Can routine Primary Care Records Help in Detecting Suicide Risk? A Population-Based Case-Control Study in Barcelona

Fradera, M.; Ouchi, Dan; Prat, Oriol; Morros, Rosa; Martín-Fumadó, Carles; Palao, Diego; Cardoner, Narcı́s; Campillo, M.; Pérez‐Solà, Víctor; Pontes, Caridad

doi:10.1080/13811118.2021.1911894

Cited by 8 publications

(15 citation statements)

References 15 publications

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“…Our study confirmed the finding from previous studies that past history of mental illness is an important risk factor suicide [1,3,5] where the proportion of individuals with a previous consultation in psychiatric care was low (4%) in the general population whereas suicide victims had a consultation rate in psychiatric care of 45% the year prior to suicide.…”

Section: Discussionsupporting

confidence: 91%

“…For those individuals that did have a registered mental illness diagnosis the year prior to the suicide, we found that depression and anxiety were the most prevalent. This is in line with both national [48] and international [5] studies.…”

Section: Discussionsupporting

confidence: 90%

“…4 Department of Research and Education, Skåne University Hospital, Lund, Sweden. 5 Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.…”

Section: Abbreviationsmentioning

confidence: 99%

“…However, an underlying documented psychiatric disorder is an important risk factor for suicidal behavior [3]. The most common underlying mental illness is mood disorders, such as depression and bipolar disorder but also anxiety disorders, substance use disorders and schizophrenia are common [4][5][6][7][8][9]. Even though the link between mental disorders and suicide risk is very strong, for many patients it is often a life crisis such as marital breakups or economic problems that trigger the acute suicide risk [10].…”

Section: Introductionmentioning

confidence: 99%

“…Even though the link between mental disorders and suicide risk is very strong, for many patients it is often a life crisis such as marital breakups or economic problems that trigger the acute suicide risk [10]. Moreover, the single most important risk factor for suicide in the general population is a prior suicide attempt [1,5].…”

Section: Introductionmentioning

confidence: 99%

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Health care utilization among individuals who die by suicide as compared to the general population: a population-based register study in Sweden

et al. 2022

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Background Globally, 700 000 people die every year by suicide. Health care consultation patterns the period before suicide could be one potential way to identify people at risk for suicide. Therefore, this study examines health care patterns up to one year prior to the suicide by age, sex and prior diagnoses and specifically investigates if and how this differs from the general population of Skåne, Sweden. Methods This cohort study includes all individuals, aged 15 and older, that died by suicide in Region Skåne, Sweden from 2004 to 2015 (n = 1653). The individuals were identified through the Cause of death register and then linked to the Skåne healthcare register. Health care data was analyzed as proportions consulting different types of health care the month and year preceding the suicide, we also investigated the impact of age, sex and the occurrence of prior psychiatric and pain diagnoses. Additionally, we compared the proportion of consulting care among the suicide victims and the general population of Skåne. Results In the month before their death, 53% of the suicide victims had any health care consultation, compared with 20% in the general population of Skåne, a given month (p < 0.0001). The corresponding figures for the year prior to suicide was 86% among those who died by suicide, compared to 69% in the general population of Skåne, a given year (p < 0.0001). Women, and those having a documented history of psychiatric diagnosis were more likely to have health care consultations in the month and year preceding suicide (p < 0.001), compared to men and suicide victims without a history of psychiatric disease. Older adults that died by suicide, were less likely to consult psychiatric care compared to the younger suicide victims (p < 0.001). Conclusion A majority of the suicide victims consulted health care in the near time before death and the proportion of seeking health care was significantly higher than in the general population of Skåne and higher among female suicide victims as compared to males. Alternative preventive screening measures should be considered for individuals consulting health care, especially for older people and individuals outside the psychiatric care.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 90%

“…4 Department of Research and Education, Skåne University Hospital, Lund, Sweden. 5 Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.…”

Section: Abbreviationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health care utilization among individuals who die by suicide as compared to the general population: a population-based register study in Sweden

et al. 2022

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Analysis of health services use and clinical profiles in the year prior to suicide between 2010 and 2018: An opportunity to improve its prevention

Gabilondo,

Gonzalez-Pinto,

Garcia

et al. 2024

Spanish Journal of Psychiatry and Mental Health

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Natural language processing of multi-hospital electronic health records for public health surveillance of suicidality

Bey,

Cohen,

Trebossen

et al. 2024

npj Mental Health Res

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There is an urgent need to monitor the mental health of large populations, especially during crises such as the COVID-19 pandemic, to timely identify the most at-risk subgroups and to design targeted prevention campaigns. We therefore developed and validated surveillance indicators related to suicidality: the monthly number of hospitalisations caused by suicide attempts and the prevalence among them of five known risks factors. They were automatically computed analysing the electronic health records of fifteen university hospitals of the Paris area, France, using natural language processing algorithms based on artificial intelligence. We evaluated the relevance of these indicators conducting a retrospective cohort study. Considering 2,911,920 records contained in a common data warehouse, we tested for changes after the pandemic outbreak in the slope of the monthly number of suicide attempts by conducting an interrupted time-series analysis. We segmented the assessment time in two sub-periods: before (August 1, 2017, to February 29, 2020) and during (March 1, 2020, to June 31, 2022) the COVID-19 pandemic. We detected 14,023 hospitalisations caused by suicide attempts. Their monthly number accelerated after the COVID-19 outbreak with an estimated trend variation reaching 3.7 (95%CI 2.1–5.3), mainly driven by an increase among girls aged 8–17 (trend variation 1.8, 95%CI 1.2–2.5). After the pandemic outbreak, acts of domestic, physical and sexual violence were more often reported (prevalence ratios: 1.3, 95%CI 1.16–1.48; 1.3, 95%CI 1.10–1.64 and 1.7, 95%CI 1.48–1.98), fewer patients died (p = 0.007) and stays were shorter (p < 0.001). Our study demonstrates that textual clinical data collected in multiple hospitals can be jointly analysed to compute timely indicators describing mental health conditions of populations. Our findings also highlight the need to better take into account the violence imposed on women, especially at early ages and in the aftermath of the COVID-19 pandemic.

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Can routine Primary Care Records Help in Detecting Suicide Risk? A Population-Based Case-Control Study in Barcelona

Cited by 8 publications

References 15 publications

Health care utilization among individuals who die by suicide as compared to the general population: a population-based register study in Sweden

Health care utilization among individuals who die by suicide as compared to the general population: a population-based register study in Sweden

Analysis of health services use and clinical profiles in the year prior to suicide between 2010 and 2018: An opportunity to improve its prevention

Natural language processing of multi-hospital electronic health records for public health surveillance of suicidality

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