No Cover Image

Journal article 446 views 18 downloads

Suicide following acute admissions for physical illnesses across England and Wales / S. E. Roberts; A. John; U. Kandalama; J. G. Williams; R. A. Lyons; K. Lloyd

Psychological Medicine, Pages: 1 - 14

Swansea University Author: Williams, John

Abstract

The study aim was to evaluate the risk of suicide risk following unscheduled admission with physical illnesses.Record linkage methodology was used to analyse inpatient and death certificate data for 11 004 389 acute admissions for physical illnesses in England and 713 496 in Wales. The main outcome...

Full description

Published in: Psychological Medicine
ISSN: 0033-2917 1469-8978
Published: 2017
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa37577
Tags: Add Tag
No Tags, Be the first to tag this record!
first_indexed 2017-12-13T14:24:47Z
last_indexed 2018-02-09T05:31:06Z
id cronfa37577
recordtype SURis
fullrecord <?xml version="1.0"?><rfc1807><datestamp>2018-02-07T13:59:13Z</datestamp><bib-version>v2</bib-version><id>37577</id><entry>2017-12-13</entry><title>Suicide following acute admissions for physical illnesses across England and Wales</title><alternativeTitle></alternativeTitle><author>John Williams</author><firstname>John</firstname><surname>Williams</surname><active>true</active><ORCID>0000-0002-7015-9055</ORCID><ethesisStudent>false</ethesisStudent><sid>911a5c03419acf47eab0844e2cd5ab7f</sid><email>7b54fabf31ed78a964833d0557b31ab2</email><emailaddr>42BkKF7HpxaFC9KrQkCoVX2HZhUyFASdV1DFdgIIhKs=</emailaddr><date>2017-12-13</date><deptcode>PMSC</deptcode><abstract>The study aim was to evaluate the risk of suicide risk following unscheduled admission with physical illnesses.Record linkage methodology was used to analyse inpatient and death certificate data for 11 004 389 acute admissions for physical illnesses in England and 713 496 in Wales. The main outcome measure was standardised mortality ratios (SMRs) for suicide at 1 year following discharge from hospital.There were 1781 suicides within 1 year of discharge in England (SMR = 1.7; 95% = 1.6&#x2013;1.8) and 131 in Wales (SMR = 2.0; 1.7&#x2013;2.3). Of 48 major physical illnesses that were associated with at least eight suicides in either country, there was high consistent suicide mortality (significant SMR &gt;3) in both countries for constipation (SMR = 4.1 in England, 7.5 in Wales), gastritis (4.4 and 4.9) and upper gastrointestinal bleeding (3.4 and 4.5). There was high suicide mortality in one country for alcoholic liver disease, other liver disease and chronic pancreatitis; for epilepsy and Parkinson's disease; for diabetes, hypoglycaemia and hypo-osmolality &amp; hyponatraemia; and for pneumonia, back pain and urinary tract infections.There is little or no increased suicide mortality following acute admissions for most physical illnesses. Much of the increased suicide mortality relates to gastrointestinal disorders that are often alcohol related or specific chronic conditions, which may be linked to side effects from certain therapeutic medications. Acute hospital admissions for physical illnesses may therefore provide an opportunity for targeted suicide prevention among people with certain conditions, particularly alcohol related disorders.</abstract><type>Journal article</type><journal>Psychological Medicine</journal><volume/><journalNumber/><paginationStart>1</paginationStart><paginationEnd>14</paginationEnd><publisher></publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>0033-2917</issnPrint><issnElectronic>1469-8978</issnElectronic><keywords>suicide; physical illness; data linkage</keywords><publishedDay>17</publishedDay><publishedMonth>7</publishedMonth><publishedYear>2017</publishedYear><publishedDate>2017-07-17</publishedDate><doi>10.1017/S0033291717001787</doi><url></url><notes></notes><college>Swansea University Medical School</college><department>Medicine</department><CollegeCode>CMED</CollegeCode><DepartmentCode>PMSC</DepartmentCode><institution/><researchGroup>Patient &amp; population health and informatics</researchGroup><supervisor/><sponsorsfunders/><grantnumber/><degreelevel/><degreename>None</degreename><lastEdited>2018-02-07T13:59:13Z</lastEdited><Created>2017-12-13T09:43:35Z</Created><path><level id="1">Swansea University Medical School</level><level id="2">Medicine</level></path><authors><author><firstname>S. E.</firstname><surname>Roberts</surname><orcid/><order>1</order></author><author><firstname>A.</firstname><surname>John</surname><orcid/><order>2</order></author><author><firstname>U.</firstname><surname>Kandalama</surname><orcid/><order>3</order></author><author><firstname>J. G.</firstname><surname>Williams</surname><orcid/><order>4</order></author><author><firstname>R. A.</firstname><surname>Lyons</surname><orcid/><order>5</order></author><author><firstname>K.</firstname><surname>Lloyd</surname><orcid/><order>6</order></author></authors><documents><document><filename>0037577-15012018144826.pdf</filename><originalFilename>34828v2.pdf</originalFilename><uploaded>2018-01-15T14:48:26Z</uploaded><type>Output</type><contentLength>1640439</contentLength><contentType>application/pdf</contentType><version>VoR</version><cronfaStatus>true</cronfaStatus><action>Updated Copyright</action><actionDate>15/01/2018</actionDate><embargoDate>2018-01-17T00:00:00</embargoDate><documentNotes>6 month embargo.</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language></document></documents></rfc1807>
