Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System.

<h4>Background</h4>The rate of suicide in the US has increased substantially in the past two decades, and new insights are needed to support prevention efforts. The National Violent Death Reporting System (NVDRS), the nation's most comprehensive registry of suicide mortality, has qu...

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Autores principales:	Briana Mezuk, Viktoryia A Kalesnikava, Jenni Kim, Tomohiro M Ko, Cassady Collins
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/91437e45e8784e7890fbbfdc4c76eb3c
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spelling	oai:doaj.org-article:91437e45e8784e7890fbbfdc4c76eb3c2021-12-02T20:06:54ZNot discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System.1932-620310.1371/journal.pone.0254417https://doaj.org/article/91437e45e8784e7890fbbfdc4c76eb3c2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254417https://doaj.org/toc/1932-6203<h4>Background</h4>The rate of suicide in the US has increased substantially in the past two decades, and new insights are needed to support prevention efforts. The National Violent Death Reporting System (NVDRS), the nation's most comprehensive registry of suicide mortality, has qualitative text narratives that describe salient circumstances of these deaths. These texts have great potential for providing novel insights about suicide risk but may be subject to information bias.<h4>Objective</h4>To examine the relationship between decedent characteristics and the presence and length of NVDRS text narratives (separately for coroner/medical examiner (C/ME) and law enforcement (LE) reports) among 233,108 suicide and undetermined deaths from 2003-2017.<h4>Methods</h4>Generalized estimating equations (GEE) logistic and quasi-Poisson modeling was used to examine variation in the narratives (proportion of missing texts and character length of the non-missing texts, respectively) as a function of decedent age, sex, race/ethnicity, education, marital status, military history, and homeless status. Models adjusted for site, year, location of death, and autopsy status.<h4>Results</h4>The frequency of missing narratives was higher for LE vs. C/ME texts (19.8% vs. 5.2%). Decedent characteristics were not consistently associated with missing text across the two types of narratives (i.e., Black decedents were more likely to be missing the LE narrative but less likely to be missing the C/ME narrative relative to non-Hispanic whites). Conditional on having a narrative, C/ME were significantly longer than LE (822.44 vs. 780.68 characters). Decedents who were older, male, had less education and some racial/ethnic minority groups had shorter narratives (both C/ME and LE) than younger, female, more educated, and non-Hispanic white decedents.<h4>Conclusion</h4>Decedent characteristics are significantly related to the presence and length of narrative texts for suicide and undetermined deaths in the NVDRS. Findings can inform future research using these data to identify novel determinants of suicide mortality.Briana MezukViktoryia A KalesnikavaJenni KimTomohiro M KoCassady CollinsPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254417 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Briana Mezuk Viktoryia A Kalesnikava Jenni Kim Tomohiro M Ko Cassady Collins Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System.
description	<h4>Background</h4>The rate of suicide in the US has increased substantially in the past two decades, and new insights are needed to support prevention efforts. The National Violent Death Reporting System (NVDRS), the nation's most comprehensive registry of suicide mortality, has qualitative text narratives that describe salient circumstances of these deaths. These texts have great potential for providing novel insights about suicide risk but may be subject to information bias.<h4>Objective</h4>To examine the relationship between decedent characteristics and the presence and length of NVDRS text narratives (separately for coroner/medical examiner (C/ME) and law enforcement (LE) reports) among 233,108 suicide and undetermined deaths from 2003-2017.<h4>Methods</h4>Generalized estimating equations (GEE) logistic and quasi-Poisson modeling was used to examine variation in the narratives (proportion of missing texts and character length of the non-missing texts, respectively) as a function of decedent age, sex, race/ethnicity, education, marital status, military history, and homeless status. Models adjusted for site, year, location of death, and autopsy status.<h4>Results</h4>The frequency of missing narratives was higher for LE vs. C/ME texts (19.8% vs. 5.2%). Decedent characteristics were not consistently associated with missing text across the two types of narratives (i.e., Black decedents were more likely to be missing the LE narrative but less likely to be missing the C/ME narrative relative to non-Hispanic whites). Conditional on having a narrative, C/ME were significantly longer than LE (822.44 vs. 780.68 characters). Decedents who were older, male, had less education and some racial/ethnic minority groups had shorter narratives (both C/ME and LE) than younger, female, more educated, and non-Hispanic white decedents.<h4>Conclusion</h4>Decedent characteristics are significantly related to the presence and length of narrative texts for suicide and undetermined deaths in the NVDRS. Findings can inform future research using these data to identify novel determinants of suicide mortality.
format	article
author	Briana Mezuk Viktoryia A Kalesnikava Jenni Kim Tomohiro M Ko Cassady Collins
author_facet	Briana Mezuk Viktoryia A Kalesnikava Jenni Kim Tomohiro M Ko Cassady Collins
author_sort	Briana Mezuk
title	Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System.
title_short	Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System.
title_full	Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System.
title_fullStr	Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System.
title_full_unstemmed	Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System.
title_sort	not discussed: inequalities in narrative text data for suicide deaths in the national violent death reporting system.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/91437e45e8784e7890fbbfdc4c76eb3c
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Not discussed: Inequalities in narrative text data for suicide deaths in the National Violent Death Reporting System.

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