Canetto · Suicide & life-threatening behavior 1998 · narrative review · n=?

The gender paradox in suicide.

Cited 1136 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review and conceptual analysis without systematic methodology or primary human data.

PubMed 9560163 · record verified 2026-08-26

What was done

The author reviewed literature and theoretical explanations regarding the gender paradox of suicidal behavior—where females show higher rates of suicidal ideation and non-fatal attempts while males have higher suicide mortality—evaluating evidence primarily from the United States and Canada.

What was found

The abstract reports no numerical values or statistical estimates. It concludes that the gender paradox is real rather than a data collection artifact, but is more culture-bound than traditionally assumed, with divergent cultural gender expectations affecting method choice and official determinations of suicide (such as by coroners).

Why it matters

It highlights that cultural norms and classification practices significantly influence observed sex differences in suicide rates, with implications for suicide prevention research and public policy.

Limits

The abstract describes a narrative conceptual overview rather than a systematic review or empirical study, providing no quantitative data, search criteria, or sample size. The focus is limited to Western settings (primarily the United States and Canada).

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