Relationship between daily suicide counts and temperature in England and Wales.
BACKGROUND
Seasonal fluctuation in suicide has been observed in many populations. High temperature may contribute to this, but the effect of short-term fluctuations in temperature on suicide rates has not been studied.


OBJECTIVE
To assess the relationship between daily temperature and daily suicide counts in England and Wales between 1 January 1993 and 31 December 2003 and to establish whether heatwaves are associated with increased mortality from suicide.


METHODS
Time-series regression analysis was used to explore and quantify the relationship between daily suicide counts and daily temperature. The impact of two heatwaves on suicide was estimated.


RESULTS
No spring or summer peak in suicide was found. Above 18 degrees C, each 1 degrees C increase in mean temperature was associated with a 3.8 and 5.0% rise in suicide and violent suicide respectively. Suicide increased by 46.9% during the 1995 heatwave, whereas no change was seen during the 2003 heat wave.


CONCLUSIONS
There is increased risk of suicide during hot weather.
Page
Lisa A
LA
Department of Psychological Medicine, Institute of Psychiatry, King's College London, London SE5 8RJ, UK. l.page@iop.kcl.ac.uk
Hajat
Shakoor
S
Kovats
R Sari
RS
D004739:England / Q000453:epidemiology; D005260:Female; D006358:Hot Temperature / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008685:Meteorological Concepts; D012044:Regression Analysis; D012307:Risk Factors; D013405:Suicide / Q000523:psychology* / Q000706:statistics & numerical data; D014852:Wales / Q000453:epidemiology