1 Department of Psychology, University of Wyoming, Laramie, WY, USA.
Crisis. 2017 Sep;38(5):344-350. doi: 10.1027/0227-5910/a000451. Epub 2017 Mar 24.
The Mountain West region of the United States consistently reports the highest rates of suicide in the country. This pattern could reflect a regional culture-of-suicide script in support of suicide that implicitly influences individual's behavior.
The primary aim of this study was to investigate whether suicide rates are elevated in the Mountain West across a wide range of demographic groups, thereby supporting a regional cultural script.
Suicide rates in the Mountain West between 1999 and 2014 were compared to the rest of the country across a wide range of demographic categories and levels of population density using the Center for Disease Control Multiple Causes of Death dataset published on the WONDER online database.
Suicide rates are elevated in the Mountain West for men and women, all racial groups, all age groups, and at every level of population density compared to the rest of the country.
Missing and suppressed data, the use of coroner reports, and the arbitrary nature of state and regional boundaries are all discussed as possible limitations to this study.
These findings support a broad culture-of-suicide script that is pervasive in this region across demographic groups and all levels of population density.
美国西部山区的自杀率一直是全国最高的。这种模式可能反映了一种支持自杀的区域自杀文化剧本，这种剧本会对个体的行为产生潜在影响。
本研究的主要目的是调查在广泛的人口统计群体中，西部山区的自杀率是否升高，从而支持区域文化剧本。
使用疾病控制中心多死因数据集，该数据集发布在 WONDER 在线数据库上，比较了 1999 年至 2014 年西部山区和全国其他地区在广泛的人口统计类别和人口密度水平上的自杀率。
与全国其他地区相比，西部山区的男性和女性、所有种族群体、所有年龄段以及每一级人口密度的自杀率都升高了。
缺失和被抑制的数据、使用验尸官报告以及州和地区边界的任意性都被讨论为该研究的可能局限性。
这些发现支持了一个广泛的自杀文化剧本，该剧本在该地区的各个人口统计群体和所有人口密度水平中都普遍存在。
