Abstract
The accuracy of suicide statistics was assessed by comparing published Health Department suicide rates for an area of New York City with Medical Examiner records. For the period 1968--1979, records from the Medical Examiner's Office were searched to determine all deaths classified as definite suicides. Another group of deaths was considered suicide by the Medical Examiner but never classified as such. These deaths we labeled "assigned suicides." When definite suicides were compared with all deaths considered suicide by the Medical Examiner (definite and assigned suicides), black suicide was underestimated by 80 per cent and white suicide by 42 per cent. Underestimation was the same for males and females but varied by age group. In 1968, when the seventh revision of the International Classification of Deaths (ICD) was used, Health Department suicide rates for blacks were almost identical to Medical Examiner rates, while white rates were underestimated by 25 per cent. In 1969--1970, when the eighth revision was used, Health Department statistics underestimated black suicides by 82 per cent and white suicides by 66 per cent. Reasons for the underestimations were related to the methods used in committing suicide by the two ethnic groups and to the ways that suicide classification has changed from the seventh to eighth revision. Implications for research using official death certificate reports are discussed.
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Selected References
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- Barraclough B. M. Are the Scottish and English suicide rates really different? Br J Psychiatry. 1972 Mar;120(556):267–273. doi: 10.1192/bjp.120.556.267. [DOI] [PubMed] [Google Scholar]
- Barraclough B. M. Classifying poisoning deaths by motivation: Anglo-Scottish differences. Acta Psychiatr Scand. 1974;50(6):625–635. doi: 10.1111/j.1600-0447.1974.tb07526.x. [DOI] [PubMed] [Google Scholar]
- Barraclough B. M. Differences between national suicide rates. Br J Psychiatry. 1973 Jan;122(566):95–96. doi: 10.1192/bjp.122.1.95. [DOI] [PubMed] [Google Scholar]
- Hendin H. Black suicide. Arch Gen Psychiatry. 1969 Oct;21(4):407–422. doi: 10.1001/archpsyc.1969.01740220023003. [DOI] [PubMed] [Google Scholar]
- Macmahon Brian, Johnson Samuel, Pugh Thomas F. Relation of suicide rates to social conditions: Evidence from U.S. vital statistics. Public Health Rep. 1963 Apr;78(4):285–293. [PMC free article] [PubMed] [Google Scholar]
- McCarthy P. D., Walsh D. Suicide in Dublin: I. The under-reporting of suicide and the consequences for national statistics. Br J Psychiatry. 1975 Apr;126:301–308. doi: 10.1192/bjp.126.4.301. [DOI] [PubMed] [Google Scholar]
- Sainsbury P. Suicide: opinions and facts. Proc R Soc Med. 1973 Jun;66(6):579–587. [PMC free article] [PubMed] [Google Scholar]
- Walsh B., Walsh D., Whelan B. Suicide in Dublin: II. The influence of some social and medical factors on coroners' verdicts. Br J Psychiatry. 1975 Apr;126:309–312. doi: 10.1192/bjp.126.4.309. [DOI] [PubMed] [Google Scholar]