Major Physical Health Conditions and Risk of Suicide
Introduction Most individuals make healthcare visits before suicide, but many do not have a diagnosed mental health condition. This study seeks to investigate suicide risk among patients with a range of physical health conditions in a U.S. general population sample and whether risk persists after ad...
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| Veröffentlicht in: | American journal of preventive medicine 2017-09, Vol.53 (3), p.308-315 |
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| creator | Ahmedani, Brian K., PhD, LMSW Peterson, Edward L., PhD Hu, Yong, MA Rossom, Rebecca C., MD, MSCR Lynch, Frances, PhD Lu, Christine Y., PhD Waitzfelder, Beth E., PhD Owen-Smith, Ashli A., PhD Hubley, Samuel, PhD Prabhakar, Deepak, MD, MPH Williams, L. Keoki, MD, MPH Zeld, Nicole, BA Mutter, Elizabeth, BA Beck, Arne, PhD Tolsma, Dennis, MPH Simon, Gregory E., MD, MPH |
| description | Introduction Most individuals make healthcare visits before suicide, but many do not have a diagnosed mental health condition. This study seeks to investigate suicide risk among patients with a range of physical health conditions in a U.S. general population sample and whether risk persists after adjustment for mental health and substance use diagnoses. Methods This study included 2,674 individuals who died by suicide between 2000 and 2013 along with 267,400 controls matched on year and location in a case–control study conducted in 2016 across eight Mental Health Research Network healthcare systems. A total of 19 physical health conditions were identified using diagnostic codes within the healthcare systems’ Virtual Data Warehouse, including electronic health record and insurance claims data, during the year before index date. Results Seventeen physical health conditions were associated with increased suicide risk after adjustment for age and sex ( p< 0.001); nine associations persisted after additional adjustment for mental health and substance use diagnoses. Three conditions had a more than twofold increased suicide risk: traumatic brain injury (AOR=8.80, p |
| doi_str_mv | 10.1016/j.amepre.2017.04.001 |
| format | Article |
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Keoki, MD, MPH ; Zeld, Nicole, BA ; Mutter, Elizabeth, BA ; Beck, Arne, PhD ; Tolsma, Dennis, MPH ; Simon, Gregory E., MD, MPH</creator><creatorcontrib>Ahmedani, Brian K., PhD, LMSW ; Peterson, Edward L., PhD ; Hu, Yong, MA ; Rossom, Rebecca C., MD, MSCR ; Lynch, Frances, PhD ; Lu, Christine Y., PhD ; Waitzfelder, Beth E., PhD ; Owen-Smith, Ashli A., PhD ; Hubley, Samuel, PhD ; Prabhakar, Deepak, MD, MPH ; Williams, L. Keoki, MD, MPH ; Zeld, Nicole, BA ; Mutter, Elizabeth, BA ; Beck, Arne, PhD ; Tolsma, Dennis, MPH ; Simon, Gregory E., MD, MPH</creatorcontrib><description>Introduction Most individuals make healthcare visits before suicide, but many do not have a diagnosed mental health condition. This study seeks to investigate suicide risk among patients with a range of physical health conditions in a U.S. general population sample and whether risk persists after adjustment for mental health and substance use diagnoses. Methods This study included 2,674 individuals who died by suicide between 2000 and 2013 along with 267,400 controls matched on year and location in a case–control study conducted in 2016 across eight Mental Health Research Network healthcare systems. A total of 19 physical health conditions were identified using diagnostic codes within the healthcare systems’ Virtual Data Warehouse, including electronic health record and insurance claims data, during the year before index date. Results Seventeen physical health conditions were associated with increased suicide risk after adjustment for age and sex ( p< 0.001); nine associations persisted after additional adjustment for mental health and substance use diagnoses. Three conditions had a more than twofold increased suicide risk: traumatic brain injury (AOR=8.80, p <0.001); sleep disorders; and HIV/AIDS. Multimorbidity was present in 38% of cases versus 15.5% of controls, and represented nearly a twofold increased risk for suicide. Conclusions Although several individual conditions, for example, traumatic brain injury, were associated with high risk of suicide, nearly all physical health conditions increased suicide risk, even after adjustment for potential confounders. In addition, having multiple physical health conditions increased suicide risk substantially. These data support suicide prevention based on the overall burden of physical health.