(This is a sample cover image for this issue. The actual cover is not yet available at this time.)
This article appeared in a journal published by Elsevier. The attached
copy is furnished to the author for internal non-commercial research
and education use, including for instruction at the authors institution
and sharing with colleagues.
Other uses, including reproduction and distribution, or selling or
licensing copies, or posting to personal, institutional or third party
websites are prohibited.
In most cases authors are permitted to post their version of the
article (e.g. in Word or Tex form) to their personal website or
institutional repository. Authors requiring further information
regarding Elsevier’s archiving and manuscript policies are
encouraged to visit:
http://www.elsevier.com/copyright
Author's personal copy
The Journal of Socio-Economics 40 (2011) 723–731
Contents lists available at SciVerse ScienceDirect
The Journal of Socio-Economics
journal homepage: www.elsevier.com/locate/soceco
Socio-economic determinants of suicide in Japan
Antonio R. Andrés a,b,∗ , Ferda Halicioglu c , Eiji Yamamura d
a
Aarhus University, Institute of Public Health, Bartholins Allé 1, 8000 Aarhus C, Denmark
Associate researcher, Institute of Economic Analysis & Prospective Studies (IEAPS), Al Akhawayn University, Ifrane, Morocco
c
Department of Economics, Yeditepe University, 34755 Istanbul, Turkey
d
Seinan Gakuin University, Department of Economics. Fukuokashi Sawaraku Nishijin 6-2-92, 814-8511, Japan
b
a r t i c l e
i n f o
Article history:
Received 12 April 2011
Received in revised form 12 August 2011
Accepted 30 August 2011
JEL classification:
C22
I12
Keywords:
Cointegration
Suicide
Time series
Japan
a b s t r a c t
Japan has the highest suicide rates among the OECD countries and this public health problem seems
to be accelerating in over the recent decades. Investigating and understanding the suicidal behaviour
is of crucial importance to society and health policy makers. Such an investigation could provide with
useful information for those responsible in formulating the national policies on suicide prevention. This
study estimates dynamic econometric models for total, male and female suicides in Japan for the period
of 1957–2009. Using the ARDL approach to cointegration, we find that the associations of suicide with
sociological factors (divorce and fertility rates) were stronger than those with economic factors (per
capita GDP and unemployment) for females.
© 2011 Elsevier Inc. All rights reserved.
1. Introduction
Suicide is a very serious public health problem. The World
Health organization (henceforth, WHO) estimates that worldwide
there are approximately one million of deaths from suicide each
year and 20 times this number of people have attempted suicide.
According to many medical professions, suicide is considered to
be the result of depression and other psychiatric disorders (Mann
et al., 2005). Although Japanese life span is the longest in the world,
it has nevertheless one the world highest suicide rates with nearly
33,000 people killing themselves in 2009. According to statistical
data from the WHO, Japan, in 2004, reports the highest suicide rate
with 24 per 100,000 people among the OECD countries. From 1995
to 2009, the total suicide rate increased from 17 to 25 per 100,000
people.1 Suicide is also associated with substantial economic costs
(with particularly health care costs). In particular, Chen et al.
(2009a) suggested that the costs associated with suicides were
around 197 million USD in 2006 alone even if indirect costs such as
psychological counseling expenditure were not taken into account.
∗ Corresponding author.
E-mail address: ara@folkesundhed.au.dk (A.R. Andrés).
1
Data source is as follows. Periods 1955–2004: Statistics Bureau, Ministry of Internal Affairs and Communications (2006). Historical Statistics of Japan Volume 1 (New
Edition). Tokyo: Japan Statistical Association. Periods 2005–2009: National Police
Agency. http://www8.cao.go.jp/jisatsutaisaku/link/keisatsutyo.html (accessed
16.06.10).
1053-5357/$ – see front matter © 2011 Elsevier Inc. All rights reserved.
doi:10.1016/j.socec.2011.08.002
In comparison, there have been European studies highlighting
the enormous costs of completed suicides. For instance in Ireland
(Kennelly et al., 2005), the total cost has been shown to be 2.04 million Euros and in Scotland 1.88 million Euros (McDaid et al., 2007).
In some Japanese media, the total costs of suicide and depression
was reported to be about 2.7 trillion Yen in 2009 (available at
http://search.japantimes.co.jp/cgi-bin/nn20100908a2.html). Prevention of suicide has been integral part of the Japanese public
health agenda. The Japanese Government aimed to reduce the
annual incidence of suicide and for this purpose implemented
“the Basic Act of Suicide Prevention (jisatsu taisaku kihon hou)”
in 2006. In addition, to the role of government, informal social
ties regarded as social capital is also thought to play an important
role in preventing suicide in Japan (Yamamura, 2010). In fact,
community based suicide prevention programs were introduced
in Akita prefecture (see Motohashi et al., 2004). For making the
policy effective, it is important to ascertain how and why suicide
rate of Japan is so high based on empirical analysis.
Apart from the interest in describing and explaining suicidal
behaviour, employing rates of suicide as a societal well-being indicator has several advantages. First, suicide rates are a more reliable
and objective indicator of well-being compared to self-reported
well-being measures (such as life satisfaction or self-reported happiness). Second, suicide rates do not have the common problems
associated with survey data on self-reported well-being. Selfreported measures are often challenged on the basis of reliability
and validity (see for an excellent discussion, see Bertrand and
Mullainathan, 2001). It has been also shown that there is a high
Author's personal copy
724
A.R. Andrés et al. / The Journal of Socio-Economics 40 (2011) 723–731
correlation between suicide and subjective well-being at individual
and aggregate level (for instance, Koivumaa-Honkanen et al., 2001).
Unlike as self-reported measures, suicide data is the kind of data
that is more prone to make cross country comparisons. Using self
reported data comparisons are still difficult because of problems
with interpersonal comparisons of utility. Recently, an American
study concluded that the determinants of well-being are the same
determinants of suicide (Daly and Wilson, 2009).
Despite of its importance, and a growing concern for the factors
driving suicide mortality, suicide in Japan has received little attention. Although there have been some recent attempts, mainly using
panel data techniques, in this direction (e.g. Chen et al., 2009b;
Yamamura, 2010). Traditional theories of suicide (Durkheim, 1951;
Hamermesh and Soss, 1974) have been tested using time series data
for a large number of countries (e.g. Yang, 1992; Yang and Lester,
1990; Yang et al., 1992; Chuang and Huang, 1996; Platt and Hawton,
2000; Stack, 2000; Chang et al., 2010). Some researchers have investigated the socioeconomic determinants of suicide using time series
data for Japan (Yamasaki et al., 2005, 2008). There are however
few studies which employ causality or cointegration framework
to investigate the causality between suicide and its socioeconomic
determinants. A recent study is that of Inagaki (2010) who employs
a Vector Autoregressive (VAR) model. But this methodology has
several shortcomings. First, this methodology requires the set of
variables to be split into exogenous and endogenous variables. Second, the variables should be integrated of order 1.
