Evidence map›Paper›PMID 32812087›Full record

ArticleSocial psychiatry and psychiatric epidemiology2021

Measures of mental, physical, and social wellbeing and their association with death by suicide and self-harm in a cohort of 266,324 persons aged 45 years and over.

Annette Erlangsen, Emily Banks, Grace Joshy, Alison L Calear, Jennifer Welsh, Philip J Batterham, Luis Salvador-Carulla

Abstract read
PubMed Publisher
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

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

  1. 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
  2. Article
  3. Article
  4. Article
  5. Article
  6. Patterns of Service Provision in Older People's Mental Health Care in Australia.International journal of environmental research and public health · 2020
    Article
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

7 authors.

Annette ErlangsenDanish Research Institute for Suicide Prevention, Mental Health Centre Copenhagen, Gentofte Hospitalsvej 15, 2900, Hellerup, Denmark. Annette.Erlangsen@regionh.dk.ORCID http://orcid.org/0000-0003-3475-0558
Emily BanksNational Centre for Epidemiology and Population Health, Research School of Population Health, The Australian National University, Canberra, Australia.
Grace JoshyNational Centre for Epidemiology and Population Health, Research School of Population Health, The Australian National University, Canberra, Australia.
Alison L CalearCentre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, Australia.
Jennifer WelshNational Centre for Epidemiology and Population Health, Research School of Population Health, The Australian National University, Canberra, Australia.
Philip J BatterhamCentre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, Australia.
Luis Salvador-CarullaCentre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, Australia.

Funding

National Health and Medical Research Council 1122544National Health and Medical Research Council 1136128National Health and Medical Research Council 1158707
6 · The paper itself

Abstract

purposeThe aim of this study was to examine the relation of mental, physical, and social wellbeing measures to death by suicide and self-harm (SH).

methodsUsing a cohort design, questionnaire data on 266,324 responders aged ≥ 45 years, living in NSW, Australia were linked to hospital and death databases during 2006-2017. Adjusted incidence rate ratios (IRR) were calculated.

resultsOverall, 212 suicides and 723 SH episodes were observed. A dose-response relationship with suicidal behaviour was found for Kessler-10 Psychological Distress Scale; IRRs of 4.5 (95% CI 2.4-8.3) for suicide and 8.3 (95% CI 6.5-10.7) for SH were observed for scores of high versus low distress. Elevated rates were also observed for those reporting poor versus good or excellent health (suicide, IRR: 3.8, 95% CI 2.2-6.9; SH, IRR: 4.5 95% CI 3.4-6.1); being dependent versus not dependent on help with daily tasks (suicide, IRR: 2.4 95% CI 1.5-3.7; SH, IRR: 2.6 95% CI 2.0-3.3); being a current smoker (suicide, IRR: 1.8, 95% CI 1.1-2.9; SH, IRR: 2.9 95% CI 2.3-3.5) having versus not having male erectile problems (SH, IRR: 1.9 95% CI 1.4-2.5). Participants with ≥ 5 people versus one person to depend on had reduced suicidal behaviour (suicide, IRR: 0.5 95% CI 0.3-0.7, SH, IRR: 0.5 95% CI 0.4-0.6).

conclusionsAn active social network was linked to lower rates of suicide and self-harm. Adverse health, dependence on help, psychological distress were associated with higher rates of suicide and self-harm, while erectile problems were linked to an elevated rate of self-harm.

Indexed as

Self-Injurious BehaviorSuicideAgedAustraliaCohort StudiesHumansMaleMiddle AgedSuicidal IdeationDeliberate self-harmK-10Mental healthPhysical healthSocial factorsSuicide

Identifiers

PMID32812087

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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.