Abstract

Abstract Objectives Little global and longitudinal scholarship exists on the relationship between regime type and mortality on a global level. The purpose of this study is to examine the effect of democracy on violent death rates (homicide, suicide, and combined) by gender (men and women). Methods Three measures of democracy were used to quantify regime type. Homicide and suicide rates were obtained from the World Health Organization. Multi-level regression analyses examined associations between regime characteristics and logged rates of homicide, suicide, and violent deaths. Models were adjusted for unemployment and economic inequality. Results Nations that scored higher on democracy indices, especially emerging democracies, experienced increased mortality due to violence. Women possessed higher rates of homicide and suicide in democracies compared to men. Conclusions Violent deaths appear to be more prevalent even in stable democracies, and women are more affected than men. This overturns the common assumption that democracies bring greater equality, and therefore lower death rates over long-term. Future analyses might examine the aspects of democracies that lead to higher rates of violent death so as to help mitigate them.

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