Evidence map›Paper›PMID 35352672›Full record

ArticleEpidemiology and psychiatric sciences2022

Suicide mortality among psychiatric patients in Northeast Italy: a 10-year cohort study.

Paolo Girardi, Tommaso Boldrini, Marco Braggion, Elena Schievano, Francesco Amaddeo, Ugo Fedeli

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In one paragraph

Article in Epidemiology and psychiatric sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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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

6 authors.

Paolo GirardiDepartment of Developmental Psychology and Socialization, University of Padua, Padua, Italy.ORCID https://orcid.org/0000-0001-8330-9414
Tommaso BoldriniDepartment of Developmental Psychology and Socialization, University of Padua, Padua, Italy.ORCID https://orcid.org/0000-0003-3381-9445
Marco BraggionEpidemiological Department, Azienda Zero, Veneto Region, Italy.ORCID https://orcid.org/0000-0002-9643-3382
Elena SchievanoEpidemiological Department, Azienda Zero, Veneto Region, Italy.ORCID https://orcid.org/0000-0002-9912-5107
Francesco AmaddeoDepartment of Neurosciences, Biomedicine and Movement, University of Verona, Verona, Italy.ORCID https://orcid.org/0000-0002-6826-7145
Ugo FedeliEpidemiological Department, Azienda Zero, Veneto Region, Italy.ORCID https://orcid.org/0000-0002-9939-3398

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe present study investigated the relationship between suicide mortality and contact with a community mental health centre (CMHC) among the adult population in the Veneto Region (northeast Italy, population 4.9 million). Specifically, it estimated the effects of age, gender, time elapsed since the first contact with a CMHC, calendar year of diagnosis and diagnostic category on suicide mortality and modality.

methodsThe regional mortality archive was linked to electronic medical records for all residents aged 18-84 years who had been admitted to a CMHC in the Veneto Region in 2008. In total, 54 350 subjects diagnosed with a mental disorder were included in the cohort and followed up for a period of 10 years, ending in 2018. Years of life lost (YLL) were computed and suicide mortality was estimated as a mortality rate ratio (MRR).

resultsDuring the follow-up period, 4.4% of all registered deaths were from suicide, but, given the premature age of death (mean 52.2 years), suicide death accounted for 8.7% of YLL; this percentage was particularly high among patients with borderline personality disorder (27.2%), substance use disorder (12.1%) and bipolar disorder (11.5%) who also presented the highest suicide mortality rates. Suicide mortality rates were halved in female patients (MRR 0.45; 95% CI 0.37-0.55), highest in patients aged 45-54 years (MRR 1.56; 95% CI 1.09-2.23), and particularly elevated in the 2 months following first contact with CMHCs (MRR 10.4; 95% CI 5.30-20.3). A sensitivity analysis restricted to patients first diagnosed in 2008 confirmed the results. The most common modalities of suicide were hanging (47%), jumping (18%), poisoning (13%) and drowning (10%), whereas suicide from firearm was rare (4%). Gender, age at death and time since first contact with CMHCs influenced suicide modality.

conclusionsSuicide prevention strategies must be promptly initiated after patients' first contact with CMHCs. Patients diagnosed with borderline personality disorder, substance use disorder and bipolar disorder may be at particularly high risk for suicide.

Indexed as

Bipolar DisorderSubstance-Related DisordersSuicideAdolescentAdultAgedAged, 80 and overCohort StudiesFemaleHumansItalyMiddle AgedYoung AdultCohort studymental disorderrecord linkage studysuicidesuicide mortality

Identifiers

PMID35352672
PMCPMC8967697

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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.