This study aims at contributing to the empirical studies of
Japanese suicide by applying a relatively new time series cointegration technique known as the Auto Regressive Distributed Lag
(ARDL) bounds testing procedure. The ARDL approach to cointegration is preferable to other conventional cointegration procedures
(Engle and Granger, 1987). One of the reasons for preferring the
ARDL approach to cointegration it is that overcome the problem
of potential endogeneity of some regressors and serial correlation,
which might lead to biased estimates of the cointegrating coefficients. Another reason is that this technique does not require
pre-testing for the order of integration of the underlying time series.
Moreover, the results from this approach to cointegration are more
robust in presence of small samples (such as in this study) than
in other cointegration techniques. Finally, as opposed to multivariate cointegration techniques such as Johansen and Juselius (1990),
it allows the cointegration relationship to be estimated by ordinary least squares (OLS) once the lag order of the model is chosen.
In addition to studying the total suicides, we also analysed male
and female suicides separately, as the underlying determinants of
suicide could differ between the sexes (e.g. Andrés, 2005; Chuang
and Huang, 2007; Yamamura, 2010). Understanding the gender differences might be also important in informing appropriate policy
formulations. The remainder of this paper is organized as follows.
The next section presents the socio-economic situation of Japan
relating to the suicides. Section 3 describes our empirical model and
methodological approach. Section 4 displays our empirical results
along with some discussions. Section 5 is the conclusion.
Fig. 1. Changes of per capita GDP.
what follows, we begin with a simple description of the potential
socio-economic factors affecting suicidal behaviour.
As shown in Fig. 1 illustrating changes of real per capita income,
Japan has experienced the rapid economic growth in the post war
period and became among the most developed countries. Japanese
people enjoyed the rise in income and are thought to be satisfied
with this life style change accompanied with economic growth.
Concerning the growth rate of real per capita GDP, it drops constantly and to below zero several times after 1990s. We can see from
Fig. 2 that the unemployment rate has been also low level until mid1990s, however, exceeded 3% after mid-1990s. This seems to reflect
the depression period after 1992 when the prosperity of the “bubble economy” (from mid 1980 to the beginning of the 1990s) came
to an end in Japan. In this period, number of business bankruptcies
also steeply increased in this period because of macro level economic stagnation. In particular, it was difficult for owners of small
and medium size enterprise to run business. Economic recession
lead a lot of people to face the difficulty and suffer distress.
Transition of divorce rate in Fig. 3 shares similarity with unemployment rate in the point that after entering the recession period
divorce rate remarkably increased. The increase in divorce rate can
be in part caused by the economic recession. Marriage leads couple
to be integrated into the new social network, which is expressed
as “when you get married, you get married for the people around
you” (Brinton, 1993, p. 99). Hence, divorce seems to be more stigmatized in Japan than in the Western countries because of the
greater importance of extended family and kinship ties in marriage
(Ono, 2006). That is, people who encounter the economic difficulty
more likely to experience divorce and so lose the psychological support from family and kinship ties. During the economic depression
period, not only economic difficulty but also social stigma caused
by divorce lead people to suffer from increase of distress in Japan.
In Japan, over 60% of the individuals committing suicide were identified as depressive (Nakao and Takeuchi, 2006).
2. Review of the socio-economic situation of Japan
Total life expectancy at birth of Japanese is 82 years old, which
leads the world in longevity (WHO, 2006; Nakao and Takeuchi,
2006). However, suicide rate is obviously higher than other OECD
countries, which becomes the one of major problem in the modern
Japan society (Chen et al., 2009b). Japan’s suicide problem is very
different from those of other OECD countries because the impact of
the socioeconomic variables on suicide is greater in Japan than in
other OECD countries (Chen et al., 2009b). To implement appropriate suicide prevention policies, it is important to ascertain how and
why suicide rate of Japan is so high based on empirical analysis. In
Fig. 2. Changes of unemployment rate (%).
Author's personal copy
A.R. Andrés et al. / The Journal of Socio-Economics 40 (2011) 723–731
Fig. 3. Changes of divorce rate (%).
Fig. 4 shows that rates of suicide has obviously decreased from
mid 1950s to 1970, and then slightly increased until mid-1990s
for males and females. For example, in Korea with the similar
socio-cultural background, the remarkable increase of suicide rate
from 1997 to 1998 under the economic recession period (Khang
et al., 2005). However, in case of Korea, not only male but also
female suicide rate increased. It is surprising to observe that in
the end of 1990s suicide rate of male has drastically increased
whereas that of female was stable. According to Fig. 4, there was
a marked rise in female suicide rates from 1997 to 1998 although
its magnitude was smaller than for male suicide rates. Indeed, in
late 1997, Hokkaido Takushoku Bank (one of major commercial
banks) and Yamaichi Securities (one of Major securities) became
bankrupt. Further 1998, The Long Term Credit Bank of Japan and
the Nippon Credit Bank were nationalized, implying the old economic regime’s failure (Cargill, 2006). Taken together, these results
imply that the problem of committing suicide became remarkably
serious, especially for males. The question arises “why is there difference of suicide rate between male and female?”. An imbalance
of increases in suicide appears to come from the different impact
of various factors between males and females. As pointed out by
Nakao and Takeuchi (2006), the most drastic increase has involved
middle-aged males partly because most middle-aged males may
be too busy to visit a clinic when they feel mental distress. Therefore, the case of Japan is suitable for examining how committing
suicide depends upon gender and differences in the impact of socioeconomic factors.
3. Literature review
3.1. International experience
Sociologists have played an important role in providing the
theory of suicide. Durkheim (1951) viewed the suicide as a soci-
Fig. 4. Changes of rate of suicides. Note: Number of total suicides per total population (100,000), number of male suicides per male population (100,000), number of
female suicides per female population (100,000).
725
ological phenomenon. He argues that suicide is related to both
social integration and social regulation. Economists claim that suicide involves rational economic decision making. Hamermesh and
Soss (1974) were the first to provide an economic theory of suicide.
According to their economic model an individual decides to commit
suicide when the discounted expected lifetime utility remaining to
him falls below some threshold level. This model also predicts that
suicide rates would increase with age, unemployment and decrease
with income (Hamermesh and Soss, 1974). Recently, Suzuki (2008)
incorporates the concept of income uncertainty within the model
of Hamermesh and Soss (1974). These approaches (sociological and
economics) motivate many of the control variables included in a
variety of econometric studies of macro level determinants of suicide.
