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Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System
BACKGROUND: The rate of suicide in the US has increased substantially in the past two decades, and new insights are needed to support prevention efforts. The National Violent Death Reporting System (NVDRS), the nation’s most comprehensive registry of suicide mortality, has qualitative text narrative...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8284808/ https://www.ncbi.nlm.nih.gov/pubmed/34270588 http://dx.doi.org/10.1371/journal.pone.0254417 |
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author | Mezuk, Briana Kalesnikava, Viktoryia A. Kim, Jenni Ko, Tomohiro M. Collins, Cassady |
author_facet | Mezuk, Briana Kalesnikava, Viktoryia A. Kim, Jenni Ko, Tomohiro M. Collins, Cassady |
author_sort | Mezuk, Briana |
collection | PubMed |
description | BACKGROUND: The rate of suicide in the US has increased substantially in the past two decades, and new insights are needed to support prevention efforts. The National Violent Death Reporting System (NVDRS), the nation’s most comprehensive registry of suicide mortality, has qualitative text narratives that describe salient circumstances of these deaths. These texts have great potential for providing novel insights about suicide risk but may be subject to information bias. OBJECTIVE: To examine the relationship between decedent characteristics and the presence and length of NVDRS text narratives (separately for coroner/medical examiner (C/ME) and law enforcement (LE) reports) among 233,108 suicide and undetermined deaths from 2003–2017. METHODS: Generalized estimating equations (GEE) logistic and quasi-Poisson modeling was used to examine variation in the narratives (proportion of missing texts and character length of the non-missing texts, respectively) as a function of decedent age, sex, race/ethnicity, education, marital status, military history, and homeless status. Models adjusted for site, year, location of death, and autopsy status. RESULTS: The frequency of missing narratives was higher for LE vs. C/ME texts (19.8% vs. 5.2%). Decedent characteristics were not consistently associated with missing text across the two types of narratives (i.e., Black decedents were more likely to be missing the LE narrative but less likely to be missing the C/ME narrative relative to non-Hispanic whites). Conditional on having a narrative, C/ME were significantly longer than LE (822.44 vs. 780.68 characters). Decedents who were older, male, had less education and some racial/ethnic minority groups had shorter narratives (both C/ME and LE) than younger, female, more educated, and non-Hispanic white decedents. CONCLUSION: Decedent characteristics are significantly related to the presence and length of narrative texts for suicide and undetermined deaths in the NVDRS. Findings can inform future research using these data to identify novel determinants of suicide mortality. |
format | Online Article Text |
id | pubmed-8284808 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-82848082021-07-28 Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System Mezuk, Briana Kalesnikava, Viktoryia A. Kim, Jenni Ko, Tomohiro M. Collins, Cassady PLoS One Research Article BACKGROUND: The rate of suicide in the US has increased substantially in the past two decades, and new insights are needed to support prevention efforts. The National Violent Death Reporting System (NVDRS), the nation’s most comprehensive registry of suicide mortality, has qualitative text narratives that describe salient circumstances of these deaths. These texts have great potential for providing novel insights about suicide risk but may be subject to information bias. OBJECTIVE: To examine the relationship between decedent characteristics and the presence and length of NVDRS text narratives (separately for coroner/medical examiner (C/ME) and law enforcement (LE) reports) among 233,108 suicide and undetermined deaths from 2003–2017. METHODS: Generalized estimating equations (GEE) logistic and quasi-Poisson modeling was used to examine variation in the narratives (proportion of missing texts and character length of the non-missing texts, respectively) as a function of decedent age, sex, race/ethnicity, education, marital status, military history, and homeless status. Models adjusted for site, year, location of death, and autopsy status. RESULTS: The frequency of missing narratives was higher for LE vs. C/ME texts (19.8% vs. 5.2%). Decedent characteristics were not consistently associated with missing text across the two types of narratives (i.e., Black decedents were more likely to be missing the LE narrative but less likely to be missing the C/ME narrative relative to non-Hispanic whites). Conditional on having a narrative, C/ME were significantly longer than LE (822.44 vs. 780.68 characters). Decedents who were older, male, had less education and some racial/ethnic minority groups had shorter narratives (both C/ME and LE) than younger, female, more educated, and non-Hispanic white decedents. CONCLUSION: Decedent characteristics are significantly related to the presence and length of narrative texts for suicide and undetermined deaths in the NVDRS. Findings can inform future research using these data to identify novel determinants of suicide mortality. Public Library of Science 2021-07-16 /pmc/articles/PMC8284808/ /pubmed/34270588 http://dx.doi.org/10.1371/journal.pone.0254417 Text en © 2021 Mezuk et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Mezuk, Briana Kalesnikava, Viktoryia A. Kim, Jenni Ko, Tomohiro M. Collins, Cassady Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System |
title | Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System |
title_full | Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System |
title_fullStr | Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System |
title_full_unstemmed | Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System |
title_short | Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System |
title_sort | not discussed: inequalities in narrative text data for suicide deaths in the national violent death reporting system |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8284808/ https://www.ncbi.nlm.nih.gov/pubmed/34270588 http://dx.doi.org/10.1371/journal.pone.0254417 |
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