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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004026naa a2200397 4500
001oai:lup.lub.lu.se:6f84e0a0-3b17-49f9-a27d-bb2bdaf38cef
003SwePub
008211223s2021 | |||||||||||000 ||eng|
024a https://lup.lub.lu.se/record/6f84e0a0-3b17-49f9-a27d-bb2bdaf38cef2 URI
024a https://doi.org/10.1016/j.jpsychires.2021.01.0352 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Crump, Caseyu Icahn School of Medicine at Mount Sinai4 aut0 (Swepub:lu)med-ccr
2451 0a Health care utilization prior to suicide in adults with drug use disorders
264 1b 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 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Psykiatri0 (SwePub)302152 hsv//swe
650 7a 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
700a Kendler, Kenneth S.u Virginia Commonwealth University4 aut0 (Swepub:lu)med-kek
700a 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
700a Edwards, Alexis C.u Virginia Commonwealth University4 aut0 (Swepub:lu)al7546ed
700a 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
710a Icahn School of Medicine at Mount Sinaib Virginia Commonwealth University4 org
773t Journal of Psychiatric Researchd : Elsevier BVg 135, s. 230-236q 135<230-236x 0022-3956
856u http://dx.doi.org/10.1016/j.jpsychires.2021.01.035y FULLTEXT
856u https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914179
8564 8u https://lup.lub.lu.se/record/6f84e0a0-3b17-49f9-a27d-bb2bdaf38cef
8564 8u https://doi.org/10.1016/j.jpsychires.2021.01.035

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