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Journal of Epidemiology and Community Health logoLink to Journal of Epidemiology and Community Health
. 2002 Oct;56(10):766–772. doi: 10.1136/jech.56.10.766

Suicide and political regime in New South Wales and Australia during the 20th century

A Page 1, S Morrell 1, R Taylor 1
PMCID: PMC1732038  PMID: 12239203

Abstract

Study objective: Australia has had a two party parliamentary political system for most of the period since its Federation in 1901, dominated either by a social democratic (Labor) or a conservative ideological perspective. This paper investigates whether such political differences at Federal and State levels have influenced suicide rates in the state of New South Wales (NSW) for the period 1901–1998.

Design: Federal government type, NSW State government type, and combinations of both Federal and NSW State government type were examined. Poisson regression models were stratified by sex and controlled for the effects of age, annual change in gross domestic product, sedative availability, drought, and both world wars.

Results: When both Federal and NSW State governments were conservative the relative risk of suicide for NSW men was 1.17 (p<0.001) and for women 1.40 (p<0.001) compared with both governments being Labor (1.00). A statistically significant linear trend (p<0.001) in suicide risk was evident across the continuum of Federal/State government combinations, from both Labor (lowest), to mixed (intermediate), to both conservative (highest).

Conclusion: Significantly higher suicide risk was associated with conservative government tenures compared with social democratic incumbents. Results are discussed in terms of the differences underpinning conservative and social democratic government programme ideology, and their relevance to Durkheim's theories of suicide, social regulation, and integration.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beautrais A. L., Joyce P. R., Mulder R. T. Risk factors for serious suicide attempts among youths aged 13 through 24 years. J Am Acad Child Adolesc Psychiatry. 1996 Sep;35(9):1174–1182. doi: 10.1097/00004583-199609000-00015. [DOI] [PubMed] [Google Scholar]
  2. Beck A. T., Brown G., Berchick R. J., Stewart B. L., Steer R. A. Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients. Am J Psychiatry. 1990 Feb;147(2):190–195. doi: 10.1176/ajp.147.2.190. [DOI] [PubMed] [Google Scholar]
  3. Beck A. T., Steer R. A., Kovacs M., Garrison B. Hopelessness and eventual suicide: a 10-year prospective study of patients hospitalized with suicidal ideation. Am J Psychiatry. 1985 May;142(5):559–563. doi: 10.1176/ajp.142.5.559. [DOI] [PubMed] [Google Scholar]
  4. Brent D. A., Johnson B., Bartle S., Bridge J., Rather C., Matta J., Connolly J., Constantine D. Personality disorder, tendency to impulsive violence, and suicidal behavior in adolescents. J Am Acad Child Adolesc Psychiatry. 1993 Jan;32(1):69–75. doi: 10.1097/00004583-199301000-00010. [DOI] [PubMed] [Google Scholar]
  5. Cantor C. H., Baume P. J. Access to methods of suicide: what impact? Aust N Z J Psychiatry. 1998 Feb;32(1):8–14. doi: 10.3109/00048679809062700. [DOI] [PubMed] [Google Scholar]
  6. Cantor C. H., Slater P. J. The impact of firearm control legislation on suicide in Queensland: preliminary findings. Med J Aust. 1995 Jun 5;162(11):583–585. doi: 10.5694/j.1326-5377.1995.tb138547.x. [DOI] [PubMed] [Google Scholar]
  7. Cantor C., Neulinger K. The epidemiology of suicide and attempted suicide among young Australians. Aust N Z J Psychiatry. 2000 Jun;34(3):370–387. doi: 10.1080/j.1440-1614.2000.00756.x. [DOI] [PubMed] [Google Scholar]
  8. Carlson E., Tsvetarsky S. Birthweight and infant mortality in Bulgaria's transition crisis. Paediatr Perinat Epidemiol. 2000 Apr;14(2):159–162. doi: 10.1046/j.1365-3016.2000.00242.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Cereseto S., Waitzkin H. Capitalism, socialism, and the physical quality of life. Int J Health Serv. 1986;16(4):643–658. doi: 10.2190/AD12-7RYT-XVAR-3R2U. [DOI] [PubMed] [Google Scholar]
