Suicides by drug poisoning among the elderly in Sweden 1969-1996
Previous studies have shown an association between the rates of suicide employing certain types of medications and the availability of those drugs. During recent years, prescription patterns of psychoactive drugs commonly used in suicides have undergone some major changes. This study examines whethe...
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| Veröffentlicht in: | Social Psychiatry and Psychiatric Epidemiology 1999-11, Vol.34 (11), p.609-614 |
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| container_title | Social Psychiatry and Psychiatric Epidemiology |
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| creator | CARLSTEN, A WAERN, M ALLEBECK, P |
| description | Previous studies have shown an association between the rates of suicide employing certain types of medications and the availability of those drugs. During recent years, prescription patterns of psychoactive drugs commonly used in suicides have undergone some major changes. This study examines whether altered prescription patterns are associated with changes in the rates of drug-related suicides in the elderly.
An ecological study was performed, in which rates of suicide by drug poisoning were related to prescription sales of different psychotropic drugs, derived from the National Prescription Survey (1987-1996).
Benzodiazepines were the dominant drug type used by elderly persons who committed suicide by drug poisoning. Rates of suicide using benzodiazepines increased despite decreasing prescription sales. Decreasing tricyclic antidepressant sales and increasing SSRI (selective serotonin reuptake inhibitors) sales were paralleled by decreasing rates of suicides employing antidepressants. The fatality ratio (FR) decreased for the antidepressant group, increased for benzodiazepines and remained more or less unchanged for analgesics among the elderly during the study period.
Rates of suicide using benzodiazepines increased in the elderly despite decreasing prescription sales. Benzodiazepines should be prescribed restrictively to this age group. |
| doi_str_mv | 10.1007/s001270050182 |
| format | Article |
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An ecological study was performed, in which rates of suicide by drug poisoning were related to prescription sales of different psychotropic drugs, derived from the National Prescription Survey (1987-1996).
Benzodiazepines were the dominant drug type used by elderly persons who committed suicide by drug poisoning. Rates of suicide using benzodiazepines increased despite decreasing prescription sales. Decreasing tricyclic antidepressant sales and increasing SSRI (selective serotonin reuptake inhibitors) sales were paralleled by decreasing rates of suicides employing antidepressants. The fatality ratio (FR) decreased for the antidepressant group, increased for benzodiazepines and remained more or less unchanged for analgesics among the elderly during the study period.
Rates of suicide using benzodiazepines increased in the elderly despite decreasing prescription sales. Benzodiazepines should be prescribed restrictively to this age group.</description><identifier>ISSN: 0933-7954</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s001270050182</identifier><identifier>PMID: 10651180</identifier><identifier>CODEN: SPPEEM</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adolescent ; Adult ; Age groups ; Aged ; Analgesics ; Antidepressants ; Autopsies ; Benzodiazepines ; Biological and medical sciences ; Drug dosages ; Drug stores ; Fatalities ; Female ; Geriatrics ; Humans ; Male ; Medical sciences ; Middle Aged ; Pharmacy ; Poisoning ; Poisoning - epidemiology ; Prescription drugs ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotropic drugs ; Suicide - statistics & numerical data ; Suicides & suicide attempts ; Sweden - epidemiology</subject><ispartof>Social Psychiatry and Psychiatric Epidemiology, 1999-11, Vol.34 (11), p.609-614</ispartof><rights>2000 INIST-CNRS</rights><rights>Steinkopff Verlag 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c345t-8fbede11c05dc96c294cab315e47a8705c777dd2221a047dbbd76cd520c54e083</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1215576$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10651180$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CARLSTEN, A</creatorcontrib><creatorcontrib>WAERN, M</creatorcontrib><creatorcontrib>ALLEBECK, P</creatorcontrib><title>Suicides by drug poisoning among the elderly in Sweden 1969-1996</title><title>Social Psychiatry and Psychiatric Epidemiology</title><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><description>Previous studies have shown an association between the rates of suicide employing certain types of medications and the availability of those drugs. During recent years, prescription patterns of psychoactive drugs commonly used in suicides have undergone some major changes. This study examines whether altered prescription patterns are associated with changes in the rates of drug-related suicides in the elderly.
An ecological study was performed, in which rates of suicide by drug poisoning were related to prescription sales of different psychotropic drugs, derived from the National Prescription Survey (1987-1996).
Benzodiazepines were the dominant drug type used by elderly persons who committed suicide by drug poisoning. Rates of suicide using benzodiazepines increased despite decreasing prescription sales. Decreasing tricyclic antidepressant sales and increasing SSRI (selective serotonin reuptake inhibitors) sales were paralleled by decreasing rates of suicides employing antidepressants. The fatality ratio (FR) decreased for the antidepressant group, increased for benzodiazepines and remained more or less unchanged for analgesics among the elderly during the study period.