According to the Hamermesh and Soss’s model, the higher future
expected income is, the higher is the expected utility; thus, living
is relatively more attractive than committing suicide, and a higher
income should lower suicide rates. However, Durkheim postulates
that higher income levels increase independence (the opposite of
social integration) and might lead to a higher suicide rate. Along this
line, Lester (1996) and Unnithan et al. (1994) state that economic
development increases rates of suicide. Both the existing economic
and sociological theories are inconsistent, and they do not permit
a determination of whether income or economic growth may have
a positive or negative effect on suicide. Durkheim (1951) suggests
that changes in income are more likely to be relevant for suicide
than the absolute level of income. The empirical evidence for the
effect of income on suicide is mixed, however. Though some empirical studies indicate that suicide rates have a positive association
with income (e.g. Hamermesh, 1974; Jungeilges and Kirchgässner,
2002; Viren, 1999), there are many others suggesting the opposite
effect (e.g. Andrés, 2005; Brainerd, 2001; Neumayer, 2003; Chuang
and Huang, 1997, 2007; Minoiu and Rodríguez, 2008; Altinanahtar
and Halicioglu, 2009; Andrés and Halicioglu, 2010). Others have
reported an insignificant effect of income on suicide (Ruhm, 2000;
Cuellar and Markowitz, 2006). The significant negative correlation
effect seems to be stronger for men than for women Qin et al.
(2003).
Another economic variable that has received a lot of attention
is the unemployment rate. Unemployment implies less economic
opportunity, lowering an individual’s expected income and therefore increasing the likelihood of a person’s committing suicide.
The unemployment rate is often used as a proxy variable for
economic hardships and lifetime earnings, because measuring an
agent’s lifetime income is not easy in practice (Koo and Cox, 2008).
But unemployment might be also associated with factors such
as depressive episodes, anxiety, and loss of self-confidence that
might lead directly to suicide. Much of the empirical literature
reports a positive relationship, associating higher unemployment
with higher suicide rates (for example, Brainerd, 2001; Ruhm, 2000;
Chuang and Huang, 1997, 2007; Lin, 2006; Andrés, 2005; Koo and
Cox, 2008; Minoiu and Rodríguez, 2008). Furthermore, the impact
of unemployment might also differ across gender. In particular,
male suicide rates are significantly affected by unemployment, but
female suicide rates are not (Chuang and Huang, 1997).
As mentioned above, Durkheim (1951) indicates that suicide is
influenced by other factors. These factors relate to the way in which
individuals are integrated into a social group that is regulated by
norms and conventions. This sociological approach predicts that
lower levels of social integration and regulation are associated with
higher societal suicide rates. From this perspective divorce and fertility rates can be viewed as indicators of social integration. Divorce
can be also a traumatic event for the individuals involved as well
as for other affected parties, and it might lead individuals toward
isolation and reduced poor psychological well-being. Thus, higher
divorce rates might be expected to have a positive correlation with
Author's personal copy
726
A.R. Andrés et al. / The Journal of Socio-Economics 40 (2011) 723–731
suicide rates. Another explanation is that a divorced individual has
lower utility than a married one because marriage has a mercenary value (Becker, 1974). Koo and Cox (2008) also suggest that
divorced people have less utility than married people and therefore they are more likely to commit suicide. Several studies have
reported a positive association between divorce and suicide (e.g.
Andrés, 2005; Chuang and Huang, 1997, 2007; Kunce and Anderson,
2002; Lester, 1996; Neumayer, 2003). Also, some papers show that
the male suicide rate is more sensitive to divorce than the female
suicide rate (e.g. Koo and Cox, 2008; Andrés, 2005; Yamamura,
2010; Neumayer, 2003). Again, endogeneity concerns are relevant
here, as divorce might be also related to mental health problems. It
should be also noted that this variable might capture the influence
of diverse societal problems. Durkheimian arguments of social integration suggest that increased fertility rates should be associated
with lower levels of suicide, as the presence of children promotes
social and family ties. By increasing social integration, these factors
lower the likelihood of a person’s committing suicide. Empirical
research has documented the existence of a protective effect of fertility against suicide (e.g. Andrés, 2005; Neumayer, 2003; Chuang
and Huang, 2007). However, some studies like Chen et al. (2009b)
and Lester (1995) show that the birth rate has either a positive
impact or no impact on suicide rates. One possible explanation for
the latter result is that childcare may put excessive strain on a parent or be too much of an economic burden, thus leading to suicidal
behaviour (Chen et al., 2009b). Endogeneity issues might be relevant here, as better functioning people are more likely to have
children.
Lastly, the gender differences in suicide represent a double puzzle: Whilst rates of suicide are far higher among males, females
have higher rates of non-fatal attempts. This suggests there may be
different responses by males and females to the control variables
used in the formal analysis. In light of the gender differential in suicidal behaviour (e.g. Minoiu and Rodríguez, 2008; Altinanahtar and
Halicioglu, 2009; Andrés, 2005; Yamamura, 2010), we run separate
models for males and females. Although the cause of these differences has not been sufficiently investigated (Yamamura, 2010).
In sum, the formal literature provides ambiguous results on the
ways socioeconomic factors relate to male and female suicide rates.
The existing literature has not come to a firm conclusion about the
correlates of suicide. This is due to different countries employed in
the empirical analysis, more points of the time, and the statistical
techniques employed (time series/cross-section analysis). Nevertheless, of all the variables considered, the results corresponding to
social factors such as divorce and fertility seem to be more robust
than those related to economic factors such as unemployment and
income. Nonetheless, the socio-economic control variables used in
this paper appear to be among the relatively important determinants.
employing a panel data approach by using Japanese data and
OECD data analyse to what extent suicide in Japan is different
from suicides in other countries. Inagaki (2010) using time series
focuses on the link between income inequality and suicide. He
finds a positive relationship between income inequality proxied
by the Gini index and suicide rates. Kuroki (2010) is the most
recent paper using Japanese data at municipality level. He provides
evidence that unemployment has a positive significant effect on
male suicide rates and that this effect differs across age groups,
in particular, the largest effect is found in the 55–64 age group.
He also finds a negative effect of unemployment on female suicide rates. That is, higher unemployment is associated with lower
female suicide rates. They conclude that the impact of socioeconomic factors on suicide in Japan is greater than in OECD countries.
Lastly, Yamamura (2010) using panel data at prefectural level
suggests that social capital and divorce have an impact on suicide rates and that these effects are different between males and
females. This leads us to anticipate that sociological factors plays
more critical role on determining on suicide rates than other
countries.