  10. Cereseto S., Waitzkin H. Economic development, political-economic system, and the physical quality of life. Am J Public Health. 1986 Jun;76(6):661–666. doi: 10.2105/ajph.76.6.661. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Dyer J. A., Kreitman N. Hopelessness, depression and suicidal intent in parasuicide. Br J Psychiatry. 1984 Feb;144:127–133. doi: 10.1192/bjp.144.2.127. [DOI] [PubMed] [Google Scholar]
  12. Gunnell D., Lopatatzidis A., Dorling D., Wehner H., Southall H., Frankel S. Suicide and unemployment in young people. Analysis of trends in England and Wales, 1921-1995. Br J Psychiatry. 1999 Sep;175:263–270. doi: 10.1192/bjp.175.3.263. [DOI] [PubMed] [Google Scholar]
  13. Hintikka J., Saarinen P. I., Viinamäki H. Suicide mortality in Finland during an economic cycle, 1985-1995. Scand J Public Health. 1999 Jun;27(2):85–88. [PubMed] [Google Scholar]
  14. Kaasik T., Andersson R., Hörte L. G. The effects of political and economic transitions on health and safety in Estonia: an Estonian-Swedish comparative study. Soc Sci Med. 1998 Nov;47(10):1589–1599. doi: 10.1016/s0277-9536(98)00221-4. [DOI] [PubMed] [Google Scholar]
  15. Kondrichin S. V., Lester D. "I'm all right Jack" in Russia too. Percept Mot Skills. 1999 Jun;88(3 Pt 1):892–892. doi: 10.2466/pms.1999.88.3.892. [DOI] [PubMed] [Google Scholar]
  16. Kreitman N. The coal gas story. United Kingdom suicide rates, 1960-71. Br J Prev Soc Med. 1976 Jun;30(2):86–93. doi: 10.1136/jech.30.2.86. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Leenaars A. A., Lester D. The changing suicide pattern in Canadian adolescents and youth, compared to their American counterparts. Adolescence. 1995 Fall;30(119):539–547. [PubMed] [Google Scholar]
  18. Lena H. F., London B. The political and economic determinants of health outcomes: a cross-national analysis. Int J Health Serv. 1993;23(3):585–602. doi: 10.2190/EQUY-ACG8-X59F-AE99. [DOI] [PubMed] [Google Scholar]
  19. Lester D. Economic factors and suicide. J Soc Psychol. 1988 Apr;128(2):245–248. doi: 10.1080/00224545.1988.9711368. [DOI] [PubMed] [Google Scholar]
  20. Lester D., Frank M. L. Geophysical variables and behavior: LIX. The seasonal variation in suicide rates: three studies. Percept Mot Skills. 1990 Feb;70(1):57–58. doi: 10.2466/pms.1990.70.1.57. [DOI] [PubMed] [Google Scholar]
  21. Lester D. Helplessness, hopelessness, and haplessness and suicidality. Psychol Rep. 1998 Jun;82(3 Pt 1):946–946. doi: 10.2466/pr0.1998.82.3.946. [DOI] [PubMed] [Google Scholar]
  22. Lester D. Suicide and homicide rates during presidential terms as a function of economic conditions. Psychol Rep. 1993 Aug;73(1):50–50. doi: 10.2466/pr0.1993.73.1.50. [DOI] [PubMed] [Google Scholar]
  23. Lester D. Suicide and presidential elections in the USA. Psychol Rep. 1990 Aug;67(1):218–218. doi: 10.2466/pr0.1990.67.1.218. [DOI] [PubMed] [Google Scholar]
  24. Maes M., De Meyer F., Thompson P., Peeters D., Cosyns P. Synchronized annual rhythms in violent suicide rate, ambient temperature and the light-dark span. Acta Psychiatr Scand. 1994 Nov;90(5):391–396. doi: 10.1111/j.1600-0447.1994.tb01612.x. [DOI] [PubMed] [Google Scholar]
  25. Masterton G., Platt S. Parasuicide and general elections. BMJ. 1989 Mar 25;298(6676):803–804. doi: 10.1136/bmj.298.6676.803. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Morrell S., Taylor R., Quine S., Kerr C. Suicide and unemployment in Australia 1907-1990. Soc Sci Med. 1993 Mar;36(6):749–756. doi: 10.1016/0277-9536(93)90035-3. [DOI] [PubMed] [Google Scholar]
  27. Mościcki E. K. Epidemiology of suicidal behavior. Suicide Life Threat Behav. 1995 Spring;25(1):22–35. [PubMed] [Google Scholar]
  28. Oliver R. G., Hetzel B. S. Rise and fall of suicide rates in Australia: relation to sedative availability. Med J Aust. 1972 Oct 21;2(17):919–923. [PubMed] [Google Scholar]
  29. Piantadosi S. Invited commentary: ecologic biases. Am J Epidemiol. 1994 Apr 15;139(8):761–771. doi: 10.1093/oxfordjournals.aje.a117070. [DOI] [PubMed] [Google Scholar]
  30. Preti A., Miotto P. Seasonality in suicides: the influence of suicide method, gender and age on suicide distribution in Italy. Psychiatry Res. 1998 Nov 16;81(2):219–231. doi: 10.1016/s0165-1781(98)00099-7. [DOI] [PubMed] [Google Scholar]
  31. Preti A. The influence of seasonal change on suicidal behaviour in Italy. J Affect Disord. 1997 Jul;44(2-3):123–130. doi: 10.1016/s0165-0327(97)00035-9. [DOI] [PubMed] [Google Scholar]
