Astral Codex Ten Podcast feed 2024年07月17日
In Search of Missing US Suicides
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美国各州枪支拥有率与自杀率之间存在明显关联,而与谋杀率无关。尽管看似枪支增加了自杀风险,但美国的自杀率并未因此上升。研究指出,自杀手段具有可替代性,限制枪支获取能有效降低自杀率。然而,美国的非枪支自杀率却异常低,这可能与美国的宗教信仰、文化多元性等因素有关。

🔍 美国枪支拥有率与自杀率呈正相关,但与谋杀率无关。这一现象引发了对枪支与自杀之间关系的深入探讨。

🎯 自杀手段的可替代性理论认为,即使没有枪支,人们也可能选择其他方式自杀。但科学共识指出,限制自杀手段能显著降低自杀率。

📉 美国的非枪支自杀率低于其他国家,这看似与自杀手段可替代性理论相矛盾。研究显示,美国可能原本就有较低的自杀率,枪支的存在使其上升到平均水平。

🌍 马萨诸塞州、新泽西州和夏威夷州的枪支拥有率较低,其自杀率也较低,且使用枪支自杀的比例不高,这支持了限制枪支能降低自杀率的观点。

🤔 美国较低的自杀率可能与宗教信仰、文化多元性等因素有关,这些因素可能抵消了枪支带来的自杀风险。

[Content warning: suicide. Thanks to someone on Twitter I forget for alerting me to this question]

Among US states, there’s a clear relationship between gun ownership rates and suicide rates, but not between gun ownership rates and homicide rates:

You might conclude guns increase suicides but not homicides. Then you might predict that the gun-loving US would be an international outlier in suicides but not homicides. In fact, it’s the opposite:

Why should this be?

We’ve already discussed why US homicide rates are so high. But why isn’t the suicide rate elevated?

One possibility: suicide methods are fungible. If guns are easily available, you might use a gun; if not, you might overdose, hang yourself, or junp off a bridge. So getting rid of one suicide method or another doesn’t do much.

This sounds plausible, but it’s the opposite of scientific consensus on the subject. See for example Controlling Access To Suicide Means, which says that “restrictions of access to common means of suicide has lead to lower overall suicide rates, particularly regarding suicide by firearms in USA, detoxification of domestic and motor vehicle gas in England and other countries, toxic pesticides in rural areas, barriers at jumping sites and hanging…” This is particularly brought up in the context of US gun control – see eg Suicide, Guns, and Public Policy, which describes “strong empirical evidence that restriction of access to firearms reduces suicides”.

The state-level data from above support this view – taking guns away from a state does decrease its suicide rate. And then there’s this graph, from Armed With Reason:

…which shows that adding more guns to a state does not decrease its nonfirearm suicide rate.

But if suicide methods aren’t fungible, then why doesn’t the US have higher suicide rates? Here’s another way of asking this question:

 

The US has fewer nongun suicides than anywhere else. The seemingly obvious explanation is that guns are so common that everyone who wants to commit suicide is using guns, decreasing the non-gun rate. But that contradicts all the nonfungibility evidence above. So the other possibility is that the US ought to have an very low suicide rate, and it’s just all our guns that are bringing us back up to average.

Of all US states, Massachusetts, New Jersey, and Hawaii have the fewest guns. Unsurprisingly, suicides in these states are less likely than average to be committed with firearms. In MA, the rate is 22%; in NJ 24%; in HI, 20%. Their suicide rates are 8.8, 7.2, and 12.1, respectively. Hawaii has an unusual ethnic composition – 40% Asian and 20% Native Hawaiian, both groups with high suicide rates (see eg the suicide rate for Japan above). So it might be worth taking Massachusetts and New Jersey as examples to look at in more detail.

Either state, if it were independent, would be among the lowest-suicide-rate developed nations. And both still have more guns than our comparison countries. If we did a really simple linear extrapolation from New Jersey-level gun control to imagine a state where firearms were as restricted as in Britain, we would expect it to have a suicide rate of around 5 or 6 – which is around the current level of non-gun US suicides. This is much lower than any of the large comparison countries in the graph above, but there are two developed countries currently around this level – Italy and Israel. I think it makes sense to suppose that the US might have a low Italy/Israel-style base rate of suicides.

For one thing, it’s unusually religious for a developed country. Religion is one of the strongest protective factorsagainst suicide. This also seems like a good explanation for Italy and Israel.

For another, it’s culturally similar to Britain, which also has a low suicide rate somewhere in the 7s. Other British colonies don’t seem to have kept this effect – Australia and Canada are both higher – but maybe the US did.

And for another, it’s unusually ethnically diverse. Blacks and Hispanics have only about half the suicide rate of whites; which means you would expect the US to be less suicidal than Europe. I previously believed this was because whites had more guns, but this doesn’t seem to be true: Riddell et al find that whites have higher non-firearm suicide rates too. So this could be an additional factor driving US rates down.

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美国自杀率 枪支管控 自杀手段可替代性
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