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Predictors of suicidal behaviour in 36,304 individuals sickness absent due to stress-related mental disorders -- a Swedish register linkage cohort study

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Predictors of suicidal behaviour in 36,304 individuals sickness absent due to stress-related mental disorders -- a Swedish register linkage cohort study. / Ishtiak-Ahmed, Kazi; Perski, Aleksander; Mittendorfer-Rutz, Ellenor.

In: BMC public health, Vol. 13, 2013, p. 492.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Ishtiak-Ahmed, K, Perski, A & Mittendorfer-Rutz, E 2013, 'Predictors of suicidal behaviour in 36,304 individuals sickness absent due to stress-related mental disorders -- a Swedish register linkage cohort study' BMC public health, vol. 13, pp. 492. DOI: 10.1186/1471-2458-13-492

APA

Ishtiak-Ahmed, K., Perski, A., & Mittendorfer-Rutz, E. (2013). Predictors of suicidal behaviour in 36,304 individuals sickness absent due to stress-related mental disorders -- a Swedish register linkage cohort study. DOI: 10.1186/1471-2458-13-492

Vancouver

Ishtiak-Ahmed K, Perski A, Mittendorfer-Rutz E. Predictors of suicidal behaviour in 36,304 individuals sickness absent due to stress-related mental disorders -- a Swedish register linkage cohort study. BMC public health. 2013;13:492. Available from, DOI: 10.1186/1471-2458-13-492

Author

Ishtiak-Ahmed, Kazi ; Perski, Aleksander ; Mittendorfer-Rutz, Ellenor. / Predictors of suicidal behaviour in 36,304 individuals sickness absent due to stress-related mental disorders -- a Swedish register linkage cohort study. In: BMC public health. 2013 ; Vol. 13. pp. 492

Bibtex

@article{abd29bca4c7c49f694117cd2698f9ad6,
title = "Predictors of suicidal behaviour in 36,304 individuals sickness absent due to stress-related mental disorders -- a Swedish register linkage cohort study",
abstract = "BACKGROUND: Stress-related mental disorders (SRMD), which correspond to the diagnostic code F43 in the International Classification of Diseases, version 10, rank among the leading causes of sickness absence in several European countries. Despite the size of this health problem, research on risk factors for severe medical outcomes, like suicidal behavior, is lacking to date. The aim of this study was to investigate predictors of suicide attempt and suicide among sickness absentees with SRMD.METHODS: A cohort of 36,304 non-retired individuals, aged 16-64 years on 31.12.2004, with at least one sickness absence spell due to SRMD, initiated in 2005, was followed up with regard to suicide attempt (2006-2009) and suicide (2006-2008). Univariate and multivariate hazard ratios (HR) with 95{\%} confidence intervals (CI) were estimated for a number of predictors.RESULTS: During the follow-up period, 266 individuals attempted suicide and 34 committed suicide. In the multivariate analyses, the following factors increased the risk of suicide attempt: =< 25 years of age, low educational level, lone parenthood, > 1 sickness absence spell, long duration of the first spell of sickness absence due to SRMD (> 180 days), > 4 and > 8 days of inpatient care due to somatic or mental diagnoses (2000-2005), and > 4 and > 1 outpatient visits due to somatic or mental diagnoses (2001-2005), respectively. Hazard ratios ranged from 1.4 to 4.2. Health care due to mental diagnoses and > 1 spell of sickness absence regardless of diagnosis were predictive of suicide.CONCLUSIONS: Several predictors related to socio-demographics, sickness absence and health-care consumption were identified as risk factors for suicidal behavior. Consideration of these risk factors is of both clinical and public health importance.",
keywords = "Absenteeism, Adolescent, Adult, Aged, Cohort Studies, Female, Humans, Male, Mental Disorders, Middle Aged, Outcome Assessment (Health Care), Registries, Risk Factors, Sick Leave, Socioeconomic Factors, Stress, Psychological, Suicide, Sweden, Young Adult",
author = "Kazi Ishtiak-Ahmed and Aleksander Perski and Ellenor Mittendorfer-Rutz",
year = "2013",
doi = "10.1186/1471-2458-13-492",
language = "English",
volume = "13",
pages = "492",
journal = "B M C Public Health",
issn = "1471-2458",
publisher = "BioMed Central Ltd",

