Characteristics associated with later self-harm hospitalization and/or suicide: A follow-up study of the HUNT-2 cohort, Norway
| Autor: | Eystein Stordal, John Olav Roaldset, Ottar Bjerkeset, Wibeke Stuen Leira, Solveig Merete Klæbo Reitan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Population Medisinske Fag: 700::Klinisk medisinske fag: 750::Psykiatri barnepsykiatri: 757 [VDP] 03 medical and health sciences Young Adult 0302 clinical medicine Risk Factors Medicine Humans Young adult education Depression (differential diagnoses) education.field_of_study business.industry Norway Case-control study 030227 psychiatry Hospitalization Psychiatry and Mental health Clinical Psychology Suicide Case-Control Studies Sick leave Cohort Anxiety Female medicine.symptom business Self-Injurious Behavior 030217 neurology & neurosurgery Demography Follow-Up Studies |
| Zdroj: | Journal of Affective Disorders |
| Popis: | Background To improve suicide and self-harm prevention in adults, better knowledge on preexisting characteristics and risk factors is of great importance. Methods This is a population-based case-control study; baseline measures were collected in the second wave of the North-Trondelag Health Study (HUNT-2, 1995–1997) in Norway, and outcomes were observed for up to 19 years. Average follow up time was 4.9 years for self-harm and 6.8 years for suicides. Out of 93,898 eligible adult inhabitants aged 20 and above, a total of 65,229 (70%) participated in the study. The data were linked to the National Mortality Registry and hospital patient records in the three hospitals covering the HUNT-2 catchment area. Results Among the participants, 332 patients (68% women) were hospitalized because of self-harm (HSH), and 91 patients (32% women) were died by suicide (SU). A total of 10% of those who died by SU had previously been HSH. People in the HSH and SU groups were younger, reported more depression and anxiety symptoms, sleeping problems, higher use of alcohol and tobacco, poorer social network and more economic problems, compared to the rest of the HUNT-2 population. In addition, the HSH group reported more somatic health problems, higher use of health services, higher sick leave, and lower work participation than the SU group. Limitations Younger adults (20–40 years) were under-represented in HUNT-2. Younger adults (20–40 years) were constituted 31.7% in HUNT-2, 50% in HSH and 33% in SU. Further, we did not identify less severe self-harm, not requiring hospitalization. Life changes, adverse events, and other possible triggers to self-harming behavior were not recorded. Conclusion Psychological problems were long-term predictors of both HSH and SU. Somatic health problems and lower functional performance were more present in HSH-group compared to the SU-group. |
| Databáze: | OpenAIRE |
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