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Psychiatric Diagnoses as Predictors of Suicide

A comparison of diagnoses at conscription and in psychiatric care in a cohort of 50 465 young men

Published online by Cambridge University Press:  02 January 2018

Peter Allebeck  and
Christer Allgulander
Peter Allebeck*
Affiliation:
Department of Medicine, Section for Community Medicine, Karolinska Institute at Huddinge University Hospital, S-14186, Huddinge, Sweden
Christer Allgulander
Affiliation:
Department of Psychiatry, Karolinska Institute at Huddinge University Hospital, Sweden
*
∗Correspondence
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Extract

In a cohort of 50 465 Swedish men conscripted for military service in 1969–70, the relative risk for suicide was 3.1 (95% CI 2.3–4.0) among those who had a psychiatric diagnosis at conscription, and 16.7 (95% CI 13.8–20.1) among those who had a psychiatric diagnosis in in-patient care during a 13-year follow-up. Of the diagnoses at conscription, only neurotic disorder, personality disorder and drug dependence were associated with a significantly increased risk for future suicide. Among those who were admitted to hospital, almost all inpatient diagnoses were associated with a significantly increased suicide risk. Although a psychiatric diagnosis in in-patient care was a strong predictor of suicide, only 44% of all 247 men who committed suicide had ever been treated in in-patient psychiatric care.

Type
Papers
Information
The British Journal of Psychiatry , Volume 157 , Issue 3 , September 1990 , pp. 339 - 344
Copyright
Copyright © Royal College of Psychiatrists, 1990 

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References

Akiskal, H. S., Bitar, A. H., Puzantian, V. R., et al (1978) The nosological status of neurotic depression: a prospective three-to four-year follow-up examination in the light of the primary-secondary and unipolar-bipolar distinction. Archives of General Psychiatry, 35, 756–766.CrossRefGoogle Scholar
Allebeck, P., Allgulander, C. & Fisher, L. D. (1988) Predictors of completed suicide in a cohort of SO 465 young men: role of personality and deviant behaviour. British Medical Journal, 297, 176–178.Google Scholar
Babigian, H. M. & Odoroff, C. L. (1969) The mortality experience of a population with psychiatric illness. American Journal of Psychiatry, 126, 470–480.Google Scholar
Balon, R. (1987) Suicide: can we predict it? Comprehensive Psychiatry, 28, 236–241.Google Scholar
Barner-Rasmussen, P., Dupont, A. L. & Bille, H. (1986) Suicide in psychiatric patients in Denmark, 1971–81. 1. Demographic and diagnostic description. Acta Psychiatrica Scandinavica, 73, 441–448.Google Scholar
Barraclough, B. M. (1973) Differences between national suicide rates. British Journal of Psychiatry, 122, 95–96.Google Scholar
Black, D. W., Warrack, G. & Winokur, G. (1985) Excess mortality among psychiatric patients. Journal of the American Medical Association, 253, 58–61.Google Scholar
Bolander, A.-M. & Ettlinger, R. (1980) Suicide in Sweden. In Health and Society. V. Different Aspects of Mortality in Sweden, pp. 39–72. Stockholm: Committee for Future-Oriented Research. Forskningsrådsnämnden.Google Scholar
Hagnell, O., Lanke, J. & Rorsman, B. (1981) Suicide rates in the Lundby study: mental illness as a risk factor for suicide. Neuropsychobiology, 7, 248–253.Google Scholar
Hawton, K. (1987) Assessment of suicide risk. British Journal of Psychiatry, 150, 145–153.Google Scholar
Hawton, K. & Fagg, J. (1988) Suicide, and other causes of death, following attempted suicide. British Journal of Psychiatry, 152, 359–366.Google Scholar
Hendin, H. (1986) Suicide: a review of new directions in research. Hospital and Community Psychiatry, 37, 148–154.Google Scholar
Hudgens, R. W. (1983) Preventing suicide. New England Journal of Medicine, 308, 897–898.Google Scholar
Kovacs, M., Feinberg, T. L., Crouse-Novak, M., et al (1984) Depressive disorders in childhood: II. A longitudinal study of the risk for a subsequent major depression. Archives of General Psychiatry, 41, 643–649.CrossRefGoogle Scholar
Kreitman, N. (1982) How useful is the prediction of suicide following parasiticide? In New Trends in Suicide Prevention (eds J. Wilmotte & J. Mendlewicz). Basel: Karger.Google Scholar
Monk, M. (1987) Epidemiology of suicide. Epidemiologic reviews, 9, 51–69.Google Scholar
Miles, C. P. (1977) Conditions predisposing to suicide: a review. Journal of Nervous and Mental Disease, 164, 231–246.Google Scholar
Motto, J. A., Heilbron, D. C. & Juster, R. P. (1985) Development of a clinical instrument to estimate suicide risk. American Journal of Psychiatry, 142, 680–686.Google Scholar
Murphy, G. W. (1983) On suicide prediction and prevention. Archives of General Psychiatry, 40, 343–344.Google Scholar
Otto, U. (1976) Male youths. A sociopsychiatric study of a total annual population of Swedish adolescent boys. Acta Psychiatrica Scandinavica (suppl.) 264, 7–23.Google Scholar
Pokorny, A. D. (1983) Prediction of suicide in psychiatric patients. Archives of General Psychiatry, 40, 249–257.CrossRefGoogle ScholarPubMed
World Health Organization (1967) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Eighth Revision of the International Classification of Diseases (ICD–8). Geneva: WHO.Google Scholar
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