Exploring social, economic, and environmental correlates of suicide in Puerto Rico, 2017–2022: an ecological cross-sectional study
Social vulnerability was unrelated to suicide mortality, contrasting with prior studies in the continental US. While the CDC-SVI is a useful tool for disaster response planning, its utility for suicide prevention in PR depends on the local validity and relevance of its components. These results suggest that the contextual determinants of suicide in PR operate through different structural pathways, shaped by the island's distinct socioeconomic, demographic and disaster-exposed setting, where most communities already experience high vulnerability.
Authors
- Linh Dang (ORCID: https://orcid.org/0000-0002-3755-6040)
- Elyse J. Thulin (ORCID: https://orcid.org/0000-0003-1724-4258)
- Viktoryia Kalesnikava (ORCID: https://orcid.org/0000-0003-1158-8498)
- Diego E. Zavala-Zegarra
- Briana Mezuk (ORCID: https://orcid.org/0000-0003-1798-2285)
- Irina Bondarenko (ORCID: https://orcid.org/0000-0002-5365-5399)
- Alejandro Rodríguez-Putnam (ORCID: https://orcid.org/0000-0002-7850-7843)
- Lily Johns
- Sijia He (ORCID: https://orcid.org/0000-0003-3786-8770)
- Mariluz Bezares-Salinas
Institutions
- Ponce Health Sciences University (PR)
- University of Michigan (US)
- Puerto Rico Department of Health (PR)
Publication Details
- Journal
- Injury Epidemiology
- Published
- 2025-12-01
- DOI
- https://doi.org/10.1186/s40621-025-00632-7
- Primary Topic
- Suicide and Self-Harm Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00