CCBY Open access Research Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016
Objectives To use the estimates from the Global Burden of Disease Study 2016 to describe patterns of suicide mortality globally, regionally, and for 195 countries and territories by age, sex, and Socio-demographic index, and to describe temporal trends between 1990 and 2016. Design Systematic analys...
- Autores:
-
Naghavi, Mohsen
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2019
- Institución:
- Corporación Universidad de la Costa
- Repositorio:
- REDICUC - Repositorio CUC
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.cuc.edu.co:11323/5904
- Acceso en línea:
- https://hdl.handle.net/11323/5904
https://repositorio.cuc.edu.co/
- Palabra clave:
- Mortality
Suicide
Suicide prevention strategies
- Rights
- openAccess
- License
- CC0 1.0 Universal
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dc.title.spa.fl_str_mv |
CCBY Open access Research Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016 |
title |
CCBY Open access Research Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016 |
spellingShingle |
CCBY Open access Research Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016 Mortality Suicide Suicide prevention strategies |
title_short |
CCBY Open access Research Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016 |
title_full |
CCBY Open access Research Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016 |
title_fullStr |
CCBY Open access Research Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016 |
title_full_unstemmed |
CCBY Open access Research Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016 |
title_sort |
CCBY Open access Research Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016 |
dc.creator.fl_str_mv |
Naghavi, Mohsen |
dc.contributor.author.spa.fl_str_mv |
Naghavi, Mohsen |
dc.subject.spa.fl_str_mv |
Mortality Suicide Suicide prevention strategies |
topic |
Mortality Suicide Suicide prevention strategies |
description |
Objectives To use the estimates from the Global Burden of Disease Study 2016 to describe patterns of suicide mortality globally, regionally, and for 195 countries and territories by age, sex, and Socio-demographic index, and to describe temporal trends between 1990 and 2016. Design Systematic analysis. Main outcome measures Crude and age standardised rates from suicide mortality and years of life lost were compared across regions and countries, and by age, sex, and Socio-demographic index (a composite measure of fertility, income, and education). Results The total number of deaths from suicide increased by 6.7% (95% uncertainty interval 0.4% to 15.6%) globally over the 27 year study period to 817 000 (762 000 to 884 000) deaths in 2016. However, the age standardised mortality rate for suicide decreased by 32.7% (27.2% to 36.6%) worldwide between 1990 and 2016, similar to the decline in the global age standardised mortality rate of 30.6%. Suicide was the leading cause of age standardised years of life lost in the Global Burden of Disease region of high income Asia Pacific and was among the top 10 leading causes in eastern Europe, central Europe, western Europe, central Asia, Australasia, southern Latin America, and high income North America. Rates for men were higher than for women across regions, countries, and age groups, except for the 15 to 19 age group. There was variation in the female to male ratio, with higher ratios at lower levels of Socio-demographic index. Women experienced greater decreases in mortality rates (49.0%, 95% uncertainty interval 42.6% to 54.6%) than men (23.8%, 15.6% to 32.7%). Conclusions Age standardised mortality rates for suicide have greatly reduced since 1990, but suicide remains an important contributor to mortality worldwide. Suicide mortality was variable across locations, between sexes, and between age groups. Suicide prevention strategies can be targeted towards vulnerable populations if they are informed by variations in mortality rates. |