spelling 2018-02-07T13:59:13Z v2 37577 2017-12-13 Suicide following acute admissions for physical illnesses across England and Wales John Williams John Williams true 0000-0002-7015-9055 false 911a5c03419acf47eab0844e2cd5ab7f 7b54fabf31ed78a964833d0557b31ab2 42BkKF7HpxaFC9KrQkCoVX2HZhUyFASdV1DFdgIIhKs= 2017-12-13 PMSC The study aim was to evaluate the risk of suicide risk following unscheduled admission with physical illnesses.Record linkage methodology was used to analyse inpatient and death certificate data for 11 004 389 acute admissions for physical illnesses in England and 713 496 in Wales. The main outcome measure was standardised mortality ratios (SMRs) for suicide at 1 year following discharge from hospital.There were 1781 suicides within 1 year of discharge in England (SMR = 1.7; 95% = 1.6–1.8) and 131 in Wales (SMR = 2.0; 1.7–2.3). Of 48 major physical illnesses that were associated with at least eight suicides in either country, there was high consistent suicide mortality (significant SMR >3) in both countries for constipation (SMR = 4.1 in England, 7.5 in Wales), gastritis (4.4 and 4.9) and upper gastrointestinal bleeding (3.4 and 4.5). There was high suicide mortality in one country for alcoholic liver disease, other liver disease and chronic pancreatitis; for epilepsy and Parkinson's disease; for diabetes, hypoglycaemia and hypo-osmolality & hyponatraemia; and for pneumonia, back pain and urinary tract infections.There is little or no increased suicide mortality following acute admissions for most physical illnesses. Much of the increased suicide mortality relates to gastrointestinal disorders that are often alcohol related or specific chronic conditions, which may be linked to side effects from certain therapeutic medications. Acute hospital admissions for physical illnesses may therefore provide an opportunity for targeted suicide prevention among people with certain conditions, particularly alcohol related disorders. Journal article Psychological Medicine 1 14 0033-2917 1469-8978 suicide; physical illness; data linkage 17 7 2017 2017-07-17 10.1017/S0033291717001787 Swansea University Medical School Medicine CMED PMSC Patient & population health and informatics None 2018-02-07T13:59:13Z 2017-12-13T09:43:35Z Swansea University Medical School Medicine S. E. Roberts 1 A. John 2 U. Kandalama 3 J. G. Williams 4 R. A. Lyons 5 K. Lloyd 6 0037577-15012018144826.pdf 34828v2.pdf 2018-01-15T14:48:26Z Output 1640439 application/pdf VoR true Updated Copyright 15/01/2018 2018-01-17T00:00:00 6 month embargo. true eng
title Suicide following acute admissions for physical illnesses across England and Wales
spellingShingle Suicide following acute admissions for physical illnesses across England and Wales
Williams, John
title_short Suicide following acute admissions for physical illnesses across England and Wales
title_full Suicide following acute admissions for physical illnesses across England and Wales
title_fullStr Suicide following acute admissions for physical illnesses across England and Wales
title_full_unstemmed Suicide following acute admissions for physical illnesses across England and Wales
title_sort Suicide following acute admissions for physical illnesses across England and Wales
author_id_str_mv 911a5c03419acf47eab0844e2cd5ab7f
author_id_fullname_str_mv 911a5c03419acf47eab0844e2cd5ab7f_***_Williams, John
author Williams, John
author2 S. E. Roberts
A. John
U. Kandalama
J. G. Williams
R. A. Lyons
K. Lloyd
format Journal article
container_title Psychological Medicine
container_start_page 1
publishDate 2017
institution Swansea University
issn 0033-2917
1469-8978
doi_str_mv 10.1017/S0033291717001787
college_str Swansea University Medical School
hierarchytype
hierarchy_top_id swanseauniversitymedicalschool
hierarchy_top_title Swansea University Medical School
hierarchy_parent_id swanseauniversitymedicalschool
hierarchy_parent_title Swansea University Medical School
department_str Medicine{{{_:::_}}}Swansea University Medical School{{{_:::_}}}Medicine
document_store_str 1
active_str 1
researchgroup_str Patient & population health and informatics
description The study aim was to evaluate the risk of suicide risk following unscheduled admission with physical illnesses.Record linkage methodology was used to analyse inpatient and death certificate data for 11 004 389 acute admissions for physical illnesses in England and 713 496 in Wales. The main outcome measure was standardised mortality ratios (SMRs) for suicide at 1 year following discharge from hospital.There were 1781 suicides within 1 year of discharge in England (SMR = 1.7; 95% = 1.6–1.8) and 131 in Wales (SMR = 2.0; 1.7–2.3). Of 48 major physical illnesses that were associated with at least eight suicides in either country, there was high consistent suicide mortality (significant SMR >3) in both countries for constipation (SMR = 4.1 in England, 7.5 in Wales), gastritis (4.4 and 4.9) and upper gastrointestinal bleeding (3.4 and 4.5). There was high suicide mortality in one country for alcoholic liver disease, other liver disease and chronic pancreatitis; for epilepsy and Parkinson's disease; for diabetes, hypoglycaemia and hypo-osmolality & hyponatraemia; and for pneumonia, back pain and urinary tract infections.There is little or no increased suicide mortality following acute admissions for most physical illnesses. Much of the increased suicide mortality relates to gastrointestinal disorders that are often alcohol related or specific chronic conditions, which may be linked to side effects from certain therapeutic medications. Acute hospital admissions for physical illnesses may therefore provide an opportunity for targeted suicide prevention among people with certain conditions, particularly alcohol related disorders.
published_date 2017-07-17T04:59:03Z
_version_ 1647973859266134016
score 10.8683