Utah/Statistical claims/Suicide rate among Mormons

Criticism

Critics charge that the suicide rate in Utah is higher than the national average, and that this demonstrates the being a Latter-day Saint is psychologically unhealthy.

Source(s) of the criticism

• "MORMONS WON'T TELL YOU that the state of Utah, which is predominately Mormon, has a higher than the national average of...teenage suicide..." - MacGregor Ministries: A Christian Outreach to those trapped in cult groups, "Facts: Mormons Wont Tell You When They Call at Your Door. Part 1," (last accessed 30 August 2007), capitalization and punctuation as in original.
• Life After Ministries: Leading Mormons to the REAL Jesus, "Utah's Dark Reality," (accessed 30 August 2007).

Response

Note that the intermountain and western US has consistently higher suicide rates than most other states. This map uses earlier data than that presented in the table in this wiki article. Rank by suicide can change markedly from year to year because of the relatively small numbers involved—it is most useful to consider aggregate data over several years to discern true regional trends. The "suicide belt" shown here has been noted, however, since at least the 1980s (see Seiden, "Death in the West," (1984) cited below in endnotes). Souce: map from wikipedia off-site

As is often the case, critics do not tell the whole story.

The data underlying this attack come from U.S. death data. Studies of cause of death (using ICD-10 codes X60-X84, Y87.0) have been extracted by state. In 2002, Utah ranked #11 (tied with Oregon) in the nation for number of suicides per 100,000 people in the population.^[1]

Geographic differences

The critics do not tell us, however, that it has long been recognized that the northwestern and intermountain United States has higher suicide rates than the rest of the country, in what has been labeled the "suicide belt."^[2] The reason(s) for this is/are not entirely clear, though numerous theories have been advanced.^[3]

The critics also do not tell us that of these high-risk states, Utah has one of the lowest suicide rates:

State	Rank (1 is worst) 2002 data	Suicide rate per 100,000 2002 Data	Rank (1 is worst) 2004 data	Suicide rate per 100,000 2004 Data
Wyoming	1	21.1	5	17.4
Alaska	2	20.5	1	23.6
Montana	3	20.2	2	18.9
Nevada	4	19.5	3	18.9
New Mexico	5	18.8	4	18.7
Arizona	6	16.2	11	15.3
Colorado	7	16.1	6	17.3
Idaho	9	15.2	7	16.9
Oregon	11 (tie)	14.7	10	15.5
Utah	11 (tie)	14.7	9	15.6
Washington	17	13.4	18	13.4

(Note that relatively small numbers can make rankings fluctuate from year to year, and that aggregate data from several years is the most reliable measure of suicide rates.)^[4]

The role of religion

Critics hope that by condemning Utah, readers will condemn the LDS Church, which is associated with Utah, and the most numerous religion.

However, government studies on suicide rate do not cite religion or spiritual beliefs. One cannot extrapolate from these data and presume that the LDS population is the "reason" for the higher suicide rates. Since the suicide rates are lower than the surrounding north western states, one could just as easily conclude that the LDS Church protects against suicide!

Critics also ignore that religion is generally a protective factor against suicide; religions provide both social support for people who are struggling, and religious beliefs which condemn suicide can be a disincentive to acting on suicidal thoughts.^[5] Studies of "high religious groups" (including LDS) have shown benefits for emotional maturity, self-esteem, and lower depression rates.^[6]

Some studies of LDS patients and non-LDS patients have shown no differences in the rate of suicidality based on being homemakers and working outside of the home.^[7] Suicide rates in LDS patients went down as their religious involvement went up.^[8] Inactive LDS males experience a suicide rate roughly four times that of active LDS males. Non-LDS males experience a suicide rate roughly six times that of active LDS males.^[9] This same research shows that U.S. white males (aged 20-34) had suicide rates two and one-half to seven times that of active LDS males of equal age. Active LDS males, aged 15–19, have an equal suicide rate to that of national rates.^[10]

Evangelical Christians and suicide

Since many of the critics who attack the Church on this issue are conservative Evangelical protestants, it is perhaps fair to ask how well Evangelicals fare on measures of mental health when the same shoddy methodology is applied to them.

If we play the same game as the evangelical critics, we could choose the states with high concentrations of conservative Protestants. There are thirteen states in which the Southern Baptist Convention has more congregations than any other denomination.^[11] The suicide rates for these states are tabulated below:^[12]

State	Rank (1 is worst) 2004 data	Suicide rate per 100,000 2004 Data
US National average	> 36	11.1
Alabama	24	12.1
Arkansas	20	13.1
Florida	15	13.7
Georgia	36	10.9
Kentucky	16 (tie)	13.5
Louisiana	27	11.9
Mississippi	23	12.1
Missouri	22	12.4
North Carolina	14	12.0
Oklahoma	14	14.4
South Carolina	19	11.5
Tennessee	18 (tie)	13.4
Texas	39	10.2
Utah	9	15.6

All but three of these states are in the top half of suicides, and all but two (Georgia at 10.9 and Texas at 10.2/100,000) are above the national average.