</description><identifier>ISSN: 0749-3797</identifier><identifier>EISSN: 1873-2607</identifier><identifier>DOI: 10.1016/j.amepre.2017.04.001</identifier><identifier>PMID: 28619532</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject><![CDATA[Acquired immune deficiency syndrome ; Adjustment ; Adolescent ; Adult ; Aged ; AIDS ; Case-Control Studies ; Chronic illnesses ; Disease - psychology ; Drug abuse ; Female ; Health care industry ; Health insurance ; Health psychology ; Health Services Research - statistics & numerical data ; Health status ; High risk ; HIV ; Human immunodeficiency virus ; Humans ; Injuries ; Internal Medicine ; Male ; Medical research ; Mental Disorders - diagnosis ; Mental Disorders - psychology ; Mental health ; Mental Health - statistics & numerical data ; Middle Aged ; Prevention programs ; Preventive Health Services - statistics & numerical data ; Preventive Health Services - trends ; Primary Health Care - methods ; Risk Factors ; Sleep disorders ; Socioeconomic Factors ; Substance abuse ; Substance-Related Disorders - diagnosis ; Substance-Related Disorders - psychology ; Suicide ; Suicide - prevention & control ; Suicide - psychology ; Suicide - statistics & numerical data ; Suicide prevention ; Suicides & suicide attempts ; Traumatic brain injury ; United States ; Young Adult]]></subject><ispartof>American journal of preventive medicine, 2017-09, Vol.53 (3), p.308-315</ispartof><rights>American Journal of Preventive Medicine</rights><rights>2017 American Journal of Preventive Medicine</rights><rights>Copyright © 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Sep 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c612t-a2767ee895947735f7d3629481b8b39847ca4df9ebe1a0757019beca0e757eb63</citedby><cites>FETCH-LOGICAL-c612t-a2767ee895947735f7d3629481b8b39847ca4df9ebe1a0757019beca0e757eb63</cites><orcidid>0000-0002-0685-0618 ; 0000-0003-4237-162X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0749379717302222$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,30976,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28619532$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ahmedani, Brian K., PhD, LMSW</creatorcontrib><creatorcontrib>Peterson, Edward L., PhD</creatorcontrib><creatorcontrib>Hu, Yong, MA</creatorcontrib><creatorcontrib>Rossom, Rebecca C., MD, MSCR</creatorcontrib><creatorcontrib>Lynch, Frances, PhD</creatorcontrib><creatorcontrib>Lu, Christine Y., PhD</creatorcontrib><creatorcontrib>Waitzfelder, Beth E., PhD</creatorcontrib><creatorcontrib>Owen-Smith, Ashli A., PhD</creatorcontrib><creatorcontrib>Hubley, Samuel, PhD</creatorcontrib><creatorcontrib>Prabhakar, Deepak, MD, MPH</creatorcontrib><creatorcontrib>Williams, L. Keoki, MD, MPH</creatorcontrib><creatorcontrib>Zeld, Nicole, BA</creatorcontrib><creatorcontrib>Mutter, Elizabeth, BA</creatorcontrib><creatorcontrib>Beck, Arne, PhD</creatorcontrib><creatorcontrib>Tolsma, Dennis, MPH</creatorcontrib><creatorcontrib>Simon, Gregory E., MD, MPH</creatorcontrib><title>Major Physical Health Conditions and Risk of Suicide</title><title>American journal of preventive medicine</title><addtitle>Am J Prev Med</addtitle><description>Introduction Most individuals make healthcare visits before suicide, but many do not have a diagnosed mental health condition. This study seeks to investigate suicide risk among patients with a range of physical health conditions in a U.S. general population sample and whether