Unlike previous studies of suicide in Japan, this work employs
a new recently methodological approach using time series data to
examine how suicide is related to socio-economic factors in Japan
as in the short as well as in the long run. This approach is more
robust in presence of small samples, and allows us to account for
potential endogeneity of the variables included in the empirical
model. Endogenity issues might lead to misleading results in past
empirical studies.
5. Model and methodology
Following the empirical literature on suicide (for an extensive
review of the literature, see Lester and Yang, 1997), we form the following long-run relationship between suicide, per capita income,
unemployment rate, divorce rate, and fertility variables in linear
form as:
where the subscript t indexes time period with t = 1957, . . ., 2009;
j indexes each suicide with j = 0 (total), 1 (male), and 2 (female);
st is suicide rate; yt is per capita real income; ut is the unemployment rate; dt is the divorce rate; ft is the fertility rate; and εt is
the classical error term. All variables are in their natural logarithms
which allow us interpreting the estimated coefficients as constant
elasticities.
Recent advances in econometric literature dictate that the longrun relation in Eq. (1) should incorporate the short-run dynamic
adjustment process. It is possible to achieve this aim by expressing
Eq. (1) in an error-correction model, known as the Engle–Granger’s
(1987) approach.
4. Japanese experience
st,j = b0 +
Although, the epidemiological literature has explored the risk
factors of suicide in Japan (e.g. Yamasaki et al., 2008; Motohashi
et al., 2004), there are a few studies exploring the determinants of
suicide in Japan from an economic perspective (Watanabe et al.,
2006; Koo and Cox, 2008; Akechi et al., 2006; Chen et al., 2009b;
Yamamura, 2010; Inagaki, 2010). Watanabe et al. (2006) using
prefecture level data find that unemployment rate and personal
bankruptcy are positively associated with suicide rates. Koo and
Cox (2008) using time series data find that the relationship between
unemployment and suicide is significantly positive for males and
females. Akechi et al. (2006) shows that there is an inverted U
shape between alcohol consumption and suicide employing prefecture level data between 1953 and 1986. Chen et al. (2009b)
(1)
stj = a0 + a1 yt + a2 utj + a3 dt + a4 ft + εt
m1
b1i,j st−i,j +
i=1
+
m4
i=0
b4i dt−i +
m2
i=0
m5
b2i yt−i +
m3
b3i ut−i,j
i=0
b5i ft−i + εt−1 + t
(2)
i=0
where represents change, is the speed of adjustment parameter, and εt−1 is the lagged error term, which is estimated from
the residuals of Eq. (1). The Engle–Granger method requires that
all variables in Eq. (1) are integrated of order one, I(1), and that
the lagged error term is integrated order of zero, I(0), in order to
establish a cointegration relationship. If some variables in Eq. (1)
are non-stationary, we may use a new cointegration method. This
procedure is known as ARDL approach to cointegration of Pesaran
Author's personal copy
A.R. Andrés et al. / The Journal of Socio-Economics 40 (2011) 723–731
et al. (2001) that combines Engle–Granger two steps procedure into
one by replacing εt−1 in Eq. (2) with its equivalent from Eq. (1). εt−1
is substituted by linear combination of the lagged variables as in
Eq. (3):
n1
st,j = c0 +
n2
c1i,j st−i,j +
i=1
+
n4
n3
c2i yt−i +
i=0
c4i dt−i +
i=0
n5
c3i ut−i,j
i=0
c5i ft−i + c6 st−1,j + c7 yt−1
i=0
(3)
+ c8 ut−1,j + c9 dt−1 + c10 ft−1 + vt
To obtain Eq. (3), one has to solve Eq. (1) for εt and lag the solution equation by one period. Then, this solution is substituted for
εt−1 in Eq. (2) to arrive at Eq. (3). Eq. (3) is a representation of the
ARDL approach to cointegration.
Pesaran et al. (2001) approach to cointegration has some
methodological advantages in comparison to other single cointegration procedures. They are as follows: (i) endogeneity problems
and inability to test hypotheses on the estimated coefficients in
the long-run associated with the Engle–Granger (1987) method
are avoided; (ii) the long and short-run parameters of the model
in question are estimated simultaneously; (iii) the ARDL approach
to testing for the existence of a long-run relationship between the
variables in levels is applicable irrespective of whether the underlying regressors are purely I(0), purely I(1), or a combination of
the two; (iv) the small sample properties of the bounds testing
approach are far superior to that of multivariate cointegration, as
argued in Narayan (2005).
The bounds-testing procedure is based on the F- or Waldstatistics, and this is the first stage of the ARDL cointegration
method. Accordingly, a joint significance test that implies no
cointegration hypothesis, (H0 : c6 = ...... = c10 = 0), against the
alternative hypothesis, (H1 : at least one of c6 to c10 =
/ 0), should
be performed for Eq. (3). The F-test used for this procedure has a
non-standard distribution. Thus, Pesaran et al. compute two sets of
critical values for a given significance level with and without a time
trend. One set assumes that all variables are I(0), and the other set
assumes that they are all I(1). If the computed F-statistic exceeds
the upper critical bounds value, then the H0 is rejected. If the Fstatistic falls into the bounds, then the test becomes inconclusive.
Lastly, if the F-statistic is below the lower critical bounds value, it
implies no cointegration.
Once a long-run relationship has been established, Eq. (3) is estimated using an appropriate lag-selection criterion. At the second
stage of the ARDL cointegration procedure, it is also possible to
obtain the ARDL representation of the error-correction (EC) model.
To estimate the speed with which the dependent variable adjusts
to independent variables within the bounds-testing approach, following Pesaran et al. (2001), the lagged-level variables in Eq. (3) are
replaced by ECt−1 as in Eq. (4):
st,j = ˛0 +
k1
˛1i,j st−i,j +
i=1
+
k4
i=0
˛4i dt−i +
k2
i=0
k5
˛2i yt−i +
k3
i=0
˛5i ft−i + ECt−1 + t
Table 1
Unit root results.
Variables
ADF
PP
ERS
st,0
st,1
st,2
yt
ut,0
ut,1
ut.2
dt
ft
st,0
st,1
st,2
yt
ut,0
ut,1
ut,2
dt
ft
2.66
2.85
2.35
1.50
2.58
2.51
2.63
3.14
1.89
4.07*
3.97*
4.15*
2.79
4.33*
4.54*
4.19*
3.29*
6.64*
2.21
2.43
1.98
1.23
2.94
3.05*
2.62
2.59
2.28
6.24*
5.96*
6.67*
3.08*
5.16*
5.65*
5.12*
3.98*
12.3*
1.46
1.43
1.78
0.31
1.53
1.54
1.52
2.56*
1.67
4.11*
3.71*
3.81*
2.52*
3.73*
3.66*
4.20*
2.28
5.44*
Notes: Sample levels are 1958–2009 and differences are 1959–2009. The critical
values for ADF and PP with a constant and without a trend at the 5% level of significance are 2.91. The critical value for ERS with a constant and without a trend at the
5% level of significance is 2.29. All test statistics and critical values are expressed in
absolute terms for convenience. Rejection of unit root hypothesis is indicated with
an asterisk. stands for first difference.
