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Suicides rose during Great Recession. Could some have been prevented?

Mental Health ResearchMedical ResearchHealthSuicideFinancial MarketsUniversity of OxfordU.S. Centers for Disease Control and Prevention
The Great Recession caused 12,940 'excess suicides,' according to a new tally
Many of the suicides prompted by the recent economic downturn could have been prevented, experts say
Sweden, Austria and New Zealand seem to have found a way to break the link between recessions and suicide

The Great Recession that began in late 2007 resulted in about 12,940 suicides in North America and Europe -- and many of them could have been prevented, researchers said Wednesday.

As far back as 1897, French sociologist Emile Durkheim observed the link between economic hardship and suicide. “It is a well-known fact that economic crises have an aggravating effect on suicidal tendency,” he wrote his book “Suicide: A Study in Sociology.”

In the decades since, researchers have documented time and again that suicides become more frequent during recessions and depressions. The new study, published in the British Journal of Psychiatry, estimates part the tally for the Great Recession.

In the United States, the suicide rate was rising even before the subprime loan crisis sent global financial markets into a tailspin. Data from the Centers for Disease Control and Prevention show that the rate accelerated 4.8% after the meltdown, resulting in 4,750 “excess suicides” between 2007 and 2010, the study said.

In Europe, the suicide rate had been falling in the years before the recession, according to data from the World Health Organization. That trend reversed  after the meltdown; the suicide rate rose 6.5%, which translates into 7,950 “excess suicides” between 2007 and 2010, the researchers wrote.

The story was similar in Canada, where a once-declining suicide rate wound up rising 4.5% between 2007 and 2009. That resulted in 240 “excess suicides” nationwide, according to the study.

What makes them so sure that the Great Recession was to blame? In addition to the historical record, the researchers also pointed to New Zealand, a rare example of an industrialized country that “escaped unscathed from the financial crises,” they wrote. Sure enough, the suicide rate in New Zealanders didn’t rise in the years after 2007.

The good news is that the researchers -- sociologists and public health experts from the University of Oxford and the London School of Hygiene and Tropical Medicine -- seem convinced that at least some suicides could be prevented in the next economic calamity. 

One reason they cited is that Austria and Sweden managed to avoid any significant change in suicide rates despite being swept up in the Great Recession. Perhaps those countries have adopted policies that mitigate the effect of economic hardship on suicidal behavior. Sweden in particular must be doing something right: In the recession of the early 1990s, it was one of two European countries that saw suicides fall even as unemployment rose. (The other country was Finland.)

Also, the increase in suicide was about four times greater in men than in women. This may reflect the fact that losing a job poses a greater “status threat” for men than for women, but perhaps this could change if there were “greater gender equity in the workplace,” the study authors wrote.

The researchers offered two specific policy proposals that might buffer the effects of future recessions on mental health. One was to expand programs to help unemployed workers find new jobs. One study in Europe have found that every $100 invested in such programs was associated with a 0.4% reduction in suicides.

The other suggestion was for doctors to step up their prescriptions for antidepressants. The majority of people who commit suicide suffer from clinical depression, so treating depression more aggressively ought to make a difference, they wrote. However, they acknowledged that actual studies -- including a 2005 meta-analysis published in BMJ  -- have failed to show that increased use of antidepressants was linked to any reduction in suicides.

Follow me @LATkarenkaplan for more news about science and medicine.

Copyright © 2014, Los Angeles Times
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Mental Health ResearchMedical ResearchHealthSuicideFinancial MarketsUniversity of OxfordU.S. Centers for Disease Control and Prevention
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