ArticleJournal of affective disorders2021
Suicide risk in people with post-traumatic stress disorder: A cohort study of 3.1 million people in Sweden.
Article in Journal of affective disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 3 of them syntheses that pooled it.
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Who cites it
55 citing papers in PubMed, 3 syntheses or guidelines pooled it, 105 citations in OpenAlex.
- A Systematic Review of Decision-Analytic Modelling Approaches in Economic Evaluations of Post-traumatic Stress Disorder Treatments.PharmacoEconomics · 2026Pooled it
- Trauma treatment outcomes for PTSD in refugee and asylum-seeking minors with uncertain residence status: a systematic review.Frontiers in psychiatry · 2025Pooled it
- Lifetime posttraumatic stress disorder as a predictor of mortality: a systematic review and meta-analysis.BMC psychiatry · 2023Pooled it
- Frequency and correlates of suicidality in a sample of traumatized treatment-seeking refugees.BMC psychiatry · 2026Trial
- Fixed-Dose Brexpiprazole and Sertraline Combination Therapy for the Treatment of Posttraumatic Stress Disorder: A Phase 3, Randomized Trial.Journal of clinical psychopharmacologyTrial
- A living systematic review, meta-analysis, and open data resource of trials of MDMA-assisted therapy for PTSD.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026Article
- The Impact of Recent Collective Trauma in Israel on Eating Disorders and Disordered Eating: An Overview and Clinical Perspective.Healthcare (Basel, Switzerland) · 2026Review
- State of the Science: The epidemiology of posttraumatic stress disorder.Journal of traumatic stress · 2026Review
- Risk of all-cause and cause-specific mortality, and suicide attempt in people with anxiety and stress-related disorders: a systematic review, meta-analysis and meta-regression analysis of 165 studies.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Low 5HTJournal of neurochemistry · 2026Review
- Prevalence and factors associated with post-traumatic stress disorder among survivors of gender-based violence in selected safe houses in the Sidama region, Ethiopia.Discover mental health · 2026Article
- PTSD symptoms, loneliness, and amygdala volumes during pandemic social distancing associated with risk of suicidal ideation in trauma survivors with and without pre-pandemic PTSD.Journal of affective disorders reports · 2026Article
- Post-traumatic stress disorder and risk of all-cause and cause-specific mortality: a nationwide population and sibling-controlled cohort study in Taiwan.Epidemiology and psychiatric sciences · 2026Article
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- Explaining the Link Between PTSD and Suicide: A Meta-Analysis to Introduce the CEASE Framework.Psychological reports · 2026Article
- Digitalized suicide risk assessment in emergency psychiatry services.Frontiers in psychiatry · 2026Article
- Study of the effect of post-traumatic stress disorder and comorbid disorders on the daily lives of schoolchildren aged 11 to 16 in public schools in Morocco.Health psychology report · 2026Article
- Relationships between PTSD severity and suicidal ideation in Cambodian women: The role of individual symptom clusters, trauma types and depression.Global mental health (Cambridge, England) · 2026Article
- Examining suicidality and associated risk factors among refugee children and adolescents in Uganda.BMC psychiatry · 2025Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundIt is unclear whether post-traumatic stress disorder [PTSD] is associated with suicide risk in the general population, whether this differs by sex, or what the population impact of PTSD is for suicide.
methodsWe constructed a nationwide cohort of all people living in Sweden, born 1973-1997, followed from their 14th birthday (or immigration, if later) until suicide, other death, emigration or 31 December 2016. We used Cox proportional hazards regression to estimate hazard ratios [HR], and calculated the population impact of PTSD on suicide. We included sensitivity analyses to explore effects of outcome and exposure definitions, and to account for potential competing risks.
resultsOf 3,177,706 participants, 22,361 (0•7%) were diagnosed with PTSD, and 6,319 (0•2%) died by suicide over 49•2 million person-years. Compared with women and men without PTSD, suicide rates were 6•74 (95%CI: 5•61-8•09) and 3•96 (95%CI: 3•12-5•03) times higher in those with PTSD, respectively, after sociodemographic adjustment. Suicide rates remained elevated in women (HR: 2•61; 95%CI: 2•16-3•14) and men (HR: 1•67; 95%CI: 1•31-2•12) after adjustment for previous psychiatric conditions; attenuation was driven by previous non-fatal suicide attempts. Findings were insensitive to definitions or competing risks. If causal, 1•6% (95%CI: 1•2-2•1) of general population suicides could be attributed to PTSD, and up to 53.7% (95%CI: 46.1-60.2) in people with PTSD. LIMITATIONS: Residual confounding remains possible due to depressive and anxiety disorders diagnosed in primary care but unrecorded in these registers.
conclusionsClinical guidelines for the management of people with PTSD should recognise increased suicide risks.
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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.