Evidence map›Paper›PMID 31185853›Full record

ArticlePsychiatric services (Washington, D.C.)2019

Diagnosed Mental Health Conditions and Risk of Suicide Mortality.

Hsueh-Han Yeh, Joslyn Westphal, Yong Hu, Edward L Peterson, L Keoki Williams, Deepak Prabhakar, Cathrine Frank, Kirsti Autio, Farah Elsiss, Gregory E Simon and 7 more

Abstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

50 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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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

17 authors.

Hsueh-Han YehCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
Joslyn WestphalCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
Yong HuCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
Edward L PetersonCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
L Keoki WilliamsCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
Deepak PrabhakarCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
Cathrine FrankCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
Kirsti AutioCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
Farah ElsissCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
Gregory E SimonCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
Arne BeckCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
Frances L LynchCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
Rebecca C RossomCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
Christine Y LuCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
Ashli A Owen-SmithCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
Beth E WaitzfelderCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).
Brian K AhmedaniCenter for Health Policy and Health Services Research (Yeh, Westphal, Hu, Autio, Elsiss, Ahmedani), Department of Public Health Sciences (Peterson), Department of Internal Medicine (Williams), Department of Behavioral Health Services (Frank), Henry Ford Health System, Detroit; Outpatient Services, Sheppard Pratt Health System, Baltimore (Prabhakar); Kaiser Permanente Washington Health Research Institute, Seattle (Simon); Institute for Health Research, Kaiser Permanente Colorado, Denver (Beck); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); HealthPartners Institute, Minneapolis (Rossom); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); School of Public Health, Georgia State University, and Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta (Owen-Smith); Center for Health Research, Kaiser Permanente Hawaii, Honolulu (Waitzfelder).

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

objectiveAlthough mental health conditions are risk factors for suicide, limited data are available on suicide mortality associated with specific mental health conditions in the U.S. population. This study aimed to fill this gap.

methodsThis study used a case-control design. Patients in the case group were those who died by suicide between 2000 and 2013 and who were patients in eight health care systems in the Mental Health Research Network (N=2,674). Each was matched with 100 general population patients from the same system (N=267,400). Diagnostic codes for five mental health conditions in the year before death were obtained from medical records: anxiety disorders, attention deficit-hyperactivity disorder (ADHD), bipolar disorder, depressive disorders, and schizophrenia spectrum disorder.

resultsAmong patients in the case group, 51.3% had a recorded psychiatric diagnosis in the year before death, compared with 12.7% of control group patients. Risk of suicide mortality was highest among those with schizophrenia spectrum disorder, after adjustment for age and sociodemographic characteristics (adjusted odds ratio [AOR]=15.0) followed by bipolar disorder (AOR=13.2), depressive disorders (AOR=7.2), anxiety disorders (AOR=5.8), and ADHD (AOR=2.4). The risk of suicide death among those with a diagnosed bipolar disorder was higher in women than men.

conclusionsHalf of those who died by suicide had at least one diagnosed mental health condition in the year before death, and most mental health conditions were associated with an increased risk of suicide. Findings suggest the importance of suicide screening and providing an approach to improve awareness of mental health conditions.

Indexed as

AdolescentAdultAgedAnxiety DisordersAttention Deficit Disorder with HyperactivityBipolar DisorderCase-Control StudiesChildChild, PreschoolDepressive DisorderFemaleHumansInfantMaleMiddle AgedRiskDiagnosisHealth careMental healthPreventionSuicide and self-harm

Identifiers

PMID31185853
PMCPMC6718299

What OpenQuestion holds

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Registered trials

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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.