risk persists after adjustment for mental health and substance use diagnoses. Methods This study included 2,674 individuals who died by suicide between 2000 and 2013 along with 267,400 controls matched on year and location in a case–control study conducted in 2016 across eight Mental Health Research Network healthcare systems. A total of 19 physical health conditions were identified using diagnostic codes within the healthcare systems’ Virtual Data Warehouse, including electronic health record and insurance claims data, during the year before index date. Results Seventeen physical health conditions were associated with increased suicide risk after adjustment for age and sex ( p< 0.001); nine associations persisted after additional adjustment for mental health and substance use diagnoses. Three conditions had a more than twofold increased suicide risk: traumatic brain injury (AOR=8.80, p <0.001); sleep disorders; and HIV/AIDS. Multimorbidity was present in 38% of cases versus 15.5% of controls, and represented nearly a twofold increased risk for suicide. Conclusions Although several individual conditions, for example, traumatic brain injury, were associated with high risk of suicide, nearly all physical health conditions increased suicide risk, even after adjustment for potential confounders. In addition, having multiple physical health conditions increased suicide risk substantially. These data support suicide prevention based on the overall burden of physical health.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adjustment</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>AIDS</subject><subject>Case-Control Studies</subject><subject>Chronic illnesses</subject><subject>Disease - psychology</subject><subject>Drug abuse</subject><subject>Female</subject><subject>Health care industry</subject><subject>Health insurance</subject><subject>Health psychology</subject><subject>Health Services Research - statistics & numerical data</subject><subject>Health status</subject><subject>High risk</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Injuries</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical research</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - psychology</subject><subject>Mental health</subject><subject>Mental Health - statistics & numerical data</subject><subject>Middle Aged</subject><subject>Prevention programs</subject><subject>Preventive Health Services - statistics & numerical data</subject><subject>Preventive Health Services - trends</subject><subject>Primary Health Care - methods</subject><subject>Risk Factors</subject><subject>Sleep disorders</subject><subject>Socioeconomic Factors</subject><subject>Substance abuse</subject><subject>Substance-Related Disorders - diagnosis</subject><subject>Substance-Related Disorders - psychology</subject><subject>Suicide</subject><subject>Suicide - prevention & control</subject><subject>Suicide - psychology</subject><subject>Suicide - statistics & numerical data</subject><subject>Suicide prevention</subject><subject>Suicides & suicide attempts</subject><subject>Traumatic brain injury</subject><subject>United States</subject><subject>Young Adult</subject><issn>0749-3797</issn><issn>1873-2607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFUk1v1DAQtRCIbgv_AKFIXLgk-Cue-IKEVtAiFYEonC3HmbDeZuPFTirtv8fRlgV6YS4eye89-80bQl4wWjHK1JttZXe4j1hxyqCisqKUPSIr1oAouaLwmKwoSF0K0HBGzlPaUkqhYfopOeONYroWfEXkJ7sNsfiyOSTv7FBcoR2mTbEOY-cnH8ZU2LErvvp0W4S-uJm98x0-I096OyR8fn9ekO8f3n9bX5XXny8_rt9dl04xPpWWgwLERtdaAoi6h04ormXD2qYVupHgrOx6jS0yS6EGynSLzlLMPbZKXJC3R9393O6wczhO0Q5mH_3OxoMJ1pt_b0a_MT_Cnalr3YCqs8Dre4EYfs6YJrPzyeEw2BHDnAzTjILmCkSGvnoA3YY5jtmeyQOWQlCuFpQ8olwMKUXsT59h1CyxmK05xrKwwFBpciyZ9vJvIyfS7xz-OMU8zjuP0STncXTY-YhuMl3w_3vhoYAb_LhEeosHTCcvzCRuqLlZVmPZDAbZWC7xC8CSs4I</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>Ahmedani, Brian K., PhD, LMSW</creator><creator>Peterson, Edward L., PhD</creator><creator>Hu, Yong, MA</creator><creator>Rossom, Rebecca C., MD, MSCR</creator><creator>Lynch, Frances, PhD</creator><creator>Lu, Christine