Conclusion

On a geographical basis, Utah performs well on rates of suicide. This may be correlated to the willingness of Utah's population to seek treatment, as evidenced by rates of anti-depressant medication prescription. (See LDS antidepressant use.) Religion is generally protective against suicide, and studies on Latter-day Saints bear this out.

It is unfortunate that critics wish to trivialize a serious problem such as suicide—a leading cause of death in the United States—by using it as a club to beat a specific religion. They do this without any data implicating the Church, and much data which argues against the patients' religion as a causitive factor.

Religion is generally a patient's ally in mental health. Cheap slogans and finger pointing do nothing to help address the real problems faced by the mentally ill who are at risk of depression, schizophrenia, and other risk factors for suicide. While Utah does well in comparison to its neighbors, there is clearly much to be done to understand the western United States' higher suicide rates, and to help lower the rates of suicide and attempted suicide nationally and internationally.

Critics should avoid concluding that Utah data = Mormon data. This is often not true, and in this case the Mormon influence may be lowering Utah's suicide rates below those of its neighboring states.

Endnotes

1. [note]  K.D. Kochanek, S.L. Murphy, R.N. Anderson, C. Scott "Deaths: Final data for 2002. National Vital Statistics Reports," 53/5 (2004), Hyattsville, MD: National Center for Health Statistics. DHHS Publication No. (PHS) 2005-1120. (p. 92, Table 29) [data are by place of residence]. PDF link
2. [note]  Matt Wray, "Suicide Trends and Prevention in Nevada," Dept of Sociology, University of Nevada, Las Vegas from Justice & Democracy Forum, 5 November 2004. (Accessed 30 August 2007). off-site
3. [note]  Some suggested reasons have included: lower population density, greater proportion of males, larger Hispanic and American-Indian populations, heavier alcohol consumption: See Richard H. Seiden, "Death in the West — A Regional Analysis of the Youthful Suicide Rate," West J Med 140/6 (June 1984): 969–973. off-site Risk is also thought to increase with weak social institutions, low social capital, areas of rapid population growth, gun ownership and a "frontier culture" of individualism and self-reliance: see Wray, cited above.
4. [note]  John L. McIntosh, "Rate, Number, and Ranking of Suicide for Each U.S.A. State*, 2004," American Association of Suicidology (accessed 30 August 2007). PDF link
5. [note]  See, for example, AM Schapman, HM Inderbitzen-Nolan, "The role of religious behaviour in adolescent depressive and anxious symptomatology," J Adolesc 25 (2002): 631-643; S Cotton, E Larkin, A. Hoopes, et al, "The impact of adolescent spirituality on depressive symptoms and health risk behaviors," J Adolesc Health 36 (2005): 529e7–529.e14; DB Larson & HG Koenig, "Is God good for your health? The role of spirituality in medical care," Cleve Clin J Med 67/2 (2000): 83–84; DBSJ Larson & ME McCullough, Scientifc research on spirituality and health: a consensus report (Rockville, MD: National Institute of Healthcare Research, 1997).
6. [note] LC Jensen, J Jensen, T Wiederhold, "Religiosity, denomination, and mental health among young men and women," Psychological Reports 72 (3 Pt 2) on (1 June 1993) 1157–1158.
7. [note]  DC Spendlove, DW West, WM Stanish, "Risk factors and the prevalence of depression in Mormon women," Soc Sci Med 18/6 (1984):491–495.
8. [note]  SC Hilton, GW Fellingham, JL Lyon, "Suicide rates and religious commitment in young adult males in Utah," American Journal of Epidemiology 155/5 (1 March 2002): 413–419.
9. [note]  Gilbert W. Fellingham, Kyle McBride, H. Dennis Tolley, and Joseph L. Lyon, "Statistics on Suicide and LDS Church Involvement in Males Age 15-34," Brigham Young University Studies 39 no. 2 (2000), 177.off-site
10. [note]  Fellingham et al., 179.
11. [note]  Largest Religious Groups in the United States: Religious Bodies which have the Most Congregations of any Denomination in One or More States, 1990," adherents.com (Accessed 30 August 2007). off-site
12. [note]  John L. McIntosh, "Rate, Number, and Ranking of Suicide for Each U.S.A. State*, 2004," American Association of Suicidology (accessed 30 August 2007). PDF link