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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >State earned income tax credits and suicidal behavior: A repeated cross-sectional study
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State earned income tax credits and suicidal behavior: A repeated cross-sectional study

机译：国家赚取所得税信贷和自杀行为：反复横断面研究

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摘要

Suicide is an increasingly common cause of death in the United States and recent increases in suicide rates disproportionately impact low income individuals. We sought to assess the impact of income support in the form of state earned income tax credit policies on suicide-related behaviors. This state-level study used repeated cross-sectional data from vital records and the National Survey of Drug Use and Health data representative at the state-level. The population included adults who either died by suicide or were selected for in-person NSDUH interviews between 2008 and 2018. Exposure was measured as the generosity of a refundable state earned income tax credit policy measured as a percentage of the federal policy. Outcomes assessed were suicidal ideation, suicidal planning, non-fatal suicide attempt, suicide deaths, and combined fatal and non-fatal suicide attempts. Analyses were performed between April and June 2020. A 10 percentage-point increase in the generosity of state earned income tax credit was associated with lower frequency of non-fatal suicide attempts (prevalence ratio [PR] = 0.96; 95% CI: 0.93-0.99), combined fatal and non-fatal suicide attempts (PR = 0.96; 95% CI: 0.93-0.99), and suicide deaths (PR = 0.99; 95% CI: 0.99-1.00). This translates to 4 fewer suicide attempts per 10,000 population each year. Generous state earned income tax credit policies are associated with reductions in the frequency of most severe suicidal behavior. Income support policies may be one way to reduce suicide attempts and death, especially among low-income adults.
机译：自杀在美国是一种越来越常见的死亡原因，最近自杀率的上升对低收入者的影响不成比例。我们试图评估国家所得税抵免政策形式的收入支持对自杀相关行为的影响。这项州一级的研究使用了来自生命记录和代表州一级的全国药物使用和健康数据调查的重复横断面数据。该人群包括2008年至2018年间死于自杀或被选为NSDUH面谈对象的成年人。风险敞口以可退还的州所得税抵免政策的慷慨程度来衡量，以联邦政策的百分比来衡量。评估的结果包括自杀意念、自杀计划、非致命性自杀企图、自杀死亡，以及致命和非致命性自杀企图的组合。分析在2020年4月至6月期间进行。州所得税抵免的慷慨度增加10个百分点与非致命性自杀未遂（患病率[PR]=0.96；95%可信区间：0.93-0.99）、致命性和非致命性自杀未遂（PR=0.96；95%可信区间：0.93-0.99）以及自杀死亡（PR=0.99；95%可信区间：0.99-1.00）的频率较低有关。这意味着每年每10000人中减少4次自杀企图。慷慨的州所得税抵免政策与降低最严重自杀行为的频率有关。收入支持政策可能是减少自杀企图和死亡的一种方式，尤其是在低收入成年人中。

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