  32. Quine S., Taylor R., Hayes L. Australian trends in mortality by socioeconomic status using NSW small area data, 1970-89. J Biosoc Sci. 1995 Oct;27(4):409–419. doi: 10.1017/s0021932000023026. [DOI] [PubMed] [Google Scholar]
  33. Salib E., Gray N. Weather conditions and fatal self-harm in North Cheshire 1989-1993. Br J Psychiatry. 1997 Nov;171:473–477. doi: 10.1192/bjp.171.5.473. [DOI] [PubMed] [Google Scholar]
  34. Shenassa E. D. Society, physical health and modern epidemiology. Epidemiology. 2001 Jul;12(4):467–470. doi: 10.1097/00001648-200107000-00018. [DOI] [PubMed] [Google Scholar]
  35. Smith G. D., Dorling D. "I'm all right, John": voting patterns and mortality in England and Wales, 1981-92. BMJ. 1996 Dec 21;313(7072):1573–1577. doi: 10.1136/bmj.313.7072.1573. [DOI] [PMC free article] [PubMed] [Google Scholar]
  36. Souêtre E., Wehr T. A., Douillet P., Darcourt G. Influence of environmental factors on suicidal behavior. Psychiatry Res. 1990 Jun;32(3):253–263. doi: 10.1016/0165-1781(90)90030-9. [DOI] [PubMed] [Google Scholar]
  37. Subramania S. V., Kawachi I., Kennedy B. P. Does the state you live in make a difference? Multilevel analysis of self-rated health in the US. Soc Sci Med. 2001 Jul;53(1):9–19. doi: 10.1016/s0277-9536(00)00309-9. [DOI] [PubMed] [Google Scholar]
  38. Surtees P. G., Duffy J. C. Suicide in England and Wales 1946-1985: an age-period-cohort analysis. Acta Psychiatr Scand. 1989 Mar;79(3):216–223. doi: 10.1111/j.1600-0447.1989.tb10247.x. [DOI] [PubMed] [Google Scholar]
  39. Susser M. The logic in ecological: I. The logic of analysis. Am J Public Health. 1994 May;84(5):825–829. doi: 10.2105/ajph.84.5.825. [DOI] [PMC free article] [PubMed] [Google Scholar]
  40. Taylor R., Lewis M., Powles J. The Australian mortality decline: all-cause mortality 1788-1990. Aust N Z J Public Health. 1998 Feb;22(1):27–36. doi: 10.1111/j.1467-842x.1998.tb01141.x. [DOI] [PubMed] [Google Scholar]
  41. Taylor R., Quine S., Lyle D., Bilton A. Socioeconomic correlates of mortality and hospital morbidity differentials by Local Government Area in Sydney 1985-1988. Aust J Public Health. 1992 Sep;16(3):305–314. doi: 10.1111/j.1753-6405.1992.tb00071.x. [DOI] [PubMed] [Google Scholar]
  42. Värnik A., Wasserman D., Dankowicz M., Eklund G. Age-specific suicide rates in the Slavic and Baltic regions of the former USSR during perestroika, in comparison with 22 European countries. Acta Psychiatr Scand Suppl. 1998;394:20–25. doi: 10.1111/j.1600-0447.1998.tb10761.x. [DOI] [PubMed] [Google Scholar]
  43. Värnik A., Wasserman D., Dankowicz M., Eklund G. Marked decrease in suicide among men and women in the former USSR during perestroika. Acta Psychiatr Scand Suppl. 1998;394:13–19. doi: 10.1111/j.1600-0447.1998.tb10760.x. [DOI] [PubMed] [Google Scholar]
  44. Wasserman D., Värnik A., Dankowicz M. Regional differences in the distribution of suicide in the former Soviet Union during perestroika, 1984-1990. Acta Psychiatr Scand Suppl. 1998;394:5–12. doi: 10.1111/j.1600-0447.1998.tb10759.x. [DOI] [PubMed] [Google Scholar]
  45. Wasserman D., Värnik A., Eklund G. Female suicides and alcohol consumption during perestroika in the former USSR. Acta Psychiatr Scand Suppl. 1998;394:26–33. [PubMed] [Google Scholar]
  46. Wasserman D., Värnik A. Suicide-preventive effects of perestroika in the former USSR: the role of alcohol restriction. Acta Psychiatr Scand Suppl. 1998;394:1–4. doi: 10.1111/j.1600-0447.1998.tb10758.x. [DOI] [PubMed] [Google Scholar]
  47. Watson P. Health difference in eastern Europe: preliminary findings from the Nowa Huta study. Soc Sci Med. 1998 Feb-Mar;46(4-5):549–558. doi: 10.1016/s0277-9536(97)00199-8. [DOI] [PubMed] [Google Scholar]
  48. Weyerer S., Wiedenmann A. Economic factors and the rates of suicide in Germany between 1881 and 1989. Psychol Rep. 1995 Jun;76(3 Pt 2):1331–1341. doi: 10.2466/pr0.1995.76.3c.1331. [DOI] [PubMed] [Google Scholar]
  49. Yip P. S., Chao A., Ho T. P. A re-examination of seasonal variation in suicides in Australia and New Zealand. J Affect Disord. 1998 Jan;47(1-3):141–150. doi: 10.1016/s0165-0327(97)00135-3. [DOI] [PubMed] [Google Scholar]

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