6. Results
Annual data over the period 1957–2009 were used to estimate
Eq. (3) by the ARDL cointegration procedure of Pesaran et al. (2001).
Variable definitions and sources of data are provided in Appendix.
To implement the Pesaran et al. (2001) cointegration procedure,
one has to ensure that none of the explanatory variables in Eq.
(1) is above I(1). In the presence of I(2) or higher variables, the
computed statistics provided by Pesaran et al. (2001) are not valid.
Consequently, the implementation of unit root tests in the ARDL
approach is necessary to ensure that none of the variables included
in the model is integrated of order 2 or beyond. Three tests were
used to test unit roots in the variables: Augmented Dickey–Fuller
(henceforth, ADF) (1979, 1981), Phillips–Perron (henceforth, PP)
(1988), and Elliott–Rothenberg–Stock (henceforth, ERS) (1996).
Unit root tests results are displayed in Table 1. The conditions for
applying the ARDL bounds testing approach are satisfied. In other
words, all variables included in the model are either I(0) or I(1).
Table 2
The results of F and W tests for cointegration.
95% LB
(4)
i=0
A negative and statistically significant estimation of not only
represents the speed of adjustment but also provides an alternative
means of supporting cointegration between the variables.
95% UB
90% LB
90% UB
Panel A: The assumed long-run relationship: F/W (s0 y, u0 , d, f )
F-statistic
5.30
W-statistic
26.51
3.10
4.35
15.52
21.75
2.60
3.74
13.01
18.70
Panel B: The assumed long-run relationship: F/W (s1 y, u1 , d, f )
F-statistic
6.54
W-statistic
32.72
˛3i ut−i,j
727
3.10
4.35
2.60
3.74
15.52
21.75
13.01
18.70
Panel C: The assumed long-run relationship: F/W (s2 y, u2 , d, f )
F-statistic
3.46
W-statistic
17.31
3.10
4.35
2.60
3.74
15.52
21.75
13.01
18.70
If the test statistic lies between the bounds, the test is inconclusive. If it is above the
upper bound (UB), the null hypothesis of no level effect is rejected. If it is the below
the lower bound (LB), the null hypothesis of no level effect cannot be rejected.
Author's personal copy
A.R. Andrés et al. / The Journal of Socio-Economics 40 (2011) 723–731
728
Table 3
ARDL cointegration results.
Regressor
Coefficient
Standard error
T-ratio
Panel A: Estimated long-run coefficients using the ARDL approach for aggregate suicide model: ARDL (1,1,1,0,1) selected based on the Akaike Information Criterion,
1957–2009
Dependent variable st,0
yt
−0.4106*
0.1397
2.9385
0.2024
0.1922
1.0533
ut,0
0.8832*
0.3990
2.2134
dt
−0.7003**
0.3352
1.7134
ft
1.4435
0.8130
Constant
0.3437
Panel B: Error correction representation results
Dependent variable st,0
yt
−0.9085*
0.0586
ut,0
dt
0.3709*
ft
−0.0575
ECt−1
−0.4199*
Diagnostic tests
R̄2
0.41
RSS
0.12
0.3787
0.0095
0.1301
0.1222
0.1057
2.3988
0.6116
2.8501
0.4712
3.9714
F-statistic
DW-statistic
8.89*
1.94
2SC (1)
2N (2)
0.06
19.26
2FF (1)
2H (1)
0.73
2.49
RSS stands for residual sum of squares. T-ratios are in absolute values. 2SC , 2FF , 2N , and 2H are Lagrange multiplier statistics for tests of residual correlation, functional form
mis-specification, non-normal errors and heteroskedasticity, respectively. These statistics are distributed as chi-squared variates with degrees of freedom in parentheses.
The critical values for 2 (1) = 3.84 and 2 (2) = 5.99 are at 5% significance level. ***Significance at 10% level.
*
Significance at 1% level.
**
Significance at 5% level.
Visual inspections of the variables in logarithm show no structural
breaks.
Eq. (3) is estimated in two stages. In the first stage of the ARDL
procedure, the long-run relationship of Eq. (1) was established
in two steps. First, the selection of the lag length on the firstdifferenced variables for Eq. (3) was obtained from unrestricted
Vector Autoregression (VAR) by means of Akaike Information criteria (AIC) and the Schwarz Bayesian Criterion (SBC). The results
suggest the optimal lag length as 2, but this stage of the results is
not presented here to conserve space. Second, a bound F-test was
applied to Eq. (3) in order to determine whether the dependent and
independent variables are cointegrated in each model. The results
of the bounds F-testing are reported in Table 2. From Table 2, it can
bee seen that the computed F statistics are above the upper bound
values in the cases of total and male suicides models’ thus, implying
cointegration relations.
The ARDL cointegration procedure was implemented to estimate the parameters of Eq. (3) with maximum lag-order set to 2,
which is selected on the basis of AIC, SBC and R̄2 selection criteria.
This stage involves estimating the long-run and short-run coefficients of Eqs. (1) and (2).
The summary ARDL results with some diagnostic tests for
total suicides, male suicides, and female suicides are presented in
Tables 3–5, respectively. The overall empirical results appear to be
rather satisfactory. First, income enters negatively in the regressions for overall, male, and female suicides. The long-run elasticity
of suicide with respect to income is highest in the case of male suicides. This is −0.54, suggesting that one per cent increase in per
capita income will decrease the number of male suicides by 0.54%
whilst other factors remain constant. The long-run income elasticities with respect to total and female suicides are −0.41 and −0.36,
respectively. This finding implies that males are more vulnerable
Table 4
ARDL cointegration results.
