Cause-specific mortality after hospital discharge for suicide attempt or suicidal ideation: A cohort study in Piedmont Region, Italy

被引:2
作者
Mehanovic, Emina [1 ,2 ]
Rosso, Gianluca [1 ,3 ]
Cuomo, Gian Luca [2 ]
Diecidue, Roberto [2 ]
Maina, Giuseppe [1 ,3 ]
Costa, Giuseppe [4 ,5 ]
Vigna-Taglianti, Federica [2 ,6 ]
机构
[1] Univ Turin, Dept Neurosci Rita Levi Montalcini, Turin, Italy
[2] ASL TO3, Piedmont Ctr Drug Addict Epidemiol, Turin, Italy
[3] San Luigi Gonzaga Univ Hosp, Psychiat Unit, Turin, Italy
[4] Univ Turin, Dept Clin & Biol Sci, Turin, Italy
[5] ASL TO3, Epidemiol Unit, Turin, Italy
[6] Univ Piemonte Orientale, Dept Translat Med, Novara, Italy
关键词
Suicide attempt; Suicidal ideation; Standardized mortality ratios; Cause-specific mortality; Italy; NONFATAL SELF-HARM; FOLLOW-UP; RISK-FACTORS; GENDER-DIFFERENCES; EXCESS MORTALITY; NATIONAL COHORT; SURVIVAL; DEATHS; MECHANISMS; REPETITION;
D O I
10.1016/j.jpsychires.2023.02.035
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Suicide attempters are at higher risk of death than the general population. The present study aims to investigate the excess of all-cause mortality and cause-specific mortality in a cohort of patients who have attempted suicide or had suicidal ideation compared with the general population.Method: The cohort included 826 patients residing in the Piedmont Region of Northwest Italy who were admitted to a hospital or emergency department for suicide attempts or suicidal ideation between 2010 and 2016. Mortality excesses of the study population compared to the general population were estimated by applying indirect standardization. Standardized Mortality Ratios and 95% Confidence Intervals were calculated for all-cause, and cause-specific, natural, and unnatural causes of death by gender and age.Results: During the 7 years of follow-up, 8.2% of the study sample died. The mortality of suicide attempters and ideators was significantly higher than that of the general population. Mortality was about twice than expected from natural causes, and 30 times than expected from unnatural causes. The mortality due to suicide was 85 times higher than that of the general population, with an excess of 126 times for females. The SMRs for all-cause mortality decreased with increasing age.Conclusions: Patients who access hospitals or emergency departments for suicide attempts or suicidal ideation are a frail group at high risk of dying from natural or unnatural causes. Clinicians should pay special attention to the care of these patients, and public health and prevention professionals should develop and implement appropriate interventions to timely identify individuals at higher risk for suicide attempts and suicidal ideation and provide standardized care and support services.
引用
收藏
页码:19 / 26
页数:8
相关论文
共 49 条
[1]   Cause-specific excess mortality in suicidal patients: gender differences in mortality patterns [J].
Antretter, Elfi ;
Dunkel, Dirk ;
Haring, Christian .
GENERAL HOSPITAL PSYCHIATRY, 2009, 31 (01) :67-74
[2]   Relationship between painful physical symptoms and severity of depressive symptomatology and suicidality [J].
Bahk, Won-Myong ;
Park, Subin ;
Jon, Duk-In ;
Yoon, Bo-Hyun ;
Min, Kyung Joon ;
Hong, Jin Pyo .
PSYCHIATRY RESEARCH, 2011, 189 (03) :357-361
[3]   Risk factors for suicidality in Europe: Results from the ESEMED study [J].
Bernal, M. ;
Haro, J. M. ;
Bernert, S. ;
Brugha, T. ;
de Graaf, R. ;
Bruffaerts, R. ;
Lepine, J. P. ;
de Girolamo, G. ;
Vilagut, G. ;
Gasquet, I. ;
Torres, J. V. ;
Kovess, V. ;
Heider, D. ;
Neeleman, J. ;
Kessler, R. ;
Alonso, J. .
JOURNAL OF AFFECTIVE DISORDERS, 2007, 101 (1-3) :27-34
[4]   Age of First Suicide Attempt in Men and Women: An Admixture Analysis [J].
Blasco-Fontecilla, Hilario ;
Alegria, Analucia A. ;
Delgado-Gomez, David ;
Legido-Gil, Teresa ;
Saiz-Ruiz, Jeronimo ;
Oquendo, Maria A. ;
Baca-Garcia, Enrique .
SCIENTIFIC WORLD JOURNAL, 2012,
[5]   Risk of repetition of suicide attempt, suicide or all deaths after an episode of attempted suicide: a register-based survival analysis [J].
Christiansen, Erik ;
Jensen, Borge Frank .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2007, 41 (03) :257-265
[6]   Physical illness and parasuicide: Evidence from the European Parasuicide Study Interview Schedule (EPSIS/WHO-EURO) [J].
de Leo, D ;
Scocco, P ;
Marietta, P ;
Schmidtke, A ;
Bille-Brahe, U ;
Kerkhof, AJFM ;
Lonnqvist, J ;
Crepet, P ;
Salander-Renberg, E ;
Wasserman, D ;
Michel, K ;
Bjerke, T .
INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE, 1999, 29 (02) :149-163
[7]  
Eurostat Statistics, SUIC DEATH RAT AGE G
[8]   Risk of Suicide Following Deliberate Self-poisoning [J].
Finkelstein, Yaron ;
Macdonald, Erin M. ;
Hollands, Simon ;
Sivilotti, Marco L. A. ;
Hutson, Janine R. ;
Mamdani, Muhammad M. ;
Koren, Gideon ;
Juurlink, David N. .
JAMA PSYCHIATRY, 2015, 72 (06) :570-575
[9]   Suicide Attempt in Young People A Signal for Long-term Health Care and Social Needs [J].
Goldman-Mellor, Sidra J. ;
Caspi, Avshalom ;
Harrington, HonaLee ;
Hogan, Sean ;
Nada-Raja, Shyamala ;
Poulton, Richie ;
Moffitt, Terrie E. .
JAMA PSYCHIATRY, 2014, 71 (02) :119-127
[10]   Suicide attempts in the United States: the role of physical illness [J].
Goodwin, RD ;
Marusic, A ;
Hoven, CW .
SOCIAL SCIENCE & MEDICINE, 2003, 56 (08) :1783-1788