Social fragmentation, severe XXXX and suicide.

@entity1 @entity1032 @entity1949 @entity146
BACKGROUND: Geographic patterns of suicide are associated with area levels of social @entity1949 . It is unknown whether this reflects higher levels of severe @entity1032 in socially fragmented areas. METHOD: Data on @entity146 inpatient admissions and suicides amongst @entity1 aged 15-64 living in the City of Bristol [1991-1992] were postcode matched to the city's 34 electoral wards. Ecological associations of @entity146 admission (used as a 'proxy' measure of prevalence of severe @entity1032 ) and suicide rates with levels of social @entity1949 were investigated using negative binomial regression models. RESULTS: Psychiatric hospital admission rates were higher in areas with high levels of socioeconomic deprivation than in areas with high levels of social @entity1949 . In contrast, associations with suicide were stronger in relation to social @entity1949 than socioeconomic deprivation. Association of suicide with social @entity1949 was only moderately attenuated in models controlling for @entity146 admission rate and socio-economic deprivation, RR 1.23 (95 % C. I. 1.09-1.38) per quartile increase in social @entity1949 , compared to 1.29 (95% C. I. 1.16-1.44) before adjustment. CONCLUSION: The association between social @entity1949 and suicide is not explained by socioeconomic deprivation or the prevalence of severe @entity1032 within socially fragmented areas as measured by @entity146 admission rate.
