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Positive association between altitude and suicide in U.S. counties

ncbi.nlm.nih.gov

41–50 of 211 posts

Re: Positive association between altitude and suicide in U.S. counties

#41

I haven't dug into their controls, but it seems to me that higher altitude may be associated with remoteness.

[flagged]

no.

>Similar findings were observed for both firearm-related suicides (59% of suicides) and nonfirearm-related suicides.

Re: Positive association between altitude and suicide in U.S. counties

#42
post #30

Earlier quoted context omitted.

Which is dumb, what matters is the income of the person who commits suicide, not the median income of their county

Getting income data from specific people can be hard...

Harder than publishing bogus studies for sure

Re: Positive association between altitude and suicide in U.S. counties

#43
post #18
post #5

Earlier quoted context omitted.

> Controlling for... population density of each county,

It's a very weak indicator, I'm living in the densest city I ever lived in and I have less social life than ever. Random 5 seconds search: https://academic.oup.com/innovateage/article/2/suppl_1/19/51... > Follow-up analyses showed there was a significant (p = .005) relationship between population density and isolation in Whites, Hispanics, and others, in that higher population density was associated with greater soci…

I'd say it's not necessarily isolation, but lack of opportunity. Presumably the higher up you are, the less transport links and settlements there are, so geographically you now have less opportunities within a commutable distance. When I say "opportunity" I mean it in a very general sense - it could be social opportunity, dating opportunity, work opportunity, hobby opportunity whatever. When you're deep in the hole of depression, by definition you have lost hope of things improving, which would indicate a dearth of opportunity or novel experiences that could change your mindset.

I'd say that cities can feel extremely lonely, because you can see all these people all around you but you can't connect with any of them so you kind of feel disconnected or unwanted which heightens the feeling of loneliness. Wheres if you are in a rural location, you might be lonely for lack of people but feel that if you were to find some people that you would get on with them well. Tying this back to the original point, I think if you can take advantage of the huge variety of opportunities the city offers you can easily overcome "city loneliness" whereas "rural loneliness" is much harder to overcome - if you don't get on with the small set of people nearby or don't enjoy any of the small hobby groups available, you're shit out of luck in terms of social interaction and will have to either move, hope someone new moves nearby, attempt to start your own hobby club or get used to your own company.

Re: Positive association between altitude and suicide in U.S. counties

#44

I don't want to come of as flippant, but I'm genuinely curious: Is there a correlation to how many stories the person's residence has as well? If they live on a 3rd story of an apartment, is there a higher suicide rate than the first floor of an apartment?

Getting granular data like this on a large scale can be rather difficult.

Even knowing things like where the final act was committed (at home, not at home, etc) would be super useful, but that data is hard to come by i'm sure, especially at scale.

Re: Positive association between altitude and suicide in U.S. counties

#45
The figure 1 makes it look like an awful lot like there is no pattern at all for the vast majority of counties, and then the few with the very highest suicide rates are all very high altitude. They also mention this, but I'm not sure country is a great way to measure this. Death Valley and Mt Whitney, the lowest and highest altitude points in the contiguous states, are in the same county. Might also want to remove Vegas, which is high altitude and high suicide, but obviously for unrelated reasons.

Re: Positive association between altitude and suicide in U.S. counties

#46
post #5
post #2

Altitude as a proxy for isolation, perhaps

> Controlling for... population density of each county,

Perhaps there’s some economic FOMO too. You can find coastal (sea level) town with the same population density and median incomes as mountain towns, but the former feels much more connected and accessible than the later. Even a large city like Denver has a remoteness about it… it’s either an 8+ hour drive to the next big city or you have to fly. Compared to west coast, east coast, gulf coast cities and counties, it might as well be an island.

Re: Positive association between altitude and suicide in U.S. counties

#47
post #37

High altitude is also associated with longevity, reduced heart disease, and more efficient mitochondria.

They do say this: "Despite a negative correlation (r = −0.31, p < 0.001) between county altitude and the all-cause mortality rate, there was a strong positive correlation (r = 0.50, p < 0.001) between altitude and suicide rate at the county level (Fig. 1)."

[deleted]

Re: Positive association between altitude and suicide in U.S. counties

#48
post #35

It'd be funny if it turned out to be that somehow it's safer to live at higher altitude meaning suicides rates would be proportionally higher since you die less of other things. It's something I've mused about in the past, if you extend technological advances long enough into the future, suicide rates would go up because there'd be less other things to die from due to advances in medicine and so on.

I think they kept those factors separate. From the abstract:

> Although there was a negative correlation between county altitude and all-cause mortality (r = −0.31, p < 0.001), there was a strong positive correlation between altitude and suicide rate (r = 0.50, p < 0.001).

Re: Positive association between altitude and suicide in U.S. counties

#49
post #42

Earlier quoted context omitted.

Getting income data from specific people can be hard...

Harder than publishing bogus studies for sure

We live in a world of imperfect knowledge. We look for patterns to try to determine cause/effect. The beginning process for this is to point out correlations and then further investigate. It’s not possible to account for all variables when it comes to things like suicide. It is possible and worthwhile to try to study the phenomenon as best we can.

Re: Positive association between altitude and suicide in U.S. counties

#50

They don't mention about temperature. Is it controlled for? Winter months are know to be "sadder" than summer months.

I'd expect that difference to be driven by sunlight amount rather than by temperature.

Cold is easier to deal with than dark and gloomy when I go to work and dark and gloomy when I come home.

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