Fractures and the increased risk of suicide: a population-based case-control study
| Autor: | C-F Chang, E C-C Lai, M-K Yeh |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Databases Factual Osteoporosis Taiwan Context (language use) Comorbidity 03 medical and health sciences Fractures Bone 0302 clinical medicine Risk Factors Internal medicine medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Socioeconomic status Aged Aged 80 and over business.industry Mental Disorders Case-control study Odds ratio Middle Aged medicine.disease Mental health Confidence interval 030227 psychiatry Suicide Increased risk Logistic Models Socioeconomic Factors Case-Control Studies Surgery Female business |
| Zdroj: | The bonejoint journal. (6) |
| ISSN: | 2049-4408 |
| Popis: | Aims A high rate of suicide has been reported in patients who sustain fractures, but the association remains uncertain in the context of other factors. The aim of this study was to examine the association between fractures and the risk of suicide in this contextual setting. Patients and Methods We performed a case-control study of patients aged 40 years or older who died by suicide between 2000 and 2011. We included patients’ demographics, physical and mental health problems, and socioeconomic factors. We performed conditional logistic regression to evaluate the associations between fractures and the risk of suicide. Results We included a total of 34 794 patients who died by suicide and 139 176 control patients. We found that fractures as a homogenous group (adjusted odds ratios (aOR), 1.48; 95% confidence interval (CI) 1.43 to 1.53), and specifically pelvic (aOR 2.04; 95% CI 1.68 to 2.47) and spinal fractures (aOR 1.53; 95% CI 1.43 to 1.64), were associated with a higher risk of suicide. In addition, we found that patients who had a lower income, had never married, had lower levels of educational attainment, or had coexistent physical and mental conditions such as anxiety, mood disorders, and psychosis-related disorders had a higher risk of suicide. Conclusion Fractures, specifically those of the hip and spine, were associated with an increased risk of suicide. The findings suggest that greater clinical attention should be given to this risk in patients with fractures, especially for those with additional risk factors. Cite this article: Bone Joint J 2018;100-B:780–6. |
| Databáze: | OpenAIRE |
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