Recent minimum wage policies and their association with suicide and poisoning deaths

US life expectancy declined after 2014 amid rising drug-poisoning and suicide mortality. We assessed whether recent, large statutory minimum-wage increases affected these outcomes. Using 2010-2019 National Vital Statistics System mortality data, we analyzed adults aged 25 and up and exploited cross-state adoption and differential exposure by education (no college versus at least some college) in a triple-differences framework. To address staggered adoption and treatment heterogeneity, we implemented a two-stage imputation estimator. We studied deaths per capita for poisonings, drug overdoses, opioid-related overdoses, and suicides. Twenty-six states (including Washington, D.C.) enacted statutory minimum wage increases while 25 did not. Pre-treatment placebo estimates show little evidence of systematic pre-existing trends that would confound the results. Average post-treatment mortality effects associated with minimum wage increases are generally small: poisonings -0.9% (95% CI -6.8%, +5.0%); suicides -1.0% (-7.5%, +5.5%); overdoses +0.5% (-5.2%, +6.2%); opioid-involved overdoses -2.8% (-10.2%, +4.6%). When restricting to states with 50% statutory hikes or higher, we reach similar conclusions. At magnitudes observed during 2010-2019, minimum-wage increases had, at most, modest effects on deaths of despair and are unlikely to meaningfully reduce drug overdose or suicide mortality in the medium term.

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Publication Details

Journal
American Journal of Epidemiology
Published
2026-05-02
DOI
https://doi.org/10.1093/aje/kwag084
Primary Topic
Opioid Use Disorder Treatment
Type
article
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article

Recent minimum wage policies and their association with suicide and poisoning deaths

Rosalie Liccardo Pacula, Yuji Mizushima, Margaret Weden, David Powell
American Journal of Epidemiology
Opioid Use Disorder Treatment
article

Recent minimum wage policies and their association with suicide and poisoning deaths

Rosalie Liccardo Pacula, Yuji Mizushima, Margaret Weden, David Powell
article en

Abstract

US life expectancy declined after 2014 amid rising drug-poisoning and suicide mortality. We assessed whether recent, large statutory minimum-wage increases affected these outcomes. Using 2010-2019 National Vital Statistics System mortality data, we analyzed adults aged 25 and up and exploited cross-state adoption and differential exposure by education (no college versus at least some college) in a triple-differences framework. To address staggered adoption and treatment heterogeneity, we implemented a two-stage imputation estimator. We studied deaths per capita for poisonings, drug overdoses, opioid-related overdoses, and suicides. Twenty-six states (including Washington, D.C.) enacted statutory minimum wage increases while 25 did not. Pre-treatment placebo estimates show little evidence of systematic pre-existing trends that would confound the results. Average post-treatment mortality effects associated with minimum wage increases are generally small: poisonings -0.9% (95% CI -6.8%, +5.0%); suicides -1.0% (-7.5%, +5.5%); overdoses +0.5% (-5.2%, +6.2%); opioid-involved overdoses -2.8% (-10.2%, +4.6%). When restricting to states with 50% statutory hikes or higher, we reach similar conclusions. At magnitudes observed during 2010-2019, minimum-wage increases had, at most, modest effects on deaths of despair and are unlikely to meaningfully reduce drug overdose or suicide mortality in the medium term.

American Journal of Epidemiology
University of Southern California (US), RAND Corporation (US), Harvard University (US), Harvard Pilgrim Health Care (US), Universidad de León (ES)
Openalex Percentile: Top 7%
Opioid Use Disorder Treatment
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