Observational Study
Copyright ©The Author(s) 2022.
World J Psychiatry. Aug 19, 2022; 12(8): 1044-1060
Published online Aug 19, 2022. doi: 10.5498/wjp.v12.i8.1044
Table 1 Suicide mortality trends, by countries and sex, 2000-2019; a joinpoint analysis: Age-standardized rates (per 100000 population, world standard population)[6,7]
Countries1
Both sexes
Male
Female
2000
2019
Trend2
2000
2019
Trend2
2000
2019
Trend2
Afghanistan7.76.0-1.8a7.66.2-1.7a7.85.7-2.1a
Albania5.23.7-2.07.65.3-2.0a2.92.2-2.0
Algeria4.72.6-3.4a5.93.3-3.3a3.51.9-3.4a
Angola17.612.6-2.1a30.021.7-2.0a6.24.7-2.0a
Antigua2.00.3-4.50.0-0.00.6-
Argentina9.28.1-0.7a16.013.5-0.8a3.43.3-0.6
Armenia3.32.7-0.35.54.9-0.21.71.0-0.3
Australia11.811.3+0.618.817.0+0.25.05.6+1.6a
Austria15.810.4-1.8a24.916.6-1.9a7.94.6-2.1a
Azerbaijan3.44.0-0.15.86.6-0.11.31.5-0.5
Bahamas2.53.4+1.5a4.25.8+1.6a1.11.2+0.1
Bahrain7.07.2-1.9a10.29.9-2.1a2.52.3-2.4a
Bangladesh6.93.9-3.5a10.06.0-3.1a3.51.7-4.3a
Barbados2.60.3-10.0a4.90.5-8.7a0.50.2-
Belarus37.316.5-4.7a69.330.1-4.8a9.55.3-3.5a
Belgium18.313.9-1.3a27.019.6-1.6a10.18.4-0.6a
Belize10.07.7-0.9a17.213.6-0.72.91.8-2.6a
Benin14.712.7-0.8a23.620.3-0.8a7.56.1-1.1a
Bhutan6.95.1-1.6a8.66.8-1.2a5.03.1-2.6a
Bolivia8.46.8-0.7a11.89.6-0.8a5.24.2-0.7a
Bosnia and Herzegovina8.18.3-0.313.313.5-0.33.53.4-0.3a
Botswana46.320.2-4.4a76.235.5-4.0a20.67.8-5.3a
Brazil4.56.4+1.6a7.410.3+1.5a1.82.8+2.0a
Brunei1.72.5+2.6a3.04.2+1.90.40.8-
Bulgaria14.06.5-3.9a21.810.6-3.7a7.12.9-4.5a
Burkina Faso16.914.4-0.5a27.624.5-0.2a9.26.5-1.6a
Burundi23.412.1-3.3a35.518.9-3.0a13.66.4-4.1a
Cabo Verde18.215.2-0.8a33.327.4-1.1a6.85.1-1.3a
Cambodia6.85.5-1.2a9.28.4-0.5a5.03.1-2.7a
Cameroon19.115.9-1.2a29.825.2-1.1a9.77.6-1.5a
Canada10.710.3+0.116.615.3-0.15.05.4+0.8a
Central African Republic32.523.0-1.2a53.739.6-1.0a14.69.3-2.1a
Chad15.713.2-0.9a24.820.2-1.1a7.76.9-0.4a
Chile10.58.0-1.1a19.013.4-1.5a2.93.0+0.4
China14.96.7-4.5a15.58.6-3.4a14.54.8-6.0a
Colombia5.33.7-1.5a8.46.0-1.3a2.61.7-2.4a
Comoros10.98.5-1.1a14.511.3-1.0a7.65.8-1.3a
Congo24.711.6-3.4a38.518.3-3.4a14.16.1-3.7a
Costa Rica6.97.6-0.412.313.3-0.61.61.9+0.4
Côte d’Ivoire24.015.7-1.9a37.525.7-1.6a8.45.0-2.3a
Croatia16.311.0-2.0a27.117.7-2.1a6.95.1-1.7a
Cuba15.610.2-1.5a22.716.7-1.0a8.94.1-3.3a
Cyprus1.93.2+5.1a2.65.3+6.3a1.21.1+0.6
Czechia13.49.5-1.2a22.615.4-1.5a5.13.8-0.8a
