Evidence map›Paper›PMID 28619532›Full record

ArticleAmerican journal of preventive medicine2017

Major Physical Health Conditions and Risk of Suicide.

Brian K Ahmedani, Edward L Peterson, Yong Hu, Rebecca C Rossom, Frances Lynch, Christine Y Lu, Beth E Waitzfelder, Ashli A Owen-Smith, Samuel Hubley, Deepak Prabhakar and 6 more

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 6 pooled it
25.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

118 citing papers in PubMed, 6 syntheses or guidelines pooled it, 259 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Pooled it
  6. Osteoporosis and fracture as risk factors for self-harm and suicide: a systematic review and meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Pooled it
  7. Trial
  8. Trial
  9. Article
  10. Depression, non-medical pain prescriptions, and suicidal behavior in cancer survivors.Journal of cancer survivorship : research and practice · 2026
    Article
  11. Article
  12. Article
  13. Article
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  15. Article
  16. Article
  17. Article
  18. Self-Injury Mortality: Global Ascertainment and Prevention.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
    Review
  19. Article
  20. Article

58 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 6 institutions in 1 country.

Brian K AhmedaniCenter for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Michigan; Behavioral Health Services, Henry Ford Health System, Detroit, Michigan. Electronic address: bahmeda1@hfhs.org.
Edward L PetersonPublic Health Sciences, Henry Ford Health System, Detroit, Michigan.
Yong HuCenter for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Michigan; Public Health Sciences, Henry Ford Health System, Detroit, Michigan.
Rebecca C RossomHealthPartners Institute, Bloomington, Minnesota.
Frances LynchCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon.
Christine Y LuDepartment of Population Medicine, Harvard Medical School, and Harvard Pilgrim Health Care Institute, Boston, Massachusetts.
Beth E WaitzfelderCenter for Health Research, Kaiser Permanente Hawaii, Honolulu, Hawaii.
Ashli A Owen-SmithSchool of Public Health, Georgia State University, Atlanta, Georgia; Center for Clinical and Outcomes Research, Kaiser Permanente Georgia, Atlanta, Georgia.
Samuel HubleyDepartment of Family Medicine, University of Colorado at Denver, Denver, Colorado.
Deepak PrabhakarBehavioral Health Services, Henry Ford Health System, Detroit, Michigan.
L Keoki WilliamsCenter for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Michigan; Department of Internal Medicine, Henry Ford Health System, Detroit, Michigan.
Nicole ZeldCenter for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Michigan.
Elizabeth MutterCenter for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Michigan.
Arne BeckInstitute for Health Research, Kaiser Permanente Colorado, Denver, Colorado.
Dennis TolsmaCenter for Clinical and Outcomes Research, Kaiser Permanente Georgia, Atlanta, Georgia.
Gregory E SimonKaiser Permanente Washington, Seattle, Washington.
Henry Ford Health System · USKaiser Permanente · USHarvard University · USHealthPartners · USKaiser Permanente Center for Health Research · USUniversity of Colorado Denver · US

Funding

SSRI's and SuicidalityU19MH092201 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIMON, GREGORY E. · 2010 to 2018
$19.5M
Treatment Utilization Before Suicide (TUBS)R01MH103539 · NIMH · HENRY FORD HEALTH SYSTEM · PI AHMEDANI, BRIAN KENNETH · 2015 to 2018
$2.6M
NIMH NIH HHS R01 MH103539NIMH NIH HHS U19 MH092201
6 · The paper itself

Abstract

introductionMost individuals make healthcare visits before suicide, but many do not have a diagnosed mental health condition. This study seeks to investigate suicide risk among patients with a range of physical health conditions in a U.S. general population sample and whether risk persists after adjustment for mental health and substance use diagnoses.

methodsThis study included 2,674 individuals who died by suicide between 2000 and 2013 along with 267,400 controls matched on year and location in a case-control study conducted in 2016 across eight Mental Health Research Network healthcare systems. A total of 19 physical health conditions were identified using diagnostic codes within the healthcare systems' Virtual Data Warehouse, including electronic health record and insurance claims data, during the year before index date.

resultsSeventeen physical health conditions were associated with increased suicide risk after adjustment for age and sex (p<0.001); nine associations persisted after additional adjustment for mental health and substance use diagnoses. Three conditions had a more than twofold increased suicide risk: traumatic brain injury (AOR=8.80, p<0.001); sleep disorders; and HIV/AIDS. Multimorbidity was present in 38% of cases versus 15.5% of controls, and represented nearly a twofold increased risk for suicide.

conclusionsAlthough several individual conditions, for example, traumatic brain injury, were associated with high risk of suicide, nearly all physical health conditions increased suicide risk, even after adjustment for potential confounders. In addition, having multiple physical health conditions increased suicide risk substantially. These data support suicide prevention based on the overall burden of physical health.

Indexed as

Suicide PreventionAdolescentAdultAgedCase-Control StudiesDiseaseFemaleHealth Services ResearchHumansMaleMental DisordersMental HealthMiddle AgedPreventive Health ServicesPrimary Health CareRisk Factors

Identifiers

PMID28619532
PMCPMC5598765
OpenAlexW2626587398

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.