Evidence map›Paper›PMID 23925530›Full record

ArticleSocial psychiatry and psychiatric epidemiology2014

Excess mortality after disability retirement due to mental disorders: variations by socio-demographic factors and causes of death.

Taina Leinonen, Pekka Martikainen, Mikko Laaksonen, Eero Lahelma

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Article in Social psychiatry and psychiatric epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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12citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Risk of Suicide Among U.S. Adults With Work Disability.American journal of preventive medicine · 2026
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  8. Psychiatric comorbidity as a risk factor for mortality in people with anorexia nervosa.European archives of psychiatry and clinical neuroscience · 2019
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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Taina LeinonenPopulation Research Unit, Department of Social Research, University of Helsinki, PO Box 59, 00014, Helsinki, Finland, taina.leinonen@helsinki.fi.
Pekka Martikainen
Mikko Laaksonen
Eero Lahelma

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMental disorders are the key causes of disability retirement and are associated with a high risk of mortality. Social variations in excess mortality after disability retirement are nevertheless poorly understood. We examined socio-demographic differences in all-cause and cause-specific mortality after disability retirement due to depression and other mental disorders.

methodsThe data comprised a nationally representative sample of the Finnish population aged 25-64 in 1996 with no prior disability retirement due to mental disorders (N = 392,985). We used Cox regression analysis with disability retirement due to mental disorders as a time-varying covariate and mortality between 1997 and 2007 as the outcome variable.

resultsWe found excess mortality after disability retirement due to mental disorders as compared to those with no such retirement in all specific causes of death, in particular alcohol-related causes, suicide, and other unnatural causes. Excess suicide mortality was particularly large after depression-based disability retirement. Younger age groups, non-manual classes, and those living with a partner and children had largest excess mortality, especially from unnatural and alcohol-related causes. However, the absolute number of excess deaths was not always largest in these socio-demographic groups.

conclusionsIn young adulthood, disability retirement due to depression signifies severe health and other social disadvantages that lead to particularly large excess mortality, especially due to unnatural causes. The protective effects of a high socioeconomic position and family ties against unnatural and alcohol-related deaths are limited among those who have already developed depression or other mental disorders that have led to disability retirement.

Indexed as

Cause of DeathAdultDepressionFemaleFinlandHumansMaleMental DisordersMiddle AgedPersons with DisabilitiesProportional Hazards ModelsRegression AnalysisRetirementRisk FactorsSuicide

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.