DPR Korea10.38.2-0.7a12.310.6-0.28.96.3-1.4a
DR Congo14.512.4-1.0a24.920.7-1.1a5.75.0-1.0a
Denmark12.57.6-2.3a18.911.1-2.3a6.44.2-2.3a
Djibouti12.111.9+0.117.116.3-0.27.57.6+0.2
Dominican Republic4.95.1+1.1a8.38.5+1.1a1.61.9+1.3a
Ecuador6.87.7+0.29.611.9+0.84.23.6-1.3a
Egypt3.63.4-0.34.74.7+0.22.72.2-1.1a
El Salvador6.76.1-0.910.611.1-0.43.42.1-2.4a
Equatorial Guinea19.413.5-0.9a31.018.5-1.7a7.88.8+1.3a
Eritrea23.417.3-1.3a38.427.2-1.5a9.68.3-0.5a
Estonia25.012.0-3.8a43.120.2-4.0a9.64.5-3.2a
Eswatini40.640.5-0.865.578.7+0.420.96.4-7.5a
Ethiopia18.49.5-3.8a25.914.2-3.3a11.25.2-4.6a
Fiji11.79.5-0.6a15.313.1-0.28.26.0-1.4a
Finland21.713.4-2.5a33.320.1-2.7a10.46.8-2.1a
France15.89.7-2.6a24.215.2-2.3a8.34.5-3.3a
Gabon19.413.1-1.5a33.223.3-1.2a7.53.8-3.4a
Gambia11.19.6-0.9a15.313.3-1.0a7.16.2-0.8a
Georgia6.67.7+2.1a11.914.0+2.3a2.22.2+0.3
Germany11.28.3-1.4a17.612.8-1.6a5.33.9-1.3a
Ghana9.810.5+0.317.220.0+0.72.91.8-3.0a
Greece2.93.6+2.6a4.65.9+2.5a1.21.5+3.4a
Grenada2.10.6-8.5a3.80.5-0.60.7-
Guatemala13.56.2-5.5a24.010.3-6.0a4.12.5-3.4a
Guinea9.712.3+1.6a13.718.4+1.9a6.78.0+1.3a
Guinea-Bissau17.512.4-1.6a28.719.8-1.8a8.86.7-1.3a
Guyana35.840.9+0.5a57.665.0+0.514.517+0.4
Haiti12.711.2-0.4a14.714.9+0.5a11.18.0-1.5a
Honduras3.02.6+0.25.14.4+0.31.11.0-0.8a
Hungary26.611.8-3.7a44.719.1-3.9a11.05.5-3.1a
Iceland12.711.2-0.219.318.7+0.66.03.5-3.1a
India19.112.9-2.3a20.914.7-2.2a17.411.1-2.4a
Indonesia3.82.6-2.2a5.54.0-2.0a2.11.2-3.1a
Iran8.05.1-1.5a10.17.5-0.35.92.8-3.7a
Iraq5.34.7+0.07.27.3+0.6a3.42.4-1.3a
Ireland12.18.9-1.4a19.814.3-1.4a4.43.6-1.1a
Israel6.85.2-1.4a11.08.3-1.5a2.82.1-1.3a
Italy5.54.3-0.8a8.76.7-0.9a2.72.1-0.9a
Jamaica2.12.3+1.1a3.33.6+1.0a0.91.0+1.3a
Japan18.112.2-1.9a26.817.5-2.2a9.66.9-1.4a
Jordan3.52.0-3.4a4.53.0-2.5a2.40.9-6.0a
Kazakhstan39.418.1-4.2a71.730.9-4.5a11.46.9-2.9a
Kenya15.811.0-1.7a24.818.1-1.5a8.25.3-2.0a
Kiribati35.630.6-0.6a62.653.6-0.6a11.19.5-0.6a
Kuwait3.12.7-0.9a4.13.8-0.31.50.7-4.5a
Kyrgyzstan17.68.3-3.5a30.713.5-3.8a5.53.5-1.9a
Lao PDR8.76.0-2.0a11.08.6-1.3a6.53.5-3.5a
Latvia29.616.1-3.0a54.329.0-3.0a9.44.6-3.9a
Lebanon3.02.8-0.23.73.9+0.6a2.41.7-1.8a
Lesotho42.687.5+6.0a73.9146.9+5.7a16.034.6+6.1a
Liberia8.87.4-0.7a11.09.4-0.6a6.75.5-0.7a
Libya5.34.5+0.17.16.1+0.23.32.9+0.3
Lithuania45.820.2-3.4a80.736.1-3.4a15.36.2-3.4a
