Health care utilization prior to suicide in adults with drug use disorders

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Crump, CaseyIcahn School of Medicine at Mount Sinai (författare)

Health care utilization prior to suicide in adults with drug use disorders

Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

Elsevier BV,2021
7 s.

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LIBRIS-ID:oai:lup.lub.lu.se:6f84e0a0-3b17-49f9-a27d-bb2bdaf38cef
https://lup.lub.lu.se/record/6f84e0a0-3b17-49f9-a27d-bb2bdaf38cefURI
https://doi.org/10.1016/j.jpsychires.2021.01.035DOI

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Språk:engelska
Sammanfattning på:engelska

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Anmärkningar

Drug use disorders (DUD) are associated with psychiatric illness and increased risks of suicide. We examined health care utilization prior to suicide in adults with DUD, which may reveal opportunities to prevent suicide in this high-risk population. A national cohort study was conducted of all 6,947,191 adults in Sweden, including 166,682 (2.4%) with DUD, who were followed up for suicide during 2002–2015. A nested case-control design examined health care utilization among persons with DUD who died by suicide and 10:1 age- and sex-matched controls from the general population. In 86.7 million person-years of follow-up, 15,662 (0.2%) persons died by suicide, including 1946 (1.2%) persons with DUD. Unadjusted and adjusted relative risks of suicide associated with DUD were 11.03 (95% CI, 10.62–11.46) and 2.84 (2.68–3.00), respectively. 30.4% and 52.3% of DUD cases who died by suicide had a health care encounter within 2 weeks or 3 months before the index date, respectively, compared with 5.9% and 24.3% of controls (unadjusted prevalence ratio and difference, <2 weeks: 5.20 [95% CI, 4.76–5.67] and 24.6 percentage points [22.5–26.6]; <3 months: 2.15 [2.05–2.26] and 27.9 [25.6–30.2]). However, after adjusting for psychiatric comorbidities, these differences were much attenuated. Among DUD cases, 72.5% of last encounters within 2 weeks before suicide were in outpatient clinics, mostly for non-psychiatric diagnoses. In this large national cohort, suicide among adults with DUD was often shortly preceded by outpatient clinic encounters. Clinical encounters in these settings are important opportunities to identify suicidality and intervene accordingly in patients with DUD.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
Drug abuse
Health care utilization
Substance-related disorders
Suicide

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

Kendler, Kenneth S.Virginia Commonwealth University(Swepub:lu)med-kek (författare)
Sundquist, JanLund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups,Icahn School of Medicine at Mount Sinai(Swepub:lu)med-jsu (författare)
Edwards, Alexis C.Virginia Commonwealth University(Swepub:lu)al7546ed (författare)
Sundquist, KristinaLund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups,Icahn School of Medicine at Mount Sinai(Swepub:lu)med-ksq (författare)
Icahn School of Medicine at Mount SinaiVirginia Commonwealth University (creator_code:org_t)

Sammanhörande titlar

Ingår i:Journal of Psychiatric Research: Elsevier BV135, s. 230-2360022-3956

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Av författaren/redakt...: Crump, Casey; Kendler, Kenneth ...; Sundquist, Jan; Edwards, Alexis ...; Sundquist, Krist ...

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

Artiklar i publikationen: Journal of Psych ...

Av lärosätet: Lunds universitet

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