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2013 ; 103
(11
): 2021-6
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Reduction in male suicide mortality following the 2006 Russian alcohol policy: an
interrupted time series analysis
#MMPMID24028249
Pridemore WA
; Chamlin MB
; Andreev E
Am J Public Health
2013[Nov]; 103
(11
): 2021-6
PMID24028249
show ga
OBJECTIVES: We took advantage of a natural experiment to assess the impact on
suicide mortality of a suite of Russian alcohol policies. METHODS: We obtained
suicide counts from anonymous death records collected by the Russian Federal
State Statistics Service. We used autoregressive integrated moving average
(ARIMA) interrupted time series techniques to model the effect of the alcohol
policy (implemented in January 2006) on monthly male and female suicide counts
between January 2000 and December 2010. RESULTS: Monthly male and female suicide
counts decreased during the period under study. Although the ARIMA analysis
showed no impact of the policy on female suicide mortality, the results revealed
an immediate and permanent reduction of about 9% in male suicides (Ln ?0 =
-0.096; P = .01). CONCLUSIONS: Despite a recent decrease in mortality, rates of
alcohol consumption and suicide in Russia remain among the highest in the world.
Our analysis revealed that the 2006 alcohol policy in Russia led to a 9%
reduction in male suicide mortality, meaning the policy was responsible for
saving 4000 male lives annually that would otherwise have been lost to suicide.
Together with recent similar findings elsewhere, our results suggest an important
role for public health and other population level interventions, including
alcohol policy, in reducing alcohol-related harm.