Suicide risk and suicide method in patients with personality disorders

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Björkenstam, CharlotteStockholms universitet,Sociologiska institutionen,Karolinska Institutet, Sweden; University of California, USA (författare)

Suicide risk and suicide method in patients with personality disorders

Artikel/kapitelEngelska2016

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Elsevier BV,2016
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LIBRIS-ID:oai:DiVA.org:uu-312057
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-312057URI
https://doi.org/10.1016/j.jpsychires.2016.08.008DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-137599URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:134717095URI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:art swepub-publicationtype

Anmärkningar

Objective: The influence of psychopathology on suicide method has revealed different distributions among different psychiatric disorders. However, evidence is still scarce. We hypothesized that having a diagnosis of personality disorder (PD) affect the suicide method, and that different PD clusters would influence the suicide method in different ways. In addition, we hypothesized that the presence of psychiatric and somatic co-morbidity also affects the suicide method. Method: We examined 25,217 individuals aged 15-64 who had been hospitalized in Sweden with a main diagnosis of PD the years 1987-2013 (N = 25,217). The patients were followed from the date of first discharge until death or until the end of the follow-up period, i.e. December 31, 2013, for a total of 323,508.8 person-years, with a mean follow up time of 11.7 years. The SMR, i.e. the ratio between the observed number of suicides and the expected number of suicides, was used as a measure of risk. Results: Overall PD, different PD-clusters, and comorbidity influenced the suicide method. Hanging evidenced highest SMR in female PD patients (SMR 34.2 (95% CI: 29.3-39.8)), as compared to non-PD patients and jumping among male PD patients (SMR 24.8 (95% CI: 18.3-33.6)), as compared to non PD-patients. Furthermore, the elevated suicide risk was related to both psychiatric and somatic comorbidity. Conclusion: The increased suicide risk was unevenly distributed with respect to suicide method and type of PD. However, these differences were only moderate and greatly overshadowed by the overall excess suicide risk in having PD. Any attempt from society to decrease the suicide rate in persons with PD must take these characteristics into account.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
Personality disorder
Suicide
Suicide method
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Sweden

Biuppslag (personer, institutioner, konferenser, titlar ...)

Ekselius, LisaUppsala universitet,Psykiatri, Akademiska sjukhuset(Swepub:uu)lisaekse (författare)
Berlin, MarieStockholms universitet,Institutionen för socialt arbete - Socialhögskolan,National Board of Health and Welfare, Sweden(Swepub:su)mabe6230 (författare)
Gerdin, BengtUppsala universitet,Plastikkirurgi(Swepub:uu)bengtgd (författare)
Björkenstam, EmmaKarolinska Institutet (författare)
Stockholms universitetSociologiska institutionen (creator_code:org_t)

Sammanhörande titlar

Ingår i:Journal of Psychiatric Research: Elsevier BV83, s. 29-360022-39561879-1379

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Av författaren/redakt...: Björkenstam, Cha ...; Ekselius, Lisa; Berlin, Marie; Gerdin, Bengt; Björkenstam, Emm ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Psykiatri

Artiklar i publikationen: Journal of Psych ...

Av lärosätet: Uppsala universitet; Stockholms universitet; Karolinska Institutet

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