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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004358naa a2200397 4500
001oai:lup.lub.lu.se:96990c3c-1a47-4b82-a612-006eda5b8ddc
003SwePub
008240110| | |||||||||||000 ||eng|
0247 a https://lup.lub.lu.se/record/96990c3c-1a47-4b82-a612-006eda5b8ddc2 URI
0247 a https://doi.org/10.1017/S00332917230035132 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
1001 a Edwards, Alexis C.u Virginia Commonwealth University4 aut0 (Swepub:lu)al7546ed
2451 0a Divorce and risk of suicide attempt : A Swedish national study
520 a Background Prior research has reported an association between divorce and suicide attempt. We aimed to clarify this complex relationship, considering sex differences, temporal factors, and underlying etiologic pathways. Methods We used Swedish longitudinal national registry data for a cohort born 1960-1990 that was registered as married between 1978 and 2018 (N = 1 601 075). We used Cox proportional hazards models to estimate the association between divorce and suicide attempt. To assess whether observed associations were attributable to familial confounders or potentially causal in nature, we conducted co-relative analyses. Results In the overall sample and in sex-stratified analyses, divorce was associated with increased risk of suicide attempt (adjusted hazard ratios [HRs] 1.66-1.77). Risk was highest in the year immediately following divorce (HRs 2.20-2.91) and declined thereafter, but remained elevated 5 or more years later (HRs 1.41-1.51). Divorcees from shorter marriages were at higher risk for suicide attempt than those from longer marriages (HRs 3.33-3.40 and 1.20-1.36, respectively). In general, HRs were higher for divorced females than for divorced males. Co-relative analyses suggested that familial confounders and a causal pathway contribute to the observed associations. Conclusions The association between divorce and risk of suicide attempt is complex, varying as a function of sex and time-related variables. Given evidence that the observed association is due in part to a causal pathway from divorce to suicide attempt, intervention or prevention efforts, such as behavioral therapy, could be most effective early in the divorce process, and in particular among females and those whose marriages were of short duration.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
653 a divorce
653 a familial confounding
653 a suicide attempt
653 a survival model
7001 a Ohlsson, Henriku Lund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups4 aut0 (Swepub:lu)med-heo
7001 a Salvatore, Jessica E.u Rutgers Robert Wood Johnson Medical School4 aut
7001 a Stephenson, Mallory E.u Virginia Commonwealth University4 aut
7001 a Crump, Caseyu Icahn School of Medicine at Mount Sinai4 aut0 (Swepub:lu)med-ccr
7001 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
7001 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
7001 a Kendler, Kenneth S.u Virginia Commonwealth University4 aut
7102 a Virginia Commonwealth Universityb Allmänmedicin och klinisk epidemiologi4 org
7730 t Psychological Medicinex 0033-2917
8564 u http://dx.doi.org/10.1017/S0033291723003513x freey FULLTEXT
8564 8u https://lup.lub.lu.se/record/96990c3c-1a47-4b82-a612-006eda5b8ddc
8564 8u https://doi.org/10.1017/S0033291723003513

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