Sökning: WFRF:(Crump Casey) > Health care utiliza...
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000 | 04026naa a2200397 4500 | |
001 | oai:lup.lub.lu.se:6f84e0a0-3b17-49f9-a27d-bb2bdaf38cef | |
003 | SwePub | |
008 | 211223s2021 | |||||||||||000 ||eng| | |
024 | 7 | a https://lup.lub.lu.se/record/6f84e0a0-3b17-49f9-a27d-bb2bdaf38cef2 URI |
024 | 7 | a https://doi.org/10.1016/j.jpsychires.2021.01.0352 DOI |
040 | a (SwePub)lu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a art2 swepub-publicationtype |
072 | 7 | a ref2 swepub-contenttype |
100 | 1 | a Crump, Caseyu Icahn School of Medicine at Mount Sinai4 aut0 (Swepub:lu)med-ccr |
245 | 1 0 | a Health care utilization prior to suicide in adults with drug use disorders |
264 | 1 | b Elsevier BV,c 2021 |
300 | a 7 s. | |
520 | a 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. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Psykiatri0 (SwePub)302152 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Psychiatry0 (SwePub)302152 hsv//eng |
653 | a Drug abuse | |
653 | a Health care utilization | |
653 | a Substance-related disorders | |
653 | a Suicide | |
700 | 1 | a Kendler, Kenneth S.u Virginia Commonwealth University4 aut0 (Swepub:lu)med-kek |
700 | 1 | a Sundquist, Janu Lund 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 Sinai4 aut0 (Swepub:lu)med-jsu |
700 | 1 | a Edwards, Alexis C.u Virginia Commonwealth University4 aut0 (Swepub:lu)al7546ed |
700 | 1 | a Sundquist, Kristinau Lund 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 Sinai4 aut0 (Swepub:lu)med-ksq |
710 | 2 | a Icahn School of Medicine at Mount Sinaib Virginia Commonwealth University4 org |
773 | 0 | t Journal of Psychiatric Researchd : Elsevier BVg 135, s. 230-236q 135<230-236x 0022-3956 |
856 | 4 | u http://dx.doi.org/10.1016/j.jpsychires.2021.01.035y FULLTEXT |
856 | 4 | u https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914179 |
856 | 4 8 | u https://lup.lub.lu.se/record/6f84e0a0-3b17-49f9-a27d-bb2bdaf38cef |
856 | 4 8 | u https://doi.org/10.1016/j.jpsychires.2021.01.035 |
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