Y., PhD</creator><creator>Waitzfelder, Beth E., PhD</creator><creator>Owen-Smith, Ashli A., PhD</creator><creator>Hubley, Samuel, PhD</creator><creator>Prabhakar, Deepak, MD, MPH</creator><creator>Williams, L. Keoki, MD, MPH</creator><creator>Zeld, Nicole, BA</creator><creator>Mutter, Elizabeth, BA</creator><creator>Beck, Arne, PhD</creator><creator>Tolsma, Dennis, MPH</creator><creator>Simon, Gregory E., MD, MPH</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><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>7QJ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0685-0618</orcidid><orcidid>https://orcid.org/0000-0003-4237-162X</orcidid></search><sort><creationdate>20170901</creationdate><title>Major Physical Health Conditions and Risk of Suicide</title><author>Ahmedani, Brian K., PhD, LMSW ; Peterson, Edward L., PhD ; Hu, Yong, MA ; Rossom, Rebecca C., MD, MSCR ; Lynch, Frances, PhD ; Lu, Christine Y., PhD ; Waitzfelder, Beth E., PhD ; Owen-Smith, Ashli A., PhD ; Hubley, Samuel, PhD ; Prabhakar, Deepak, MD, MPH ; Williams, L. Keoki, MD, MPH ; Zeld, Nicole, BA ; Mutter, Elizabeth, BA ; Beck, Arne, PhD ; Tolsma, Dennis, MPH ; Simon, Gregory E., MD, MPH</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c612t-a2767ee895947735f7d3629481b8b39847ca4df9ebe1a0757019beca0e757eb63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adjustment</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>AIDS</topic><topic>Case-Control Studies</topic><topic>Chronic illnesses</topic><topic>Disease - psychology</topic><topic>Drug abuse</topic><topic>Female</topic><topic>Health care industry</topic><topic>Health insurance</topic><topic>Health psychology</topic><topic>Health Services Research - statistics & numerical data</topic><topic>Health status</topic><topic>High risk</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Injuries</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical research</topic><topic>Mental Disorders - diagnosis</topic><topic>Mental Disorders - psychology</topic><topic>Mental health</topic><topic>Mental Health - statistics & numerical data</topic><topic>Middle Aged</topic><topic>Prevention programs</topic><topic>Preventive Health Services - statistics & numerical data</topic><topic>Preventive Health Services - trends</topic><topic>Primary Health Care - methods</topic><topic>Risk Factors</topic><topic>Sleep disorders</topic><topic>Socioeconomic Factors</topic><topic>Substance abuse</topic><topic>Substance-Related Disorders - diagnosis</topic><topic>Substance-Related Disorders - psychology</topic><topic>Suicide</topic><topic>Suicide - prevention & control</topic><topic>Suicide - psychology</topic><topic>Suicide - statistics & numerical data</topic><topic>Suicide prevention</topic><topic>Suicides & suicide attempts</topic><topic>Traumatic brain injury</topic><topic>United States</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahmedani, Brian K., PhD, LMSW</creatorcontrib><creatorcontrib>Peterson, Edward L., PhD</creatorcontrib><creatorcontrib>Hu, Yong, MA</creatorcontrib><creatorcontrib>Rossom, Rebecca C., MD, MSCR</creatorcontrib><creatorcontrib>Lynch, Frances, PhD</creatorcontrib><creatorcontrib>Lu, Christine Y., PhD</creatorcontrib><creatorcontrib>Waitzfelder, Beth E., PhD</creatorcontrib><creatorcontrib>Owen-Smith, Ashli A., PhD</creatorcontrib><creatorcontrib>Hubley, Samuel, PhD</creatorcontrib><creatorcontrib>Prabhakar, Deepak, MD, MPH</creatorcontrib><creatorcontrib>Williams, L. Keoki, MD, MPH</creatorcontrib><creatorcontrib>Zeld, Nicole, BA</creatorcontrib><creatorcontrib>Mutter, Elizabeth, BA</creatorcontrib><creatorcontrib>Beck, Arne, PhD</creatorcontrib><creatorcontrib>Tolsma, Dennis, MPH</creatorcontrib><creatorcontrib>Simon, Gregory E., MD, MPH</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of preventive medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahmedani, Brian K., PhD, LMSW</au><au>Peterson, Edward L., PhD</au><au>Hu, Yong, MA</au><au>Rossom, Rebecca