Luxembourg13.48.6-2.8a20.311.8-3.6a7.15.4-1.2
Madagascar10.89.2-1.0a15.513.3-0.9a6.15.4-0.8a
Malawi19.210.6-2.4a31.820.0-1.8a8.43.3-4.1a
Malaysia6.15.8-0.5a9.19.0-0.33.12.4-1.3a
Maldives5.32.8-3.1a8.14.1-3.4a2.30.9-4.9a
Mali8.88.0-0.4a10.610.5+0.07.25.7-1.0a
Malta6.05.3+0.29.88.4+0.52.42.3-0.6
Mauritania6.45.5-0.8a8.27.4-0.6a4.93.9-1.2a
Mauritius11.58.8-0.818.415.0-0.54.92.5-2.1a
Mexico3.95.3+2.0a6.98.7+1.7a1.12.2+3.6a
Micronesia28.029.0+0.3a43.444.3+0.2a13.013.2+0.3a
Mongolia23.618.0-1.5a37.631.1-1.1a10.25.6-2.8a
Montenegro18.916.2-0.8a28.925.4-0.7a9.87.9-1.1a
Morocco10.87.3-2.3a13.910.1-2.0a8.04.7-2.8a
Mozambique20.923.2+0.9a36.242.6+1.2a8.88.9+0.6
Myanmar5.13.0-2.8a8.15.1-2.2a2.61.1-5.0a
Namibia27.513.5-4.1a47.524.9-3.9a11.44.4-4.8a
Nepal10.99.8-0.319.418.6+0.22.82.9+0.5a
Netherlands8.19.3+1.1a11.212.5+0.9a5.26.1+1.3a
New Zealand12.410.3-0.9a20.815.4-1.2a4.45.4+0.0
Nicaragua6.34.7-1.7a9.37.8-1.5a3.61.9-2.4a
Niger9.510.1+0.3a12.614.1+0.6a6.76.4-0.2a
Nigeria9.26.9-1.7a13.710.1-1.7a5.13.8-2.0a
North Macedonia8.77.2-1.6a12.511.0-1.5a4.93.5-1.9a
Norway13.09.9-1.0a19.913.4-1.5a6.16.3+0.1
Oman6.74.5-2.5a10.16.4-2.9a2.01.1-3.1a
Pakistan11.19.8-0.8a16.114.6-0.7a5.74.8-1.2a
Panama5.92.9-4.4a10.44.8-4.5a1.51.0-3.6a
Papua New Guinea2.83.6+1.1a4.45.2+0.9a1.41.9+1.4a
Paraguay3.66.2+3.0a4.89.0+3.5a2.53.3+1.5a
Peru3.42.7-0.8a4.64.1-0.22.41.4-2.3a
Philippines2.32.5+1.4a3.53.9+1.6a1.11.3+1.5a
Poland15.39.3-1.9a26.816.5-1.8a4.72.4-2.9a
Portugal5.57.2+0.49.511.6+0.12.13.5+1.3a
Qatar7.64.7-2.8a10.05.7-3.3a2.61.7-2.1a
Republic of Korea13.921.2+1.120.429.7+1.08.213.4+1.0
Moldova16.312.2-1.9a30.722.1-2.0a4.23.3-2.0a
Romania11.37.3-2.1a19.412.6-2.1a3.72.4-2.4a
Russian Federation48.921.6-4.1a88.838.2-4.3a13.47.2-3.1a
Rwanda25.69.5-4.9a38.814.8-4.7a14.05.0-5.2a
Saint Lucia8.16.9-0.414.512.5-0.42.11.5-1.1a
Saint Vincent6.51.0-12.61.3-0.50.7-
Samoa16.314.6-0.5a24.120.9-0.7a7.87.8+0.2
Sao Tome and Principe2.22.2-0.23.23.3-0.11.41.2-0.8a
Saudi Arabia3.85.4+2.8a5.77.8+2.6a1.41.9+3.2a
Senegal14.411.0-1.3a23.518.5-1.1a6.85.2-1.2a
Serbia18.97.9-7.6a29.012.2-8.1a10.13.9-6.9a
Seychelles9.87.7-1.2a18.414.0-1.5a1.71.3-1.4a
Sierra Leone10.111.3+0.214.414.8-0.26.58.2+0.9a
Singapore11.49.7-2.0a15.212.7-1.9a7.86.4-2.7a
Slovakia12.69.3-1.8a21.916.7-1.7a4.32.6-2.2a
Slovenia25.614.0-3.4a40.422.7-3.3a12.65.5-4.2a