Regressor
Coefficient
Standard error
T-ratio
Panel A. Estimated long-run coefficients using the ARDL approach for male suicide model: ARDL (1,1,0,0,0) selected based on the Schwarz Bayesian Criterion, 1957–2009
Dependent variable st,1
0.1297
4.1785
yt
−0.5420*
ut,1
0.0133
0.1755
0.7581
1.1635*
0.4030
2.8870
dt
0.0456
0.1716
0.2661
ft
2.3613**
1.2274
1.9239
Constant
Panel B. Error correction representation results
Dependent variable st,1
yt
−1.0050*
0.0560
ut,1
dt
0.4896*
0.0192
ft
−0.4208*
ECt−1
Diagnostic tests
R̄2
0.47
RSS
0.15
0.3704
0.0812
0.1382
0.0712
0.0944
F-statistic
DW-statistic
2.7128
0.6890
3.5428
0.2697
4.4551
10.6*
2.11
2SC (1)
2N (2)
0.34
18.10
2FF (1)
2H (1)
1.31
2.41
RSS stands for residual sum of squares. T-ratios are in absolute values. 2SC , 2FF , 2N , and 2H are Lagrange multiplier statistics for tests of residual correlation, functional form
mis-specification, non-normal errors and heteroskedasticity, respectively. These statistics are distributed as chi-squared variates with degrees of freedom in parentheses.
The critical values for 2 (1) = 3.84 and 2 (2) = 5.99 are at 5% significance level. ***Significance at 10% level.
*
Significance at 1% level.
**
Significance at 5% level.
Author's personal copy
A.R. Andrés et al. / The Journal of Socio-Economics 40 (2011) 723–731
729
Table 5
ARDL cointegration results.
Regressor
Coefficient
Standard error
T-ratio
Panel A. Estimated long-run coefficients using the ARDL approach for female suicide model: ARDL (1,0,0,0,1) selected based on the R-Bar Squared Criterion, 1957–2009
Dependent variable st,2
yt
−0.3677*
0.2491
18.0085
ut,2
0.3431
1.7628
0.0197**
0.8844
0.6168
0.2570
dt
0.4241
2.0300
ft
0.4974*
−0.6752
2.8321
0.2384
Constant
Panel B. Error correction representation results
Dependent variable st,2
yt
−0.0869***
0.0046
ut,2
0.2091**
dt
ft
−0.1197
−0.2364*
ECt−1
Diagnostic tests
R̄2
0.21
RSS
0.13
0.0565
0.0818
0.1127
0.1251
0.0899
1.5367
0.0570
1.8552
0.9564
2.6297
F-statistic
DW-statistic
3.98*
1.84
2SC (1)
2N (2)
0.48
22.41
2FF (1)
2H (1)
1.10
0.16
RSS stands for residual sum of squares. T-ratios are in absolute values. 2SC , 2FF , 2N , and 2H are Lagrange multiplier statistics for tests of residual correlation, functional form
mis-specification, non-normal errors and heteroskedasticity, respectively. These statistics are distributed as chi-squared variates with degrees of freedom in parentheses.
The critical values for 2 (1) = 3.84 and 2 (2) = 5.99 are at 5% significance level.
*
Significance at 1% level.
**
Significance at 5% level.
***
Significance at 10% level.
to income loss than females. However, the magnitude of this effect
is rather minimal. Second, unemployment rates are positively and
significantly associated with female suicides. The long-run partial
elasticity of suicides with respect to unemployment rates is 0.01,
indicating that a 1% rise in unemployment rates will trigger an
increase in female suicides by about 0.01%. Although there seems to
be the almost same impact exists in the case of the male suicides but
that is not statistically significant. Hence one argues broadly that
the impact of male and female unemployment rates on suicides is
identical. Gender seems to have no special effect on a suicide decision, when an individual becomes unemployed. Third, divorce rates
are positively correlated with suicides but are statistically insignificant in the case of female suicides. Male population appears to be
suffering more as a result divorce since the long-run elasticity of
divorce rate with respect to male suicides is 1.16, suggesting that
a 1% increase in divorce rates will rise the male suicides by 1.16%
which is the stronger determinant of suicide in the entire analysis. Finally, we find a statistically significant negative association
between fertility rates and suicides only in the case of the total suicides. Thus, a 1% rise in the total fertility rates will drop the total
number of suicides by 0.70 whilst the other explanatory factors are
constant. The long-run elasticities of suicides in respect to fertility for male and female suicides appears to be in wrong signs. In
regards to the relative magnitude of the explanatory variables in
this study, the fertility rate seems to be the second most important
factor in explaining suicides, followed by real per capita income
and unemployment rates.
Tables 3–5 also report the coefficients of coefficients of ECt−1
the error correction model. All coefficients of ECt−1 are statistically significant and have the negative expected sign in all
models. This situation provides further confirmation for cointegration relationships between variables of total and male suicides
models as well as suggesting an alternative means of long-run
relationship in the case of female suicide model. The magnitude
of the speed of equilibrium is relatively low, since their values
are less than 0.5. The lowest error correction coefficient appeared
in the female regression model, which means that about 25% of
disequilibrium is corrected every year. As the suicide is a longterm phenomenon, the short-run elasticities will have no real
impact in policy designing therefore we are not evaluating them
further.
7. Summary and conclusions
This paper, from a socioeconomic point of view, investigates the
determinants of suicides in Japan for the time span between 1957
and 2009. Unlike earlier studies, this paper employs a relatively
recent econometric procedure, the ARDL approach to cointegration, which has been utilized to obtain the long-run elasticities of
the suicides with respect to the total, male and female suicides.
To our knowledge, this paper is the first paper to apply an ARDL
approach to examine the determinants of suicide in Japan. This
approach seems to have several potential advantages as it needs no
a large number of observations to guarantee the robustness of the
estimators and performance of the statistical tests. Furthermore,
the choice of the suicide static model could influence the analysis.
Individuals might respond with some delayed to changes in socioeconomic factors. In this case, suicides are explained by current and
lagged differenced values of real per capita income, unemployment,
and divorce rates.
We show that in the long run, the divorce is the highest suicide
cause and the Japanese men seem to be suffering particularly from
this situation. The second most important determinant of the suicides in Japan is also a sociological factor, fertility rates. As expected,
the female population are more affected with the decreasing level
of fertility rates. Combining these two suicide causes, one may
argue that sociological factors are more dominant than economic
factors in the case of Japanese suicides, which is inconsistent with
Chen et al. (2009b). This might be partly because that Chen et al.
(2009b) uses the panel data of OECD countries to make a comparison between Japan and other OECD countries. For robustness check
of this paper by comparing Japan and other OECD countries, it is
required to use time series data of other OECD countries to conduct
ARDL estimation in the future studies. Furthermore, the economic
determinants of suicides in Japan appear to be moderate in magnitude and similar in both sexes indicating that male and female
participation to work and sharing the burden of economic difficulties are almost the same. Our results support the existence of a
long run relationship between socio-economic factors and suicides,
regardless of gender.
Finally, recommendations for suicide prevention are generally a
combination of strategies targeting high-risk groups and strategies
targeting a whole population. The findings of this study reveal that
Author's personal copy
730
A.R. Andrés et al. / The Journal of Socio-Economics 40 (2011) 723–731
government policies should promote family cohesion and provide
economic incentives to raise birth rates, as these policies will be
effective in lowering suicide rates.