C., MD, MSCR</au><au>Lynch, Frances, PhD</au><au>Lu, Christine Y., PhD</au><au>Waitzfelder, Beth E., PhD</au><au>Owen-Smith, Ashli A., PhD</au><au>Hubley, Samuel, PhD</au><au>Prabhakar, Deepak, MD, MPH</au><au>Williams, L. Keoki, MD, MPH</au><au>Zeld, Nicole, BA</au><au>Mutter, Elizabeth, BA</au><au>Beck, Arne, PhD</au><au>Tolsma, Dennis, MPH</au><au>Simon, Gregory E., MD, MPH</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Major Physical Health Conditions and Risk of Suicide</atitle><jtitle>American journal of preventive medicine</jtitle><addtitle>Am J Prev Med</addtitle><date>2017-09-01</date><risdate>2017</risdate><volume>53</volume><issue>3</issue><spage>308</spage><epage>315</epage><pages>308-315</pages><issn>0749-3797</issn><eissn>1873-2607</eissn><abstract>Introduction Most individuals make healthcare visits before suicide, but many do not have a diagnosed mental health condition. This study seeks to investigate suicide risk among patients with a range of physical health conditions in a U.S. general population sample and whether risk persists after adjustment for mental health and substance use diagnoses. Methods This study included 2,674 individuals who died by suicide between 2000 and 2013 along with 267,400 controls matched on year and location in a case–control study conducted in 2016 across eight Mental Health Research Network healthcare systems. A total of 19 physical health conditions were identified using diagnostic codes within the healthcare systems’ Virtual Data Warehouse, including electronic health record and insurance claims data, during the year before index date. Results Seventeen physical health conditions were associated with increased suicide risk after adjustment for age and sex ( p< 0.001); nine associations persisted after additional adjustment for mental health and substance use diagnoses. Three conditions had a more than twofold increased suicide risk: traumatic brain injury (AOR=8.80, p <0.001); sleep disorders; and HIV/AIDS. Multimorbidity was present in 38% of cases versus 15.5% of controls, and represented nearly a twofold increased risk for suicide. Conclusions Although several individual conditions, for example, traumatic brain injury, were associated with high risk of suicide, nearly all physical health conditions increased suicide risk, even after adjustment for potential confounders. In addition, having multiple physical health conditions increased suicide risk substantially. These data support suicide prevention based on the overall burden of physical health.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>28619532</pmid><doi>10.1016/j.amepre.2017.04.001</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-0685-0618</orcidid><orcidid>https://orcid.org/0000-0003-4237-162X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of preventive medicine, 2017-09, Vol.53 (3), p.308-315 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Acquired immune deficiency syndrome Adjustment Adolescent Adult Aged AIDS Case-Control Studies Chronic illnesses Disease - psychology Drug abuse Female Health care industry Health insurance Health psychology Health Services Research - statistics & numerical data Health status High risk HIV Human immunodeficiency virus Humans Injuries Internal Medicine Male Medical research Mental Disorders - diagnosis Mental Disorders - psychology Mental health Mental Health - statistics & numerical data Middle Aged Prevention programs Preventive Health Services - statistics & numerical data Preventive Health Services - trends Primary Health Care - methods Risk Factors Sleep disorders Socioeconomic Factors Substance abuse Substance-Related Disorders - diagnosis Substance-Related Disorders - psychology Suicide Suicide - prevention & control Suicide - psychology Suicide - statistics & numerical data Suicide prevention Suicides & suicide attempts Traumatic brain injury United States Young Adult |
| title | Major Physical Health Conditions and Risk of Suicide |
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