publishDate |
2019 |
dc.date.issued.none.fl_str_mv |
2019-02-06 |
dc.date.accessioned.none.fl_str_mv |
2020-01-22T20:24:30Z |
dc.date.available.none.fl_str_mv |
2020-01-22T20:24:30Z |
dc.type.spa.fl_str_mv |
Artículo de revista |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_6501 |
dc.type.content.spa.fl_str_mv |
Text |
dc.type.driver.spa.fl_str_mv |
info:eu-repo/semantics/article |
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http://purl.org/redcol/resource_type/ART |
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info:eu-repo/semantics/acceptedVersion |
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http://purl.org/coar/resource_type/c_6501 |
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acceptedVersion |
dc.identifier.issn.spa.fl_str_mv |
0959-8146 |
dc.identifier.uri.spa.fl_str_mv |
https://hdl.handle.net/11323/5904 |
dc.identifier.instname.spa.fl_str_mv |
Corporación Universidad de la Costa |
dc.identifier.reponame.spa.fl_str_mv |
REDICUC - Repositorio CUC |
dc.identifier.repourl.spa.fl_str_mv |
https://repositorio.cuc.edu.co/ |
identifier_str_mv |
0959-8146 Corporación Universidad de la Costa REDICUC - Repositorio CUC |
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https://hdl.handle.net/11323/5904 https://repositorio.cuc.edu.co/ |
dc.language.iso.none.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.spa.fl_str_mv |
https://doi.org/10.1136/bmj.l94 |
dc.relation.references.spa.fl_str_mv |
1 World Health Organization. Comprehensive mental health action plan 2013-2020 . World Health Organization, 2013. 2 WHO. Suicide prevention. http://www.who.int/mental_health/ suicide-prevention/en/ 3 United Nations. The Sustainable Development Goals Report. United Nations, 2017. 4 Crosby AE, Ortega L, Melanson C. Self-directed Violence Surveillance: Uniform Definitions and Recommended Data Elements, Version 1.0. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, 2011. 5 World Health Organization. Preventing suicide: A global imperative A global imperative. World Health Organization, 2013. 6 Turecki G, Brent DA. Suicide and suicidal behaviour. Lancet 2016;387:1227-39. doi:10.1016/S0140-6736(15) 00234-2 7 Rehkopf DH, Buka SL. The association between suicide and the socio-economic characteristics of geographical areas: a systematic review. Psychol Med 2006;36:145-57. doi:10.1017/ S003329170500588X 8 Darvishi N, Farhadi M, Haghtalab T, Poorolajal J. Alcohol-related risk of suicidal ideation, suicide attempt, and completed suicide: a meta-analysis. PLoS One 2015;10:e0126870. doi:10.1371/journal. pone.0126870 9 Oyesanya M, Lopez-Morinigo J, Dutta R. Systematic review of suicide in economic recession. World J Psychiatry 2015;5:243-54. doi:10.5498/wjp.v5.i2.243 10 Devries K, Watts C, Yoshihama M, et al, WHO Multi-Country Study Team. Violence against women is strongly associated with suicide attempts: evidence from the WHO multi-country study on women’s health and domestic violence against women. Soc Sci Med 2011;73:79-86. doi:10.1016/j.socscimed.2011.05.006 11 Ajdacic-Gross V, Weiss MG, Ring M, et al. Methods of suicide: international suicide patterns derived from the WHO mortality database. Bull World Health Organ 2008;86:726-32. doi:10.2471/ BLT.07.043489 12 Yip PS, Caine E, Yousuf S, Chang SS, Wu KC, Chen YY. Means restriction for suicide prevention. Lancet 2012;379:2393-9. doi:10.1016/S0140-6736(12)60521-2 13 Gunnell D, Eddleston M, Phillips MR, Konradsen F. The global distribution of fatal pesticide self-poisoning: systematic review. BMC Public Health 2007;7:357. doi:10.1186/1471-2458-7-357 14 Ferrari AJ, Norman