Acknowledgements
The authors are grateful to an anonymous referee for his/her
useful comments and suggestions on an earlier version of this work.
Appendix A. Appendix
Data Definitions and Sources
All data were collected online with the provided internet links
below:
st,j are crude suicide rates for total, male and females per 100,000
in logarithm.
Source: Period 1955–2004: Statistics Bureau, Ministry of Internal Affairs and Communications (2006). Historical Statistics
of Japan Volume 1 (New Edition). Tokyo: Japan Statistical Association. Period 2005-2009: National Police Agency.
http://www8.cao.go.jp/jisatsutaisaku/link/keisatsutyo.html
(accessed 16.06.10).
yt is per real capita income in logarithm. Base year is 1990.
Source: Period 1955–2003: Statistics Bureau, Ministry of Internal Affairs and Communications (2006). Historical Statistics of
Japan Volume 1 (New Edition). Tokyo: Japan Statistical Association.
Period 2004–2009: Cabinet office of Government of Japan.
http://www.esri.cao.go.jp/jp/sna/qe101-2/gdemenu ja.html
(accessed 16.06.10).
ut,j are unemployment rates for total, male and females in logarithm.
Source: Period 1955–2009: Statistics Bureau, Ministry of
Internal Affairs and Communications. http://www.stat.go.jp/
data/roudou/longtime/03roudou.htm#hyo 1 (accessed 16.06.10).
dt is divorce rate per 1000 in logarithm.
Source: Period 1955–2003: Statistics Bureau, Ministry of Internal Affairs and Communications (2006). Historical Statistics of Japan
Volume 1 (New Edition). Tokyo: Japan Statistical Association. Period
2004–2009: Ministry of Health, Labour, Welfare.
http://www.mhlw.go.jp/toukei/saikin/hw/jinkou/suikei09/
index.html (accessed 16.06.10).
ft is fertility rate per 1000 in logarithm.
Source: Period 1955–2003: Statistics Bureau, Ministry of
Internal Affairs and Communications (2006). Historical Statistics of Japan Volume 1 (New Edition). Tokyo: Japan Statistical
Association. Period 2004–2009: Ministry of Health, Labour, Welfare. http://www.mhlw.go.jp/toukei/saikin/hw/jinkou/suikei09/
index.html (accessed 16.06.10).
References
Akechi, T., Iwasaki, M., Uchitomi, Y., Tsugane, S., 2006. Alcohol consumption and
suicide among middle aged men in Japan. British Journal of Psychiatry 188,
231–236.
Altinanahtar, A., Halicioglu, F., 2009. A dynamic econometric model of suicide in
Turkey. Journal of Socio-Economics 38, 903–907.
Andrés, A.R., 2005. Income inequality, unemployment, and suicide: a panel data
analysis of 15 European countries. Applied Economics 3, 439–451.
Andrés, A.R., Halicioglu, F., 2010. Determinants of suicides in Denmark: evidence
from time series data. Health Policy 98, 263–269.
Becker, G., 1974. A theory of marriage. In: Schultz, T.W. (Ed.), Economics of the
Family. University of Chicago Press, Chicago, pp. 299–344.
Bertrand, M., Mullainathan, S., 2001. Do people mean what they say? Implications
for subjective survey data. American Economic Review 91, 67–72.
Brainerd, E., 2001. Economic reform and mortality in the former Soviet Union:
a study of the suicide epidemic in the 1990. European Economic Review 45,
1007–1019.
Brinton, M.C., 1993. Women and the Economic Miracle: Gender and Work in Postwar
Japan. University of California Press, Berkley.
Cargill, T.F., 2006. Japan’s economic and financial stagnation in the 1990 and reluctance to change. In: Blomsrom, M., La Croix, S. (Eds.), Institutional Change in
Japan. Routledge, London.
Chang, S.S., Sterne, J.A.C., Huang, W.C., Chuang, H.L., Gunnell, D., 2010. Association
of secular trends in unemployment with suicide in Taiwan, 1959–2007: a time
series analysis. Public Health 124, 49–54.
Chen, J., Choi, Y.J., Mori, K., Sawada, Y., Sugano, S., 2009a. Those who are left behind:
an estimation of the number of family members of suicide victims in Japan.
Social Indicators Research 94, 535–544.
Chen, J., Choi, Y.J., Sawada, Y., 2009b. How is suicide different in Japan? Japan and
the World Economy 21, 140–150.
Chuang, H.L., Huang, W.C., 1996. A reexamination of sociological and economic theories of suicide: a comparison of the USA and Taiwan. Social Science and Medicine
43, 412–423.
Chuang, H., Huang, W., 1997. Regional suicide rates: a pooled cross-section and
time-series analysis. Journal of Socio-Economics 26, 277–289.
Chuang, H., Huang, W., 2007. A re-examination of the suicide rates in Taiwan. Social
Indicators Research 83, 465–481.
Cuellar, A.E., Markowitz, S., 2006. Medicaid Policy Changes in Mental Health Care
and Their Effect on Mental Health Outcomes. NBER Working Papers No. 12232.
Daly, M., Wilson, D.J., 2009. Happiness, unhappiness and suicide: an empirical
assessment. Journal of the European Economic Association 7, 539–549.
Dickey, D.A., Fuller, W.A., 1981. Likelihood ratio statistics for autoregressive time
series with a unit root. Econometrica 49, 1057–1072.
Dickey, D.A., Fuller, W.A., 1979. Distributions of the estimators for autoregressive
time series with a unit root. Journal of the American Statistical Association 74,
427–431.
Durkheim, E., 1951. Suicide: A Study in Sociology. Free Press, New York.
Elliott, G., Rothenberg, T., Stock, J., 1996. Efficient tests for an autoregressive unit
root. Econometrica 64, 813–836.
Engle, R.F., Granger, C.W., 1987. Cointegration and error correction: representation,
estimation and testing. Econometrica 55, 251–276.
Hamermesh, D., 1974. The economics of black suicide. Southern Economic Journal
41, 188–199.
Hamermesh, D.S., Soss, N.M., 1974. An economic theory of suicide. Journal of Political
Economy 82, 83–98.
Inagaki, K., 2010. Income inequality and the suicide rate in Japan: evidence from
cointegration and LA-VAR. Journal of Applied Economics 13, 113–133.
Johansen, S., Juselius, K., 1990. Maximum likelihood estimation and inference on
cointegration with application to the demand for money. Oxford Bulletin of
Economics and Statistics 52, 169–210.
Jungeilges, J., Kirchgässner, G., 2002. Economic welfare, civil liberty, and suicide: an
empirical investigation. Journal of Socio-Economics 31, 215–231.