Rates of suicide using benzodiazepines increased in the elderly despite decreasing prescription sales. Benzodiazepines should be prescribed restrictively to this age group.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age groups</subject><subject>Aged</subject><subject>Analgesics</subject><subject>Antidepressants</subject><subject>Autopsies</subject><subject>Benzodiazepines</subject><subject>Biological and medical sciences</subject><subject>Drug dosages</subject><subject>Drug stores</subject><subject>Fatalities</subject><subject>Female</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pharmacy</subject><subject>Poisoning</subject><subject>Poisoning - epidemiology</subject><subject>Prescription drugs</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotropic drugs</subject><subject>Suicide - statistics & numerical data</subject><subject>Suicides & suicide attempts</subject><subject>Sweden - epidemiology</subject><issn>0933-7954</issn><issn>1433-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpVkE1LAzEQhoMotlaPXiWI19WZfGw2N6X4BQUP1fOSTbJ1y3a3Jl1K_72RFtTLzByeeV94CLlEuEUAdRcBkCkACViwIzJGwXmmWSGPyRh0upWWYkTOYlwCANeKn5IRQi4RCxiT-_nQ2Mb5SKsddWFY0HXfxL5rugU1qz7NzaenvnU-tDvadHS-9c53FHWuM9Q6PycntWmjvzjsCfl4enyfvmSzt-fX6cMss1zITVbUVfpDtCCd1bllWlhTcZReKFMokFYp5RxjDA0I5arKqdw6ycBK4aHgE3K9z12H_mvwcVMu-yF0qbJkPMdUwmSCsj1kQx9j8HW5Ds3KhF2JUP7oKv_pSvzVIXSoVt79ofd-EnBzAEy0pq2D6WwTfzmGUqqcfwM_S26W</recordid><startdate>19991101</startdate><enddate>19991101</enddate><creator>CARLSTEN, A</creator><creator>WAERN, M</creator><creator>ALLEBECK, P</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P5Z</scope><scope>P62</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>19991101</creationdate><title>Suicides by drug poisoning among the elderly in Sweden 1969-1996</title><author>CARLSTEN, A ; WAERN, M ; ALLEBECK, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c345t-8fbede11c05dc96c294cab315e47a8705c777dd2221a047dbbd76cd520c54e083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age groups</topic><topic>Aged</topic><topic>Analgesics</topic><topic>Antidepressants</topic><topic>Autopsies</topic><topic>Benzodiazepines</topic><topic>Biological and medical sciences</topic><topic>Drug dosages</topic><topic>Drug stores</topic><topic>Fatalities</topic><topic>Female</topic><topic>Geriatrics</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pharmacy</topic><topic>Poisoning</topic><topic>Poisoning - epidemiology</topic><topic>Prescription drugs</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. 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During recent years, prescription patterns of psychoactive drugs commonly used in suicides have undergone some major changes. This study examines whether altered prescription patterns are associated with changes in the rates of drug-related suicides in the elderly.
An ecological study was performed, in which rates of suicide by drug poisoning were related to prescription sales of different psychotropic drugs, derived from the National Prescription Survey (1987-1996).
Benzodiazepines were the dominant drug type used by elderly persons who committed suicide by drug poisoning. Rates of suicide using benzodiazepines increased despite decreasing prescription sales. Decreasing tricyclic antidepressant sales and increasing SSRI (selective serotonin reuptake inhibitors) sales were paralleled by decreasing rates of suicides employing antidepressants. The fatality ratio (FR) decreased for the antidepressant group, increased for benzodiazepines and remained more or less unchanged for analgesics among the elderly during the study period.
Rates of suicide using benzodiazepines increased in the elderly despite decreasing prescription sales. Benzodiazepines should be prescribed restrictively to this age group.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>10651180</pmid><doi>10.1007/s001270050182</doi><tpages>6</tpages></addata></record> |
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| ispartof | Social Psychiatry and Psychiatric Epidemiology, 1999-11, Vol.34 (11), p.609-614 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adolescent Adult Age groups Aged Analgesics Antidepressants Autopsies Benzodiazepines Biological and medical sciences Drug dosages Drug stores Fatalities Female Geriatrics Humans Male Medical sciences Middle Aged Pharmacy Poisoning Poisoning - epidemiology Prescription drugs Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotropic drugs Suicide - statistics & numerical data Suicides & suicide attempts Sweden - epidemiology |
| title | Suicides by drug poisoning among the elderly in Sweden 1969-1996 |
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