Reliability and Sensitivity of Suicide Certification in Higher-Income Countries

World Health Organization age‐, sex‐, and cause‐specific mortality data for the United States and 19 other democratic higher‐income countries were utilized to assess the reliability and sensitivity of suicide certification for purposes of cross‐national research. Data are found to be highly reliable...

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Veröffentlicht in:Suicide & life-threatening behavior 1999-06, Vol.29 (2), p.141-149
Hauptverfasser: Rockett, Ian R. H., Thomas, B. McKinley
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description World Health Organization age‐, sex‐, and cause‐specific mortality data for the United States and 19 other democratic higher‐income countries were utilized to assess the reliability and sensitivity of suicide certification for purposes of cross‐national research. Data are found to be highly reliable across age and sex (rs > 0.92; P < 0.001). Relative discrepancies between official suicide rates (putative lower limits) and projected upper limits vary widely internationally. Austrian and Dutch suicide certification is the most sensitive. Least sensitive is certification for certain subpopulations in Finland, Greece, Ireland, Israel, and the United Kingdom. We recommend similar analyses be performed for routine, low‐cost surveillance of suicide data quality, and to guide choice of population groups for multivariate comparative research.
doi_str_mv 10.1111/j.1943-278X.1999.tb01052.x
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H.</au><au>Thomas, B. McKinley</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reliability and Sensitivity of Suicide Certification in Higher-Income Countries</atitle><jtitle>Suicide &amp; life-threatening behavior</jtitle><addtitle>Suicide Life Threat Behav</addtitle><date>1999-06-01</date><risdate>1999</risdate><volume>29</volume><issue>2</issue><spage>141</spage><epage>149</epage><pages>141-149</pages><issn>0363-0234</issn><eissn>1943-278X</eissn><coden>SLBEDP</coden><abstract>World Health Organization age‐, sex‐, and cause‐specific mortality data for the United States and 19 other democratic higher‐income countries were utilized to assess the reliability and sensitivity of suicide certification for purposes of cross‐national research. Data are found to be highly reliable across age and sex (rs &gt; 0.92; P &lt; 0.001). Relative discrepancies between official suicide rates (putative lower limits) and projected upper limits vary widely internationally. Austrian and Dutch suicide certification is the most sensitive. Least sensitive is certification for certain subpopulations in Finland, Greece, Ireland, Israel, and the United Kingdom. We recommend similar analyses be performed for routine, low‐cost surveillance of suicide data quality, and to guide choice of population groups for multivariate comparative research.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>10407967</pmid><doi>10.1111/j.1943-278X.1999.tb01052.x</doi><tpages>9</tpages></addata></record>
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subjects Adolescent
Adult
Adult and adolescent clinical studies
Aged
Attrition (Research Studies)
Biological and medical sciences
Comparative studies
Correlation
Death Certificates
Developed Countries
Examiners
Female
Humans
Industrialized nations
Injuries
Male
Medical sciences
Middle Aged
Poisoning
Population Surveillance
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Reproducibility of Results
Scientific Research
Sensitivity and Specificity
Suicide
Suicide - statistics & numerical data
Suicides & suicide attempts
Validity
Violence
World Health Organization
title Reliability and Sensitivity of Suicide Certification in Higher-Income Countries
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