RE, Freedman G, et al. The burden attributable to mental and substance use disorders as risk factors for suicide: findings from the Global Burden of Disease Study 2010. PLoS One 2014;9:e91936. doi:10.1371/journal.pone.0091936 15 Nock MK, Hwang I, Sampson N, et al. Cross-national analysis of the associations among mental disorders and suicidal behavior: findings from the WHO World Mental Health Surveys. PLoS Med 2009;6:e1000123. doi:10.1371/journal.pmed.1000123 16 Patel V, Chisholm D, Parikh R, et al. Addressing the burden of mental, neurological, and substance use disorders: Key messages from Disease Control Priorities, 3rd edition. Lancet 2016;387:1672-85. doi:10.1016/S0140-6736(15)00390-6 17 Zalsman G, Hawton K, Wasserman D, et al. Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry 2016;3:646-59. doi:10.1016/S2215-0366(16)30030-X 18 Vijayakumar L. Suicide in women. Indian J Psychiatry 2015;57(Suppl 2):S233-8. doi:10.4103/0019-5545.161484 19 Chen YY, Wu KC, Yousuf S, Yip PS. Suicide in Asia: opportunities and challenges. Epidemiol Rev 2012;34:129-44. doi:10.1093/epirev/ mxr025 20 Arsenault-Lapierre G, Kim C, Turecki G. Psychiatric diagnoses in 3275 suicides: a meta-analysis. BMC Psychiatry 2004;4:37. doi:10.1186/1471-244X-4-37 21 Phillips MR. Rethinking the role of mental illness in suicide. Am J Psychiatry 2010;167:731-3. doi:10.1176/appi. ajp.2010.10040589 22 Kapusta ND, Tran US, Rockett IRH, et al. Declining autopsy rates and suicide misclassification: a cross-national analysis of 35 countries. Arch Gen Psychiatry 2011;68:1050-7. doi:10.1001/ archgenpsychiatry.2011.66 23 Naghavi M, Abajobir AA, Abbafati C, et al. GBD 2016 Causes of Death Collaborators.Global, regional, and national age-sex specific mortality for 264 causes of death, 1980-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 2017;390:1151-210. doi:10.1016/S0140-6736(17)32152-9 24 Stevens GA, Alkema L, Black RE, et al, The GATHER Working Group). Guidelines for Accurate and Transparent Health Estimates Reporting: the GATHER statement. Lancet 2016;388:e19-23. doi:10.1016/ S0140-6736(16)30388-9 25 Tøllefsen IM, Hem E, Ekeberg Ø. The reliability of suicide statistics: a systematic review. BMC Psychiatry 2012;12:9. doi:10.1186/1471- 244X-12-9 26 Dervic K, Brent DA, Oquendo MA. Completed suicide in childhood. Psychiatr Clin North Am 2008;31:271-91. doi:10.1016/j. psc.2008.01.006 27 Canetto SS. Women and suicidal behavior: a cultural analysis. Am J Orthopsychiatry 2008;78:259-66. doi:10.1037/a0013973 28 Patel V, Ramasundarahettige C, Vijayakumar L, et al, Million Death Study Collaborators. Suicide mortality in India: a nationally representative survey. Lancet 2012;379:2343-51. doi:10.1016/ S0140-6736(12)60606-0 29 McKay K, Milner A, Maple M. Women and suicide: Beyond the gender paradox. Int J Cult Ment Health 2014;7:168-78. doi:10.1080/17542 863.2013.765495 30 Chen Y-Y, Park N-S, Lu T-H. Suicide methods used by women in Korea, Sweden, Taiwan and the United States. J Formos Med Assoc 2009;108:452-9. doi:10.1016/S0929-6646(09)60092-9 31 Mäkinen IH. Suicide mortality of Eastern European regions before and after the Communist period. Soc Sci Med 2006;63:307-19. doi:10.1016/j.socscimed.2006.01.002 32 Stuckler D, King L, McKee M. Mass privatisation and the post-communist mortality crisis: a cross-national analysis. Lancet 2009;373:399-407. doi:10.1016/S0140-6736(09) 60005-2 33 Wang CW, Chan CLW, Yip PSF. Suicide rates in China from 2002 to 2011: an update. Soc Psychiatry Psychiatr Epidemiol 2014;49:929- 41. doi:10.1007/s00127-013-0789-5 34 Yip PSF, Liu KY, Hu J, Song XM. Suicide rates in China during a decade of rapid social changes. Soc Psychiatry Psychiatr Epidemiol 2005;40:792-8. doi:10.1007/s00127-005-0952-8 35 Page A, Liu S, Gunnell D, et al. Suicide by pesticide poisoning remains