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Correspondence
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Volume 338:1851-1852 June 18, 1998 Number 25
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Suicides after Natural Disasters

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by Krug, E. G.
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To the Editor: The study by Krug et al. (Feb. 5 issue)1 is unique in having looked for trends in the rates of suicide before and after natural disasters. However, the authors fail to distinguish between the statistically significant increase in the rate of suicide after a disaster and its substantive importance as reflected by the magnitude of the problem. An increase of 13.8 percent in the suicide rate gives one the impression of a serious public health problem. However, if we compare the annualized number of suicides per year before and after a natural disaster, as reported by Krug . . . [Full Text of this Article]

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