the full sample analyses, and significantly higher than those observed for the 1949–1959 birth cohort. Hence, there are two interactions that need to be discussed: the interaction between MLDA and sex, and for women, the interaction between MLDA and birth cohort (technically, a three-way MLDA x sex x birth cohort interaction). Moreover, there is a need to understand why these interactions were observed for both outcomes, even though suicide and homicide are fundamentally different causes of death with regard to other risk factors.