Presence of minor and major mental health impairment in adolescence and death from suicide and unintentional injuries/accidents in men: a national longitudinal cohort study

Fadum, Elin Anita; Fønnebø, Vinjar; Borud, Einar Kristian

doi:10.1136/jech-2016-207656

Cited by 8 publications

(10 citation statements)

References 33 publications

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“…Younger individuals had the overall lowest rates of contact with GPs in primary care, evident in both men and women, among suicide victims and the general population alike. As mental disorders is a significant risk factor for suicide in young adults [ 23 , 24 ], the general low level of help-seeking behaviour in younger males remain a concern [ 25 ], indicating that alternative preventive measures will need to be taken in order to reach this group of the population who are less likely to consult any kind of health care service [ 5 , 26 ]. Interestingly, although men in general have considerable lower rates of contact with the primary health care services than have women, male suicide victims displayed rates of contact more similar to those of women in the general population.…”

Section: Discussionmentioning

confidence: 99%

Use of primary health care services prior to suicide in the Norwegian population 2006–2015

Hauge

Stene‐Larsen

Grimholt

et al. 2018

BMC Health Serv Res

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BackgroundStudies report high rates of contact with general practitioners (GPs) in primary care in the time leading up to suicide, particularly among individuals with a history of mental health contact. However, the near lack of studies including population representative controls have prevented investigations into how the contact patterns of suicide victims compares to those of the general population.MethodsBy linking data from two national registries, this study investigated primary health care use in suicide victims aged 15 years and older during the period from 2007 to 2015 (n = 4926). Their rates of contact one year and one month prior to suicide were compared to the average rates in the general Norwegian population during the period by estimating relative risks across sex and age. Contact patterns one month prior to suicide were also investigated according to prior mental health consultations in primary care.ResultsThe findings revealed a stable trend in contact with GPs in primary care during the observation period, with 79.6% of male and 89.0% of female suicide victims having consulted their GP within a year of the suicide. Corresponding rates one month prior to the suicide were 34.8 and 46.4%, respectively. At both points in time and across all age groups, suicide victims were considerably more likely to consult their GP than were the general population. Suicide victims without prior mental health contact were only modestly more likely to consult their GP within a month of the suicide as compared to the general population, while both the general population and suicide victims with prior mental health consultations had rates of contact well above those without, evident for both sexes.ConclusionsContact with GPs in primary care prior to suicide is common in both sexes and across most age groups, in particular for victims with prior mental health consultations. Younger males show the overall lowest rates of contact, and increased alternative efforts to reach this group, in addition to larger population strategies, may pose the most prominent preventive measures.

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Section: Discussionmentioning

confidence: 99%

Use of primary health care services prior to suicide in the Norwegian population 2006–2015

Hauge

Stene‐Larsen

Grimholt

et al. 2018

BMC Health Serv Res

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“…Forsvarsdepartementet er databehandlingsansvarlig, og Forsvarets sanitet er databehandler. Det faglige og operative ansvaret ligger hos Institutt for militaermedisin og epidemiologi ved Forsvarets sanitet på Sessvollmoen.Data fra helseregisteret bidrar i økende grad til forskning for å kartlegge helseskader under, eller som følge av, militaer tjenestegjøring(20)(21)(22). Det er utviklet en egen modul i pasientjournalsystemet SANDOK for innsamling av data om sykdom, skade og død.Vi vil i denne studien undersøke hvor stor andel av de som er registrert i Forsvarets helseregister med en frostskade oppstått under militaertjeneste som kan bekrefte at de fikk skaden.…”

