Is Mental Health Multimorbidity Associated with Contact with Healthcare Services Before Suicide? Retrospective Analysis of Irish Coronial Data, 2015-2020.

IF 2 3区医学 Q2 PSYCHIATRY

Archives of Suicide Research Pub Date : 2025-09-02 DOI:10.1080/13811118.2025.2552948

Katerina Kavalidou, Gemma Cox, Anita Munnelly, Stephen Platt

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Abstract

Objective: Healthcare services are potential interventions points before suicide. The aim of the current study was to explore whether mental health (MH) multimorbidity is associated with contact with healthcare services before suicide.

Methods: A retrospective study was conducted using data from the Irish Probable Suicide Deaths Study (IPSDS), over the period 2015-2020. MH conditions were recorded on the basis of collateral information, including medical diagnosis or/and undiagnosed. The IPSDS cohort (n = 3625), comprising deaths given a coronial verdict of suicide and deaths on the balance of probabilities, was allocated to three mutually exclusive health groups: (a) no MH conditions, (b) one MH condition only, (c) two or more MH conditions ("MH multimorbidity"). Descriptive statistics (p ≤ 0.05) and binary logistic regression analyses with odds ratios (OR) and 95% CIs (p ≤ 0.01) are presented.

Results: One fifth (20%) of the IPSDS cohort had MH multimorbidity, which was more prevalent among those aged 35-44 years. The unadjusted logistic regression analysis indicated that those with multimorbidity were significantly more likely to have contacted health services before suicide, compared to those with no MH conditions. This finding was substantially unchanged following adjustment for sex, age, and labor market position (OR = 12.170, 95% CI 9.595-15.437, p < .001) and in a sensitivity analysis restricted to a subset of deaths given a coronial verdict of suicide (OR = 12.728, 95% CI 9.635-16.814).

Conclusions: Our findings suggest that those who experience MH multimorbidity and are in contact with health services should be targeted with tailor-made suicide prevention interventions.

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自杀前是否曾接触过医疗服务？2015-2020年爱尔兰冠状动脉数据回顾性分析

目的：医疗保健服务是自杀前的潜在干预点。本研究的目的是探讨精神健康（MH）多病是否与自杀前接触卫生保健服务有关。方法：使用2015-2020年期间爱尔兰可能自杀死亡研究（IPSDS）的数据进行回顾性研究。根据附带资料（包括医疗诊断或/和未诊断）记录MH情况。IPSDS队列（n = 3625），包括死因为自杀的死亡和概率平衡的死亡，被分配到三个相互排斥的健康组：(a)没有MH条件，(b)只有一种MH条件，(c)两种或两种以上MH条件（“MH多发病”）。采用描述性统计（p≤0.05）和二元logistic回归分析，比值比（OR）和95% ci （p≤0.01）。结果：五分之一（20%）的IPSDS队列患有MH多病，年龄在35-44岁之间更为普遍。未经调整的逻辑回归分析表明，与没有MH条件的人相比，患有多种疾病的人在自杀前接触卫生服务的可能性明显更高。在调整性别、年龄和劳动力市场地位后，这一发现基本上没有变化（OR = 12.170, 95% CI 9.595-15.437, p）。结论：我们的研究结果表明，那些经历过MH多重发病并与卫生服务机构接触的人应该针对量身定制的自杀预防干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Suicide Research Multiple-

CiteScore

6.10

自引率

7.10%

发文量

期刊介绍： Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.