Male and female suicide rates are out of total male population and total female population, respectively (i.e. total number of male suicides divided by total male population). The total rate of suicides is based on the total number of suicides divided by the total population rather than merely the average of the male and female suicide rates, because the gender ratio in most countries is not 1:1. Example: In 2008 Lithuania had suicide rates of 55.9 male, 9.1 female, 30.7 combined (male plus female). The suicide rate is per 100,000 people per year. Q1: That means in Lithuania almost 60 males out of 100,000 committed suicide. Am I correct? Q2: I don't understand the part in red. Let's say total population is 100 persons. In a certain year 10 males commit suicide, 5 females commit suicide, there are total 60 females and 40 males. Even if there were equal number, 1:1 ratio, of females and males (i.e. 50 females and 50 males) what difference would it make? What does average and gender ratio have to do with it? Please help me with the above questions. Thanks, in advance.