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Risk for attempted suicide in children and youths after contact with somatic hospitals

A Danish register based nested case–control study

Bibliographic Data

ID11174475
AuthorsErik Christiansen (0000-0003-3562-9506, Odense University Hospital, corresponding author), Elsebeth Stenager (0000-0002-4752-3648, University of Southern Denmark)
Year2012
Volume66
Issue3
Pages247-253
Publication date2012-03-01
Open AccessNo
TypeARTICLE
VenueJournal of Epidemiology and Community Health (JOURNAL)
Journal identifiersISSN: 0143-005X • E-ISSN: 1470-2738
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/jech.2009.103887
PMID20947873
OpenAlexW2161529572
LanguageEN
Citations received2
References cited26

BACKGROUND: A range of studies have found an association between some somatic diseases and increased risk of suicide and attempted suicide. These studies are mostly analyses of adult populations and illnesses related to adulthood. OBJECTIVES: To study the risk of attempted suicide in children and youths with a somatic diagnosis, and to assess a possible association from a somatic perspective. METHODS: From a cohort of 403 431 individuals (born 1983-89), 3465 children and youths who had attempted suicide were identified. Each case was matched with 20 population controls. 72 765 children and youths constituted the case-control population. All data were obtained from national population registers and analysed in a nested case-control design. RESULTS: Contact of children and youths with a somatic hospital is correlated with increased risk of attempted suicide; the risk peaks in the time immediately after contact. Risk factors were treatment for injury caused by violence, epilepsy, asthma and malformation for males; and spontaneous and medical abortions, treatment for injury caused by violence, epilepsy, asthma, insulin dependent diabetes mellitus and malformation for females. Not all the mentioned diagnoses were significant in the adjusted model. CONCLUSIONS: Based on the results of the study a strategy to minimise the risk of attempted suicide among children and youths must be implemented. The strategy should mainly focus on children at high risk-that is, children from families with low socioeconomic status, and children with a psychiatric history, a history of previous suicide attempts and with an unstable somatic disease subsequently causing many admissions

Case-control study · Danish · Nested case-control study · Register (sociolinguistics) · Sociology · Demography · Gun Ownership and Violence Research · Homicide, Infanticide, and Child Abuse · Medicine · Psychology · Suicide and Self-Harm Studies

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Citations per year0.14
Citation span2012 - 2017 (6)
Highly citedNo

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