A country reporting few suicides may have few suicides, or may not be counting them. The West Bank & Gaza record 0.65 deaths per 100,000 — which would be the lowest rate on earth by a wide margin, and much more plausibly measures a fragmented registration system in a region where the death is heavily stigmatised. Russia's falling rate runs alongside a rising share of deaths filed as “undetermined intent”. India's official figures are police reports; verbal-autopsy studies find substantially more. In at least 24 countries suicide or its attempt is a criminal matter, which suppresses both help-seeking and recording. WHO's own position is that most member states lack vital registration good enough for this purpose, and that roughly one suicide in six goes missing worldwide — one in three in lower-income countries. The register that documents this is not a footnote to the chart. It is the finding: a low number is sometimes a fact about a country, and sometimes a fact about its filing.
- 15 rows in the data-quality register, each naming a mechanism and a source
- Russia: rising 'undetermined intent' share masks suicides
- India: police-reported NCRB figures against verbal-autopsy and GBD estimates
- UK deliberately INCLUDES undetermined-intent deaths — the opposite convention
- ≥24 countries criminalise suicide or attempts; ~1 in 6 missing globally
Open questions
- The register cannot say how much of any single country's trend is real and how much is recording. It documents that both are present.
References
The data-quality register lists every mechanism with its source.
Topics: Law enforcement & government · Health & physical effects