing symptoms and academic performance than between externalizing problems and academic performance.
• Findings vary in terms of the magnitude and inferred direction of effects. Inconsistencies may be explained by different age ranges, prevalence of small‐to‐modest sample sizes, and large time lags between measurement points.
• Gender differences remain underexamined.

What does this study add?

• The present study used cross‐lagged models to examine longitudinal associations in age groups (middle child and adolescence) in a large‐scale British sample.
• The large sample size not only allows for improvements on previous measurement models (e.g., allowing the analysis to account for nesting, and estimation of latent variables) but also allows for examination of gender differences.
• The findings clarify the role of shared‐risk factors in accounting for associations between internalizing, externalizing, and academic performance, by demonstrating that shared‐risk factors do not fully account for relationships between internalizing, externalizing, and academic achievement. Specifically, some pathways between mental health and academic attainment consistently remain, even after shared‐risk variables have been accounted for.
• Findings also present consistent support for the potential impact of behavioural problems on children's academic attainment.
• The negative relationship between low academic attainment and subsequent internalizing symptoms for younger children is also noteworthy.

     

Stigma,Attitudes, and Help‐Seeking Intentions for Psychological Problems in Relation to Regional Suicide Rates

In this ecological study, we investigated whether help‐seeking related to stigma, intentions, and attitudes toward suicide are associated with the suicide rates of 20 regions within the Netherlands and Belgium. Significant associations were found between regional suicide rates and the intention to seek informal help (β = ?1.47, p = .001), self‐stigma (β = 1.33, p = .038), and shame (β = .71, p = .030). The association between self‐stigma and suicide rate was mediated by intentions to seek informal help. These results suggest that to promote suicide prevention at the level of the regional population, stigma, shame, and intentions to seek help should be targeted in the public domain.     

The Role of Body Image and Disordered Eating as Risk Factors for Depression and Suicidal Ideation in Adolescents

There is much empirical literature on factors for adolescent suicide risk, but body image and disordered eating are rarely included in these models. In the current study, disordered eating and body image were examined as risk factors for suicide ideation since these factors are prevalent in adolescence, particularly for females. It was hypothesized that disordered eating and body image, in addition to depressive symptoms, would contribute to suicide ideation. It was also hypothesized that these relationships would be stronger for females than for males. Structural equation modeling was used to test a model of risk for suicide ideation incorporating the above factors in a sample of 392 high school students. Results indicated that disordered eating contributed to both suicide ideation and depressive symptoms, while body image only contributed to depressive symptoms. Depressive symptoms contributed to suicide ideation. The model was found to be cross‐validated with males and females, and no gender differences emerged. Implications of these findings and their importance in constructing future models of adolescent suicide risk are discussed.     

Sex-role change, anomie and female suicide: a test of alternative Durkheimian explanations.

Durkheim's influential book, Suicide, provides general (economic) anomie, conjugal anomie, and sex-role convergence explanations of changes in suicide rates under conditions of social change. We used trend analyses of American suicide rates and female/male suicide ratios from 1950 to 1984 and the regression of the ratios on female educational attainment, white female labor force participation, white fertility rates, and divorce rates to examine these explanations. The general anomie explanation of female suicide trends is supported for the middle-aged (30 to 54 years) but not for the young (10 to 30 years) or the elderly (55 to 74 years). The conjugal anomie proposition is at best supported for age groups between 15 and 44 when general anomie is not pronounced. The role convergence explanation is rejected for all 13 5-year-age-groups. General anomie may not be a viable explanation of suicide trends for groups actively supporting relevant social changes or not yet tradition-bound or for groups whose retirement status reduces the importance of some social changes.     

Building Models for the Relationship Between Attitudes Toward Suicide and Suicidal Behavior: Based on Data from General Population Surveys in Sweden,Norway, and Russia

Our aim was to build a model delineating the relationship between attitudes toward suicide and suicidal behavior and to assess equivalence by applying the model on data from different countries. Representative samples from the general population were approached in Sweden, Norway, and Russia with the Attitudes Toward Suicide (ATTS) questionnaire. Data on experience of suicidal behavior among significant others and self‐reported suicidal expressions were also collected. Structural equation modeling resulted in gender and country specific models where experience of suicidal behavior among significant others and self‐reported suicidal expressions earlier in life predicted attitudes, and attitudes predicted current suicidal expressions. The models included the attitude factors acceptance of suicide, condemnation, and preventability; age and level of education were also incorporated. The different models reveal possible ways to better understand gender and culture‐specific paths between attitudes and suicidal behaviors, and their relevance in a suicide prevention context is considered.     

Suicide after surgical treatment in patients with epilepsy: a meta-analytic investigation

Suicide is a major issue in surgically treated epileptic patients. A meta-analysis was performed comparing suicides in a sample of such patients and in the general population. The Index Medicus and the World Health Statistics Annual were searched to ascertain the suicide rates in the age groups indicated in the studies of epileptic patients for specific years and country. 11 studies were selected, comprising 2,425 patients, 24 of whom committed suicide. Data obtained for each study were processed together to calculate the mean number of suicides per 100,000 individuals with surgically treated epilepsy for each year. This meta-analysis shows that suicide in patients with epilepsy after surgical treatment is more frequent than in the general population. Results are discussed with particular attention to possible causative factors.