a priority for suicide prevention in China: Analysis of national mortality trends 2006-2013. J Affect Disord 2017;208:418-23. doi:10.1016/j.jad.2016.10.047 36 Lawrence RE, Oquendo MA, Stanley B. Religion and suicide risk: A systematic review. Arch Suicide Res 2016;20:1-21. doi:10.1080/13 811118.2015.1004494 37 Gunnell D, Knipe D, Chang S-S, et al. Prevention of suicide with regulations aimed at restricting access to highly hazardous pesticides: a systematic review of the international evidence. Lancet Glob Health 2017;5:e1026-37. doi:10.1016/S2214- 109X(17)30299-1 38 Fullman N, Barber RM, Abajobir AA, et al, GBD 2016 SDG Collaborators. Measuring progress and projecting attainment on the basis of past trends of the health-related Sustainable Development Goals in 188 countries: an analysis from the Global Burden of Disease Study 2016. Lancet 2017;390:1423-59. doi:10.1016/ S0140-6736(17)32336-X 39 Rockett IR, Kapusta ND, Bhandari R. Suicide misclassification in an international context: revisitation and update. Suicidol Online 2011;2:48-61. 40 Barber CW, Miller MJ. Reducing a suicidal person’s access to lethal means of suicide: a research agenda. Am J Prev Med 2014;47(Suppl 2):S264-72. doi:10.1016/j.amepre.2014.05.028 41 Department of Health. Preventing Suicide in England 2012 https:// www.gov.uk/government/publications/suicide-prevention-strategyfor-england 42 Ministry of Public Health Guyana. National Suicide Prevention Plan 2014. https://www.mindbank.info/item/6321 43 WHO MiNDbank. Fiji National Mental Health and Suicide Prevention Policy 2015. http://www.mindbank.info/item/5909 |
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Naghavi, Mohsen2020-01-22T20:24:30Z2020-01-22T20:24:30Z2019-02-060959-8146https://hdl.handle.net/11323/5904Corporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/Objectives To use the estimates from the Global Burden of Disease Study 2016 to describe patterns of suicide mortality globally, regionally, and for 195 countries and territories by age, sex, and Socio-demographic index, and to describe temporal trends between 1990 and 2016. Design Systematic analysis. Main outcome measures Crude and age standardised rates from suicide mortality and years of life lost were compared across regions and countries, and by age, sex, and Socio-demographic index (a composite measure of fertility, income, and education). Results The total number of deaths from suicide increased by 6.7% (95% uncertainty interval 0.4% to 15.6%) globally over the 27 year study period to 817 000 (762 000 to 884 000) deaths in 2016. However, the age standardised mortality rate for suicide decreased by 32.7% (27.2% to 36.6%) worldwide between 1990 and 2016, similar to the decline in the global age standardised mortality rate of 30.6%. Suicide was the leading cause of age standardised years of life lost in the Global Burden of Disease region of high income Asia Pacific and was among the top 10 leading causes in eastern Europe, central Europe, western Europe, central Asia, Australasia, southern Latin America, and high income North America. Rates for men were higher than for women across regions, countries, and age groups, except for the 15 to 19 age group. There was variation in the female to male ratio, with higher ratios at lower levels of Socio-demographic index. Women experienced greater decreases in mortality rates (49.0%, 95% uncertainty interval 42.6% to 54.6%) than men (23.8%, 15.6% to 32.7%). Conclusions Age standardised mortality rates for suicide have greatly reduced since 1990, but suicide remains an important contributor to mortality worldwide. Suicide mortality was variable across locations, between sexes, and between age groups. Suicide prevention strategies can be targeted towards vulnerable populations if they are informed by variations in mortality rates.Naghavi, Mohsen-will be generated-orcid-0000-0003-3691-1458-600engBritish Medical Journalhttps://doi.org/10.1136/bmj.l941 World Health Organization. Comprehensive mental health action plan 2013-2020 . World Health Organization, 2013.2 WHO. Suicide prevention. http://www.who.int/mental_health/ suicide-prevention/en/3 United Nations. The Sustainable Development Goals Report. United Nations, 2017.4 Crosby AE, Ortega L, Melanson C. Self-directed Violence Surveillance: Uniform Definitions and Recommended Data Elements, Version 1.0. