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This issue of the Journal of Epidemiology includes a report titled “Educational Levels and Risk of Suicide in Japan: The Japan Public Health Center Study (JPHC) Cohort I” by Kimura and colleagues.1 These authors investigated the association between education level and suicide risk in a population-based cohort in Japan. They considered educational level to serve as a surrogate marker for socioeconomic status. In total, 21 829 males and 24 327 females were included in the analysis reported in this article, and 218 males and 81 females died by suicide during a median follow-up period of 21.6 years. Their results revealed that, compared with junior high school graduates as a reference category, the hazard ratios in men were 0.91 (95% confidence interval [CI], 0.67–1.22) for high school graduates, 1.01 (95% CI, 0.54–1.90) for junior/career college graduates, and 0.47 (95% CI, 0.24–0.94) for university graduates or those with higher education. For women, the hazard ratios were 0.44 (95% CI, 0.24–0.79) for high school graduates, 0.56 (95% CI, 0.22–1.43) for junior/career college graduates, and 0.55 (95% CI, 0.06–4.03) for university graduates or those with higher education. The authors concluded that high educational levels among Japanese men and women were associated with a reduced risk of suicide, suggesting that higher educational levels have a protective role against suicide risk in the Japanese society.

journal of epidemiology

Suicide, Socio-economic Inequalities, Gender, and Psychiatric Disorders&lt;br&gt;Commentary: Educational Levels and Risk of Suicide in Japan: The Japan Public Health Center Study (JPHC) Cohort I