Kennelly, B., Ennis, J., O’Shea, E., 2005. Economic cost of suicide and deliberate
self harm. In: Reach out National Strategy for Action on Suicide Prevention
2005–2014. Department of Health and Children, Ireland.
Khang, Y.H., Lynch, J.W., Kaplan, G.A., 2005. Impact of economic crisis on causespecific mortality in South Korea. International Journal of Epidemiology 34,
1291–1301.
Koivumaa-Honkanen, H., Honkanen, R., Viinamki, H., Heikkil, J., Kaprio, J., Koskenvuo, M., 2001. Life satisfaction and suicide: a 20-year follow-up study. American
Journal of Psychiatry 158, 433–459.
Koo, J., Cox, W.M., 2008. An economic interpretation of suicide cycles in Japan.
Contemporary Economic Policy 26, 162–174.
Kunce, M., Anderson, A.L., 2002. The impact of socioeconomic factors on state suicide
rates: a methodological note. Urban Studies 39, 155–162.
Kuroki, M., 2010. Suicide and unemployment in Japan: evidence from municipal
level suicide rates and age specific suicide rates. Journal of Socio-Economics 39,
683–691.
Lester, D., 1995. Explaining regional differences in suicide rates. Social Science and
Medicine 40, 719–721.
Lester, D., 1996. Patterns of Suicide and Homicide in the World. Nova Science Publishers, New York.
Lester, D., Yang, B., 1997. The Economy and Suicide: Economic Perspectives. Nova
Science Publishers, New York.
Lin, S.J., 2006. Unemployment and suicide: panel data analyses. Social Science Journal 43, 727–732.
McDaid, D., Halliday, E., McKenzie, M., MacLean, J., Maxwell, M., McCollam, A., Platt,
S., Woodhouse, A., 2007. Issues in the Economic Evaluation of Suicide Prevention
Strategies: Practical and Methodological Challenges. Personal Social Services
Research Unit, LSE, London.
Mann, J.J., Apter, A., Bertolote, J., Beautrais, A., Currier, D., Haas, H., Hegerl, U., Lonvquist, J., Malone, K., Marusic, A., Mehlum, L., Patto, G., Phillips, M., Rutz, W.,
Rihmer, Z., Schmidtke, A., Shaffer, D., Silverman, M., Takahashi, Y., Varnik, A.,
Wasserman, D., Yip, P., Hendin, H., 2005. Suicide prevention strategies: a systematic review. Journal of American Medical Association 294, 2064–2074.
Minoiu, C., Rodríguez, A., 2008. The effect of public spending on suicide: evidence
from US state data. Journal of Socio-Economics 37, 237–261.
Motohashi, Y., Kaneko, Y., Sasaki, H., 2004. Community based suicide prevention
programme in Japan using a health promotion approach. Health and Preventive
Medicine 9, 3–8.
Nakao, M., Takeuchi, T., 2006. The suicide epidemic in Japan and strategies of depression screening for its prevention. Bulletin of the World Health Organization 84,
492–493.
Narayan, P.K., 2005. The saving and investment nexus for China: evidence from
cointegration tests. Applied Economics 37, 1979–1990.
Author's personal copy
A.R. Andrés et al. / The Journal of Socio-Economics 40 (2011) 723–731
Neumayer, E., 2003. Socioeconomic factors and suicide rates at large-unit aggregate
levels: a comment. Urban Studies 40, 2769–2776.
Ono, H., 2006. Divorce in Japan: why it happens, why it doesn’t. In: Blomsrom, M.,
La Croix, S. (Eds.), Institutional Change in Japan. Routledge, London.
Pesaran, M.H., Shin, Y., Smith, R., 2001. Bounds testing approach to the analysis of
level relationships. Journal of Applied Econometrics 16, 289–326.
Phillips, P.C.B., Perron, P., 1988. Testing for a unit root in time series regression.
Biometrika 75, 335–346.
Platt, S., Hawton, K., 2000. In: Hawton, K., van Heeringen, K. (Eds.), Suicidal Behaviour
and the Labour Market, in the International Handbook of Suicide and Attempted
Suicide. John Wiley & Sons, Ltd., Chichester, UK, pp. 309–384.
Qin, P., Agerbo, E., Mortensen, P.B., 2003. Suicide risk in relation to socioeconomic,
demographic, psychiatric, and familial factors: a national register based study
of all suicides in Denmark. American Journal of Psychiatry 160, 765–772.
Ruhm, C., 2000. Are recessions good for your health? Quarterly Journal of Economics
115, 617–650.
Stack, S., 2000. Suicide: a 15-year review of the sociological literature. Part I: cultural
and economic factors. Suicide and Life-Threatening Behavior 30, 145–162.
Suzuki, T., 2008. Economic modeling of suicide under income uncertainty: for better
understanding of middle-aged suicide. Australian Economic Papers 47, 296–310.
Unnithan, N.P., Huff-Corzine, L., Corzine, J., Whitt, H.P., 1994. The Currents of Lethal
Violence: An Integrated Model of Suicide and Homicide. State University of New
York Press, Albany.
731
Viren, M., 1999. Testing the natural rate of suicide hypothesis. International Journal
of Social Economics 26, 1428–1440.
Watanabe, R., Furukawa, M., Nakamura, R., Okura, Y., 2006. Analysis of the Socioeconomic Difficulties Affecting the Suicide Rate in Japan. KIER Discussion Paper
Series. No. 626.
WHO, 2006. Mortality Country Fact Sheet 2006.
Yamamura, E., 2010. The different impacts of socio-economic factors on suicide
between males and females. Applied Economics Letters 17, 1009–1012.
Yamasaki, A., Araki, S., Sakai, R., Yokoyama, K., Voorhees, A.S., 2008. Suicide mortality
of young, middle aged and elderly males and females in Japan for the years,
1953–1996: time series analysis for the effects of unemployment, female labour
force, young and aged population, primary industry and population density.
Industrial Health 46, 541–549.
Yamasaki, A., Sakai, R., Shirakawa, T., 2005. Low income, unemployment, and suicide mortality rates for middle-age persons in Japan. Psychological Reports 96,
337–348.
Yang, B., 1992. Economy and suicide: a time series study of suicide in USA. American
Journal of Economics and Sociology 51, 187–199.
Yang, B., Lester, D., 1990. Time series analyses of the American suicide rate. Social
Psychiatry and Psychiatric Epidemiology 25, 274–275.
Yang, B., Lester, D., Yang, C.H., 1992. Sociological and economic theories of suicide: a comparison of the USA and Taiwan. Social Science and Medicine 34,
333–334.