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Frostskader i Forsvaret

Norheim¹,

Borud²

2018

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Nasjonalt forskningssenter innen komplementaer og alternative behandling Institutt for samfunnsmedisin Det helsevitenskapelige fakultet Universitetet i Tromsø-Norges arktiske universitet og Forsvarets sanitet Institutt for militaermedisin og epidemiologi Forsvarets helseregister Sessvollmoen Han har bidratt med idé, utforming, datainnsamling, analyse og tolkning av data, utarbeiding av manuskript og godkjenning av innsendte manusversjon. Arne Johan Norheim er spesialist i allmennmedisin og professor. Han har arbeidet som lege i Forsvaret siden 1998 og er i dag oberstløytnant og sjef for allmennhelse/Nasjonal militaermedisinsk poliklinikk. Forfatter har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. EINAR KRISTIAN BORUD Forsvarets sanitet Institutt for militaermedisin og epidemiologi Forsvarets helseregister Sessvollmoen og Institutt for samfunnsmedisin Det helsevitenskapelige fakultet Universitetet i Tromsø-Norges arktiske universitet Han har bidratt med idé, utforming, datainnsamling, analyse og tolkning av data, utarbeiding av manuskript og godkjenning av innsendte manusversjon. Einar Kristian Borud er spesialist i allmennmedisin og i samfunnsmedisin. Han er overlege og registeransvarlig ved Forsvarets helseregister og førsteamanuensis II. Forfatter har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. BAKGRUNN Det finnes lite forskning på forekomst av frostskader, både sivilt og militaert. Prognosen og tidsforløpet ved slike skader har ikke tidligere vaert undersøkt i større kohorter.

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“…The evaluation of mental health done at military enrolment cannot be regarded as diagnoses. Fadum et al discuss the mental health evaluation done for Norwegian conscripts more in depth and also relates this to later suicide events[18]. A rapid screening of mental health is crucial before military service and there are several tools used for this screening[40].…”

Section: Discussionmentioning

confidence: 99%

“…The score 8 was not applicable for the mental health scoring[17]. See Fadum et al for a more an elaborate description of the mental health assessment and procedure [18]. For the discussion of mental health in this article it is crucial to consider that this is not based on a verified mental condition, but merely mental problems determined with the purpose of performing military service.…”

Section: Methodsmentioning

confidence: 99%

IQ and mental health are vital predictors of work drop out and early mortality. Multi-state analyses of Norwegian male conscripts

et al. 2017

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BackgroundDisability benefits and sick leave benefits represents huge costs in western countries. The pathways and prognostic factors for receiving these benefits seen in recent years are complex and manifold. We postulate that mental health and IQ, both alone and concurrent, influence subsequent employment status, disability benefits and mortality.MethodsA cohort of 918 888 Norwegian men was followed for 16 years from the age of 20 to 55. Risk for health benefits, emigration, and mortality were studied. Indicators of mental health and IQ at military enrolment were used as potential risk factors. Multi-state models were used to analyze transitions between employment, sick leave, time limited benefits, disability benefits, emigration, and mortality.ResultsDuring follow up, there were a total of 3 908 397 transitions between employment and different health benefits, plus 12 607 deaths. Men with low IQ (below 85), without any mental health problems at military enrolment, had an increased probability of receiving disability benefits before the age of 35 (HRR = 4.06, 95% CI: 3.88–4.26) compared to men with average IQ (85 to 115) and no mental health problems. For men with both low IQ and mental health problems, there was an excessive probability of receiving disability benefits before the age of 35 (HRR = 14.37, 95% CI: 13.59–15.19), as well as an increased probability for time limited benefits and death before the age of 35 compared to men with average IQ (85 to 115) and no mental health problems.ConclusionLow IQ and mental health problems are strong predictors of future disability benefits and early mortality for young men.

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Presence of minor and major mental health impairment in adolescence and death from suicide and unintentional injuries/accidents in men: a national longitudinal cohort study

Abstract: We found an increased risk of death from suicide and unintentional injuries/accidents in men who had minor and major mental health impairment at age 17-19 years.

Cited by 8 publications

References 33 publications

Use of primary health care services prior to suicide in the Norwegian population 2006–2015

Use of primary health care services prior to suicide in the Norwegian population 2006–2015

Frostskader i Forsvaret

IQ and mental health are vital predictors of work drop out and early mortality. Multi-state analyses of Norwegian male conscripts

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