Diagnosed Mental Health Conditions and Risk of Suicide Mortality.
Adolescent
Adult
Aged
Anxiety Disorders
/ epidemiology
Attention Deficit Disorder with Hyperactivity
/ epidemiology
Bipolar Disorder
/ epidemiology
Case-Control Studies
Child
Child, Preschool
Depressive Disorder
/ epidemiology
Female
Humans
Infant
Male
Middle Aged
Risk
Schizophrenia
/ epidemiology
Suicide
/ statistics & numerical data
Suicide, Completed
United States
/ epidemiology
Young Adult
Diagnosis
Health care
Mental health
Prevention
Suicide and self-harm
Journal
Psychiatric services (Washington, D.C.)
ISSN: 1557-9700
Titre abrégé: Psychiatr Serv
Pays: United States
ID NLM: 9502838
Informations de publication
Date de publication:
01 09 2019
01 09 2019
Historique:
pubmed:
13
6
2019
medline:
7
7
2020
entrez:
13
6
2019
Statut:
ppublish
Résumé
Although mental health conditions are risk factors for suicide, limited data are available on suicide mortality associated with specific mental health conditions in the U.S. population. This study aimed to fill this gap. This study used a case-control design. Patients in the case group were those who died by suicide between 2000 and 2013 and who were patients in eight health care systems in the Mental Health Research Network (N=2,674). Each was matched with 100 general population patients from the same system (N=267,400). Diagnostic codes for five mental health conditions in the year before death were obtained from medical records: anxiety disorders, attention deficit-hyperactivity disorder (ADHD), bipolar disorder, depressive disorders, and schizophrenia spectrum disorder. Among patients in the case group, 51.3% had a recorded psychiatric diagnosis in the year before death, compared with 12.7% of control group patients. Risk of suicide mortality was highest among those with schizophrenia spectrum disorder, after adjustment for age and sociodemographic characteristics (adjusted odds ratio [AOR]=15.0) followed by bipolar disorder (AOR=13.2), depressive disorders (AOR=7.2), anxiety disorders (AOR=5.8), and ADHD (AOR=2.4). The risk of suicide death among those with a diagnosed bipolar disorder was higher in women than men. Half of those who died by suicide had at least one diagnosed mental health condition in the year before death, and most mental health conditions were associated with an increased risk of suicide. Findings suggest the importance of suicide screening and providing an approach to improve awareness of mental health conditions.
Identifiants
pubmed: 31185853
doi: 10.1176/appi.ps.201800346
pmc: PMC6718299
mid: NIHMS1531529
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
750-757Subventions
Organisme : NIMH NIH HHS
ID : R01 MH103539
Pays : United States
Organisme : NIMH NIH HHS
ID : U19 MH092201
Pays : United States
Références
NCHS Data Brief. 2016 Apr;(241):1-8
pubmed: 27111185
Arch Gen Psychiatry. 2010 Nov;67(11):1152-8
pubmed: 21041616
Depress Anxiety. 2013 Oct;30(10):917-29
pubmed: 23408488
Psychiatr Serv. 2018 Jul 1;69(7):751-759
pubmed: 29656710
Psychiatr Serv. 2012 Feb 1;63(2):186-9
pubmed: 22302340
Suicide Life Threat Behav. 2015 Oct;45(5):588-599
pubmed: 25622860
Arch Gen Psychiatry. 2005 Nov;62(11):1249-57
pubmed: 16275812
Br J Psychiatry. 2009 Nov;195(5):459-60
pubmed: 19880939
Mol Psychiatry. 2010 Aug;15(8):868-76
pubmed: 19337207
Br J Psychiatry. 2000 Dec;177:546-50
pubmed: 11104395
Am J Prev Med. 2014 Sep;47(3 Suppl 2):S222-8
pubmed: 25145743
Schizophr Res. 2008 Feb;99(1-3):134-8
pubmed: 18155881
J Psychiatr Res. 2011 Nov;45(11):1445-52
pubmed: 21722920
J Am Acad Child Adolesc Psychiatry. 1996 Aug;35(8):978-87
pubmed: 8755794
JAMA Psychiatry. 2015 Mar;72(3):219-25
pubmed: 25715312
J Child Psychol Psychiatry. 2014 May;55(5):505-15
pubmed: 25436256
J Psychiatr Pract. 2006 May;12(3):139-47
pubmed: 16732132
Am J Prev Med. 2017 Sep;53(3):308-315
pubmed: 28619532
Psychiatr Serv. 2017 Jul 1;68(7):674-680
pubmed: 28196458
Arch Gen Psychiatry. 2001 Sep;58(9):844-50
pubmed: 11545667
BMJ. 1999 May 8;318(7193):1235-9
pubmed: 10231250
Am J Psychiatry. 2002 Jun;159(6):909-16
pubmed: 12042175
Psychol Med. 2014 Apr;44(6):1303-17
pubmed: 23931656
Br J Gen Pract. 2009 Nov;59(568):825-32
pubmed: 19861027
Psychiatr Serv. 2018 Jul 1;69(7):737
pubmed: 29962313
Prev Med. 2018 Jun;111:299-306
pubmed: 29155224
Psychiatr Serv. 2015 Feb 1;66(2):121-6
pubmed: 25270296
J Consult Clin Psychol. 2000 Jun;68(3):371-7
pubmed: 10883553
Br J Psychiatry. 2006 Feb;188:129-34
pubmed: 16449699
J Gen Intern Med. 2014 Jun;29(6):870-7
pubmed: 24567199
JAMA Psychiatry. 2017 Aug 1;74(8):849-850
pubmed: 28614559
Arch Gen Psychiatry. 2005 Mar;62(3):247-53
pubmed: 15753237
J Affect Disord. 2013 Apr 5;146(2):181-8
pubmed: 23017538
Br J Psychiatry. 2000 Jan;176:76-82
pubmed: 10789332
Bipolar Disord. 2013 Aug;15(5):457-90
pubmed: 23755739
Eur Arch Psychiatry Clin Neurosci. 2003 Feb;253(1):1-8
pubmed: 12664306