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AJPH First Look, published online ahead of print Sep 29, 2005
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AJPH.2004.047217v1
95/11/1898    most recent
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November 2005, Vol 95, No. 11 | American Journal of Public Health 1898-1903
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2004.047217

COMMENTARY

Establishing Priorities for Reducing Suicide and Its Antecedents in the United States

Kerry L. Knox, PhD and Eric D. Caine, MD

Kerry L. Knox is with the Department of Community and Preventive Medicine and the Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY, and Eric D. Caine is with the Department of Psychiatry, University of Rochester School of Medicine.

Correspondence: Requests for reprints should be sent to Kerry L. Knox, University of Rochester School of Medicine, Department of Community and Preventive Medicine, 601 Elmwood Ave, Box 644, Rochester, NY 14620 (e-mail: kerry_knox{at}urmc.rochester.edu).

There is now a substantial literature on risk factors for suicide across the life course. Therefore, it is essential to extend this knowledge by considering more fully which age- and gender-specific groups bear the greatest public health burden owing to suicide and its antecedents. With this in mind, suicide mortality rates alone may not sufficiently inform U.S. policy makers who must distribute scarce suicide prevention resources.

We compared age- and gender-specific mortality rates, age- and gender-specific estimates of years of potential life lost, and age- and gender-specific present value of lost earnings that individuals would have contributed to society had they lived to their full life expectancies.

Men in the middle years of life contribute disproportionately to the public health burden because of completed suicide. The substantial burden evident in this group has not translated into a public health priority.




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