Suicide Mortality in Spain (2010-2022): Temporal Trends, Spatial Patterns, and Risk Factors
This study investigates the spatiotemporal heterogeneity and socioeconomic drivers of age- and sex-specific suicide mortality across Spanish provinces from 2010 to 2022. Method: Leveraging provincial-level panel data, we estimate a multilevel mixed Poisson regression model that controls for spatiotemporal confounding effects to systematically assess how structural factors—including rurality rate and unemployment rate—differentially influence male and female suicide risk. Contribution/Results: (1) Female suicide mortality increased significantly over time, whereas male rates remained relatively stable; (2) a 10-percentage-point increase in rurality was associated with a 5.3% rise in male suicide mortality; (3) a one-percentage-point rise in unemployment corresponded to a 2.4% increase in female suicide mortality. This is the first national-scale study to identify asymmetric effects of urban–rural structure and labor market conditions on gendered suicide risk, providing empirical foundations for targeted, regionally tailored mental health interventions.