Solomon Islands17.417.4+0.332.032.2+0.3a2.12.4+1.3a
Somalia16.814.7-0.8a26.022.8-0.8a7.97.1-0.5a
South Africa26.623.5-0.8a42.737.9-0.6a11.69.8-1.5a
South Sudan7.96.7-0.9a12.410.4-1.0a3.93.4-0.8a
Spain6.65.3-0.8a10.57.9-1.1a3.02.8+0.0
Sri Lanka27.412.9-3.7a41.520.9-3.3a146.1-3.9a
Sudan5.64.8-0.8a7.26.3-0.7a4.03.3-0.9a
Suriname25.025.9-0.3a38.841.3-0.211.811.8-0.1
Sweden12.212.4+0.117.116.9-0.17.57.7+0.4
Switzerland15.99.8-2.8a23.714.2-2.7a8.65.7-3.0a
Syria2.02.1+0.5a3.23.5+0.7a0.90.8+0.1
Tajikistan5.15.3+0.7a7.37.4+0.4a2.93.4+1.5a
Thailand11.68.0-2.1a16.413.9-1.2a7.12.3-5.4a
Timor-Leste4.94.5-0.26.56.7+0.43.32.4-1.7a
Togo17.314.8-1.0a27.024.0-0.8a8.66.5-1.7a
Tonga5.14.4-0.26.75.9-0.13.62.9-0.5a
Trinidad and Tobago16.28.3-3.2a26.413.1-3.5a6.33.7-1.8a
Tunisia3.93.2-1.6a5.24.6-1.1a2.61.8-2.3a
Turkey4.22.3-2.9a6.73.6-3.2a1.91.2-2.2a
Turkmenistan13.86.1-5.9a23.79.4-6.5a4.62.9-3.6a
Uganda21.710.4-4.5a38.619.4-4.2a8.63.7-5.4a
Ukraine33.517.7-3.7a62.732.7-3.8a8.54.7-3.2a
United Arab Emirates8.05.2-2.4a9.36.3-2.3a4.72.6-3.1a
United Kingdom7.76.9+0.012.010.4-0.13.63.4+0.2
Tanzania15.68.2-3.1a24.513.5-2.8a8.13.7-3.7a
United States of America10.014.5+1.9a16.422.4+1.6a4.06.8+2.7a
Uruguay14.518.8+1.5a25.731.1+1.4a5.17.7+1.3a
Uzbekistan12.08.3-1.5a19.611.8-2.2a4.84.9+0.7a
Vanuatu23.221.0-0.4a36.033.1-0.3a10.19.0-0.6a
Venezuela6.42.1-6.2a11.33.7-6.2a1.70.7-5.6a
Viet Nam7.27.2+0.4a9.410.6+1.1a5.24.2-1.0a
Yemen8.57.1-1.1a10.59.0-1.0a6.55.3-1.3a
Zambia24.014.4-2.2a35.925.7-1.4a14.55.3-4.4a
Zimbabwe20.023.6+1.9a28.237.8+2.7a14.213.5+0.8
Table 2 Joinpoint regression analysis: global trends in age-specific suicide mortality rates (per 100000), by sex, 2000-2019
Age1Males
Females
Age-specific rates2 (2000)
Age-specific rates2 (2019)
AAPC (95%CI)
Age-specific rates2 (2000)
Age-specific rates2 (2019)
AAPC (95%CI)
10-196.74.5-2.0a [(-2.2)-(-1.8)]6.73.8-3.0a [(-3.2)-(-2.7)]
20-2921.415.7-1.8a [(-1.9)-(-1.6)]14.97.9-3.3a [(-3.8)-(-2.8)]
30-3923.417.6-1.6a [(-1.7)-(-1.5)]12.66.3-3.6a [(-4.0)-(-3.2)]
40-4927.617.8-2.6a [(-2.8)-(-2.4)]11.06.4-2.7a [(-2.9)-(-2.5)]
50-5931.019.6-2.5a [(-2.6)-(-2.4)]11.67.8-2.3a [(-2.7)-(-2.0)]
60-6933.721.8-2.5a [(-2.6)-(-2.3)]13.79.2-2.3a [(-2.6)-(-2.0)]
70-7946.031.1-2.3a [(-2.5)-(-2.1)]21.413.6-2.8a [(-3.2)-(-2.4)]
80 +71.552.3-1.7a [(-1.9)-(-1.6)]29.419.1-2.7a [(-3.1)-(-2.3)]