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, 2011.5 World Health Organization. Preventing suicide: A global imperative A global imperative. World Health Organization, 2013.6 Turecki G, Brent DA. Suicide and suicidal behaviour. Lancet 2016;387:1227-39. doi:10.1016/S0140-6736(15) 00234-27 Rehkopf DH, Buka SL. The association between suicide and the socio-economic characteristics of geographical areas: a systematic review. Psychol Med 2006;36:145-57. doi:10.1017/ S003329170500588X8 Darvishi N, Farhadi M, Haghtalab T, Poorolajal J. Alcohol-related risk of suicidal ideation, suicide attempt, and completed suicide: a meta-analysis. PLoS One 2015;10:e0126870. doi:10.1371/journal. pone.01268709 Oyesanya M, Lopez-Morinigo J, Dutta R. Systematic review of suicide in economic recession. World J Psychiatry 2015;5:243-54. doi:10.5498/wjp.v5.i2.24310 Devries K, Watts C, Yoshihama M, et al, WHO Multi-Country Study Team. Violence against women is strongly associated with suicide attempts: evidence from the WHO multi-country study on women’s health and domestic violence against women. Soc Sci Med 2011;73:79-86. doi:10.1016/j.socscimed.2011.05.00611 Ajdacic-Gross V, Weiss MG, Ring M, et al. Methods of suicide: international suicide patterns derived from the WHO mortality database. Bull World Health Organ 2008;86:726-32. doi:10.2471/ BLT.07.04348912 Yip PS, Caine E, Yousuf S, Chang SS, Wu KC, Chen YY. Means restriction for suicide prevention. Lancet 2012;379:2393-9. doi:10.1016/S0140-6736(12)60521-213 Gunnell D, Eddleston M, Phillips MR, Konradsen F. The global distribution of fatal pesticide self-poisoning: systematic review. BMC Public Health 2007;7:357. doi:10.1186/1471-2458-7-35714 Ferrari AJ, Norman RE, Freedman G, et al. The burden attributable to mental and substance use disorders as risk factors for suicide: findings from the Global Burden of Disease Study 2010. PLoS One 2014;9:e91936. doi:10.1371/journal.pone.009193615 Nock MK, Hwang I, Sampson N, et al. Cross-national analysis of the associations among mental disorders and suicidal behavior: findings from the WHO World Mental Health Surveys. PLoS Med 2009;6:e1000123. doi:10.1371/journal.pmed.100012316 Patel V, Chisholm D, Parikh R, et al. Addressing the burden of mental, neurological, and substance use disorders: Key messages from Disease Control Priorities, 3rd edition. Lancet 2016;387:1672-85. doi:10.1016/S0140-6736(15)00390-617 Zalsman G, Hawton K, Wasserman D, et al. Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry 2016;3:646-59. doi:10.1016/S2215-0366(16)30030-X18 Vijayakumar L. Suicide in women. Indian J Psychiatry 2015;57(Suppl 2):S233-8. doi:10.4103/0019-5545.16148419 Chen YY, Wu KC, Yousuf S, Yip PS. Suicide in Asia: opportunities and challenges. Epidemiol Rev 2012;34:129-44. doi:10.1093/epirev/ mxr02520 Arsenault-Lapierre G, Kim C, Turecki G. Psychiatric diagnoses in 3275 suicides: a meta-analysis. BMC Psychiatry 2004;4:37. doi:10.1186/1471-244X-4-3721 Phillips MR. Rethinking the role of mental illness in suicide. Am J Psychiatry 2010;167:731-3. doi:10.1176/appi. ajp.2010.1004058922 Kapusta ND, Tran US, Rockett IRH, et al. Declining autopsy rates and suicide misclassification: a cross-national analysis of 35 countries. Arch Gen