}

RIS

TY - JOUR

T1 - Predictors of suicidal behaviour in 36,304 individuals sickness absent due to stress-related mental disorders -- a Swedish register linkage cohort study

AU - Ishtiak-Ahmed,Kazi

AU - Perski,Aleksander

AU - Mittendorfer-Rutz,Ellenor

PY - 2013

Y1 - 2013

N2 - BACKGROUND: Stress-related mental disorders (SRMD), which correspond to the diagnostic code F43 in the International Classification of Diseases, version 10, rank among the leading causes of sickness absence in several European countries. Despite the size of this health problem, research on risk factors for severe medical outcomes, like suicidal behavior, is lacking to date. The aim of this study was to investigate predictors of suicide attempt and suicide among sickness absentees with SRMD.METHODS: A cohort of 36,304 non-retired individuals, aged 16-64 years on 31.12.2004, with at least one sickness absence spell due to SRMD, initiated in 2005, was followed up with regard to suicide attempt (2006-2009) and suicide (2006-2008). Univariate and multivariate hazard ratios (HR) with 95% confidence intervals (CI) were estimated for a number of predictors.RESULTS: During the follow-up period, 266 individuals attempted suicide and 34 committed suicide. In the multivariate analyses, the following factors increased the risk of suicide attempt: =< 25 years of age, low educational level, lone parenthood, > 1 sickness absence spell, long duration of the first spell of sickness absence due to SRMD (> 180 days), > 4 and > 8 days of inpatient care due to somatic or mental diagnoses (2000-2005), and > 4 and > 1 outpatient visits due to somatic or mental diagnoses (2001-2005), respectively. Hazard ratios ranged from 1.4 to 4.2. Health care due to mental diagnoses and > 1 spell of sickness absence regardless of diagnosis were predictive of suicide.CONCLUSIONS: Several predictors related to socio-demographics, sickness absence and health-care consumption were identified as risk factors for suicidal behavior. Consideration of these risk factors is of both clinical and public health importance.

AB - BACKGROUND: Stress-related mental disorders (SRMD), which correspond to the diagnostic code F43 in the International Classification of Diseases, version 10, rank among the leading causes of sickness absence in several European countries. Despite the size of this health problem, research on risk factors for severe medical outcomes, like suicidal behavior, is lacking to date. The aim of this study was to investigate predictors of suicide attempt and suicide among sickness absentees with SRMD.METHODS: A cohort of 36,304 non-retired individuals, aged 16-64 years on 31.12.2004, with at least one sickness absence spell due to SRMD, initiated in 2005, was followed up with regard to suicide attempt (2006-2009) and suicide (2006-2008). Univariate and multivariate hazard ratios (HR) with 95% confidence intervals (CI) were estimated for a number of predictors.RESULTS: During the follow-up period, 266 individuals attempted suicide and 34 committed suicide. In the multivariate analyses, the following factors increased the risk of suicide attempt: =< 25 years of age, low educational level, lone parenthood, > 1 sickness absence spell, long duration of the first spell of sickness absence due to SRMD (> 180 days), > 4 and > 8 days of inpatient care due to somatic or mental diagnoses (2000-2005), and > 4 and > 1 outpatient visits due to somatic or mental diagnoses (2001-2005), respectively. Hazard ratios ranged from 1.4 to 4.2. Health care due to mental diagnoses and > 1 spell of sickness absence regardless of diagnosis were predictive of suicide.CONCLUSIONS: Several predictors related to socio-demographics, sickness absence and health-care consumption were identified as risk factors for suicidal behavior. Consideration of these risk factors is of both clinical and public health importance.

KW - Absenteeism

KW - Adolescent

KW - Adult

KW - Aged

KW - Cohort Studies

KW - Female

KW - Humans

KW - Male

KW - Mental Disorders

KW - Middle Aged

KW - Outcome Assessment (Health Care)

KW - Registries

KW - Risk Factors

KW - Sick Leave

KW - Socioeconomic Factors

KW - Stress, Psychological

KW - Suicide

KW - Sweden

KW - Young Adult

U2 - 10.1186/1471-2458-13-492

DO - 10.1186/1471-2458-13-492

M3 - Journal article

VL - 13

SP - 492

JO - B M C Public Health

T2 - B M C Public Health

JF - B M C Public Health

SN - 1471-2458

ER -

ID: 156417168