Evidence map›Paper›PMID 38084643›Full record

ArticlePsychological medicine2024

Divorce and risk of suicide attempt: a Swedish national study.

Alexis C Edwards, Henrik Ohlsson, Jessica E Salvatore, Mallory E Stephenson, Casey Crump, Jan Sundquist, Kristina Sundquist, Kenneth S Kendler

Abstract read
In one paragraph

Article in Psychological medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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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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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Person-centred suicide prevention: key elements from the perspective of people living with suicidality.International journal of qualitative studies on health and well-being · 2025
    Article
  5. Article
  6. Article
  7. 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

8 authors.

Alexis C EdwardsDepartment of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.ORCID 0000-0002-4006-9710
Henrik OhlssonCenter for Primary Health Care Research, Lund University, Malmö, Sweden.
Jessica E SalvatoreDepartment of Psychiatry, Robert Wood Johnson Medical School, Rutgers University, Piscataway, NJ, USA.
Mallory E StephensonDepartment of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
Casey CrumpDepartment of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Jan SundquistCenter for Primary Health Care Research, Lund University, Malmö, Sweden.
Kristina SundquistCenter for Primary Health Care Research, Lund University, Malmö, Sweden.
Kenneth S KendlerDepartment of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.

Funding

Research Training: Psychiatric &Statistical GeneticsT32MH020030 · NIMH · VIRGINIA COMMONWEALTH UNIVERSITY · PI HERMINE H MAES, MICHAEL CHURTON NEALE · 1999 to 2026
$6.7M
The Etiology of Risk: Alcohol Use Disorder and Suicidal BehaviorR01AA027522 · NIAAA · VIRGINIA COMMONWEALTH UNIVERSITY · PI Alexis C Edwards, Kristina Sundquist · 2019 to 2026
$3.5M
Harnessing advances in the genetics of suicidality to identify and dissect psychosocial pathways to riskR01MH129356 · NIMH · VIRGINIA COMMONWEALTH UNIVERSITY · PI Alexis C Edwards · 2022 to 2026
$2.7M
NIAAA NIH HHS R01 AA027522NIMH NIH HHS R01 MH129356NIMH NIH HHS T32 MH020030
6 · The paper itself

Abstract

backgroundPrior research has reported an association between divorce and suicide attempt. We aimed to clarify this complex relationship, considering sex differences, temporal factors, and underlying etiologic pathways.

methodsWe used Swedish longitudinal national registry data for a cohort born 1960-1990 that was registered as married between 1978 and 2018 (

resultsIn the overall sample and in sex-stratified analyses, divorce was associated with increased risk of suicide attempt (adjusted hazard ratios [HRs] 1.66-1.77). Risk was highest in the year immediately following divorce (HRs 2.20-2.91) and declined thereafter, but remained elevated 5 or more years later (HRs 1.41-1.51). Divorcees from shorter marriages were at higher risk for suicide attempt than those from longer marriages (HRs 3.33-3.40 and 1.20-1.36, respectively). In general, HRs were higher for divorced females than for divorced males. Co-relative analyses suggested that familial confounders and a causal pathway contribute to the observed associations.

conclusionsThe association between divorce and risk of suicide attempt is complex, varying as a function of sex and time-related variables. Given evidence that the observed association is due in part to a causal pathway from divorce to suicide attempt, intervention or prevention efforts, such as behavioral therapy, could be most effective early in the divorce process, and in particular among females and those whose marriages were of short duration.

Indexed as

DivorceSuicide, AttemptedAdultAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedProportional Hazards ModelsRegistriesRisk FactorsSex FactorsSwedenYoung Adultdivorcefamilial confoundingsuicide attemptsurvival model

Identifiers

PMID38084643
PMCPMC11551852

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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.