Suicides in Mood Disorders in Psychiatric Settings in Nordic National Register–Based Studies
OBJECTIVE: Although risk factors for nonfatal suicidal behavior in mood disorders have been vastly investigated, rate and risk factors of suicide deaths are less well known. Extensive health care and other population registers in the Nordic countries (Denmark, Finland, Iceland, Norway, and Sweden) a...
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ftpubmed:oai:pubmedcentral.nih.gov:7390882 2023-05-15T16:52:16+02:00 Suicides in Mood Disorders in Psychiatric Settings in Nordic National Register–Based Studies Isometsä, Erkki T. 2020-07-23 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7390882/ http://www.ncbi.nlm.nih.gov/pubmed/32848909 https://doi.org/10.3389/fpsyt.2020.00721 en eng Frontiers Media S.A. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7390882/ http://www.ncbi.nlm.nih.gov/pubmed/32848909 http://dx.doi.org/10.3389/fpsyt.2020.00721 Copyright © 2020 Isometsä http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. CC-BY Front Psychiatry Psychiatry Text 2020 ftpubmed https://doi.org/10.3389/fpsyt.2020.00721 2020-08-30T00:17:17Z OBJECTIVE: Although risk factors for nonfatal suicidal behavior in mood disorders have been vastly investigated, rate and risk factors of suicide deaths are less well known. Extensive health care and other population registers in the Nordic countries (Denmark, Finland, Iceland, Norway, and Sweden) allow national-level studies of suicide rates and risk factors. This systematic review examined Nordic studies of suicide in mood disorders. METHODS: National Nordic studies published after 1.1.2000 reporting on suicide mortality or relative risk in diagnosed unipolar depression or bipolar disorder treated in psychiatric settings; temporal variations in suicide risk after discharge, or risk factors for suicide were systematically reviewed. RESULTS: Altogether 16 longitudinal studies reported on rate and risk of suicide in depression. They found 2%–8% of psychiatric inpatients with depression to have died by suicide. However, in Finland suicide risk among depressive inpatients halved since the early 1990s. Nine studies investigated suicide risk in bipolar disorder, finding 4–8% of patients having died by suicide in long term. The relative risk of suicide was consistently found extremely high (SMR > 100) during the first weeks postdischarge, declining steeply over time to approximately SMR of five after five years. Male gender, preceding suicide attempts, high severity of depression and substance abuse were found risk factors for suicide in depression, with only minor gender differences in risk factors, but major differences in lethal methods. Three studies investigated risk factors for suicide in bipolar disorder, finding male gender, preceding suicide attempts, and depressive episodes and psychiatric comorbidity to be associated with risk. CONCLUSIONS: Overall, of psychiatric inpatients with depressive of bipolar disorders in the Nordic countries, 2%–8% have died by suicide in the last few decades, but current rates may be lower. Suicide risk is approximately similar or somewhat higher among patients with bipolar ... Text Iceland PubMed Central (PMC) Norway Frontiers in Psychiatry 11 |
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Psychiatry Isometsä, Erkki T. Suicides in Mood Disorders in Psychiatric Settings in Nordic National Register–Based Studies |
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Psychiatry |
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OBJECTIVE: Although risk factors for nonfatal suicidal behavior in mood disorders have been vastly investigated, rate and risk factors of suicide deaths are less well known. Extensive health care and other population registers in the Nordic countries (Denmark, Finland, Iceland, Norway, and Sweden) allow national-level studies of suicide rates and risk factors. This systematic review examined Nordic studies of suicide in mood disorders. METHODS: National Nordic studies published after 1.1.2000 reporting on suicide mortality or relative risk in diagnosed unipolar depression or bipolar disorder treated in psychiatric settings; temporal variations in suicide risk after discharge, or risk factors for suicide were systematically reviewed. RESULTS: Altogether 16 longitudinal studies reported on rate and risk of suicide in depression. They found 2%–8% of psychiatric inpatients with depression to have died by suicide. However, in Finland suicide risk among depressive inpatients halved since the early 1990s. Nine studies investigated suicide risk in bipolar disorder, finding 4–8% of patients having died by suicide in long term. The relative risk of suicide was consistently found extremely high (SMR > 100) during the first weeks postdischarge, declining steeply over time to approximately SMR of five after five years. Male gender, preceding suicide attempts, high severity of depression and substance abuse were found risk factors for suicide in depression, with only minor gender differences in risk factors, but major differences in lethal methods. Three studies investigated risk factors for suicide in bipolar disorder, finding male gender, preceding suicide attempts, and depressive episodes and psychiatric comorbidity to be associated with risk. CONCLUSIONS: Overall, of psychiatric inpatients with depressive of bipolar disorders in the Nordic countries, 2%–8% have died by suicide in the last few decades, but current rates may be lower. Suicide risk is approximately similar or somewhat higher among patients with bipolar ... |
format |
Text |
author |
Isometsä, Erkki T. |
author_facet |
Isometsä, Erkki T. |
author_sort |
Isometsä, Erkki T. |
title |
Suicides in Mood Disorders in Psychiatric Settings in Nordic National Register–Based Studies |
title_short |
Suicides in Mood Disorders in Psychiatric Settings in Nordic National Register–Based Studies |
title_full |
Suicides in Mood Disorders in Psychiatric Settings in Nordic National Register–Based Studies |
title_fullStr |
Suicides in Mood Disorders in Psychiatric Settings in Nordic National Register–Based Studies |
title_full_unstemmed |
Suicides in Mood Disorders in Psychiatric Settings in Nordic National Register–Based Studies |
title_sort |
suicides in mood disorders in psychiatric settings in nordic national register–based studies |
publisher |
Frontiers Media S.A. |
publishDate |
2020 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7390882/ http://www.ncbi.nlm.nih.gov/pubmed/32848909 https://doi.org/10.3389/fpsyt.2020.00721 |
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Norway |
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Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Front Psychiatry |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7390882/ http://www.ncbi.nlm.nih.gov/pubmed/32848909 http://dx.doi.org/10.3389/fpsyt.2020.00721 |
op_rights |
Copyright © 2020 Isometsä http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.3389/fpsyt.2020.00721 |
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Frontiers in Psychiatry |
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11 |
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