Psychiatry 2011;68:1050-7. doi:10.1001/ archgenpsychiatry.2011.6623 Naghavi M, Abajobir AA, Abbafati C, et al. GBD 2016 Causes of Death Collaborators.Global, regional, and national age-sex specific mortality for 264 causes of death, 1980-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 2017;390:1151-210. doi:10.1016/S0140-6736(17)32152-924 Stevens GA, Alkema L, Black RE, et al, The GATHER Working Group). Guidelines for Accurate and Transparent Health Estimates Reporting: the GATHER statement. Lancet 2016;388:e19-23. doi:10.1016/ S0140-6736(16)30388-925 Tøllefsen IM, Hem E, Ekeberg Ø. The reliability of suicide statistics: a systematic review. BMC Psychiatry 2012;12:9. doi:10.1186/1471- 244X-12-926 Dervic K, Brent DA, Oquendo MA. Completed suicide in childhood. Psychiatr Clin North Am 2008;31:271-91. doi:10.1016/j. psc.2008.01.00627 Canetto SS. Women and suicidal behavior: a cultural analysis. Am J Orthopsychiatry 2008;78:259-66. doi:10.1037/a001397328 Patel V, Ramasundarahettige C, Vijayakumar L, et al, Million Death Study Collaborators. Suicide mortality in India: a nationally representative survey. Lancet 2012;379:2343-51. doi:10.1016/ S0140-6736(12)60606-029 McKay K, Milner A, Maple M. Women and suicide: Beyond the gender paradox. Int J Cult Ment Health 2014;7:168-78. doi:10.1080/17542 863.2013.76549530 Chen Y-Y, Park N-S, Lu T-H. Suicide methods used by women in Korea, Sweden, Taiwan and the United States. J Formos Med Assoc 2009;108:452-9. doi:10.1016/S0929-6646(09)60092-931 Mäkinen IH. Suicide mortality of Eastern European regions before and after the Communist period. Soc Sci Med 2006;63:307-19. doi:10.1016/j.socscimed.2006.01.00232 Stuckler D, King L, McKee M. Mass privatisation and the post-communist mortality crisis: a cross-national analysis. Lancet 2009;373:399-407. doi:10.1016/S0140-6736(09) 60005-233 Wang CW, Chan CLW, Yip PSF. Suicide rates in China from 2002 to 2011: an update. Soc Psychiatry Psychiatr Epidemiol 2014;49:929- 41. doi:10.1007/s00127-013-0789-534 Yip PSF, Liu KY, Hu J, Song XM. Suicide rates in China during a decade of rapid social changes. Soc Psychiatry Psychiatr Epidemiol 2005;40:792-8. doi:10.1007/s00127-005-0952-835 Page A, Liu S, Gunnell D, et al. Suicide by pesticide poisoning remains a priority for suicide prevention in China: Analysis of national mortality trends 2006-2013. J Affect Disord 2017;208:418-23. doi:10.1016/j.jad.2016.10.04736 Lawrence RE, Oquendo MA, Stanley B. Religion and suicide risk: A systematic review. Arch Suicide Res 2016;20:1-21. doi:10.1080/13 811118.2015.100449437 Gunnell D, Knipe D, Chang S-S, et al. Prevention of suicide with regulations aimed at restricting access to highly hazardous pesticides: a systematic review of the international evidence. Lancet Glob Health 2017;5:e1026-37. doi:10.1016/S2214- 109X(17)30299-138 Fullman N, Barber RM, Abajobir AA, et al, GBD 2016 SDG Collaborators. Measuring progress and projecting attainment on the basis of past trends of the health-related Sustainable Development Goals in 188 countries: an analysis from the Global Burden of Disease Study 2016. Lancet 2017;390:1423-59. doi:10.1016/ S0140-6736(17)32336-X39 Rockett IR, Kapusta ND, Bhandari R. Suicide misclassification in an international context: revisitation and update. Suicidol Online 2011;2:48-61.40 Barber CW, Miller MJ. Reducing a suicidal person’s access to lethal means of suicide: a research agenda. Am J Prev Med 2014;47(Suppl 2):S264-72. doi:10.1016/j.amepre.2014.05.02841 Department of Health. Preventing Suicide in England 2012 https:// www.gov.uk/government/publications/suicide-prevention-strategyfor-england42 Ministry of Public Health Guyana. National Suicide Prevention Plan 2014. https://www.mindbank.info/item/632143 WHO MiNDbank. 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