Evidence map›Paper›PMID 39834204›Full record

Observational studyEuropean psychiatry : the journal of the Association of European Psychiatrists2025

Burden of psychiatric and somatic comorbidities in individuals with suicidal behavior: a nationwide Danish registry-based, observational study.

Mette Reilev, Jens-Jakob Kjer Møller, Elsebeth Stenager, Erik Christiansen

Abstract readObservational Study
In one paragraph

Observational study in European psychiatry : the journal of the Association of European Psychiatrists, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed.

  1. Age- and sex-patterns of suicide trends in Europe: 1990-2022 comparative analysis of official WHO mortality data.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    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

4 authors.

Mette ReilevCentre for Suicide Research, Odense, Denmark.ORCID 0000-0003-1241-4385
Jens-Jakob Kjer MøllerOPEN - Open Patient Data Explorative Network, Odense University Hospital, Odense, Denmark.ORCID 0000-0002-8771-4940
Elsebeth StenagerThe Research Unit in Psychiatry - Child and Adults, Psychiatry in the Region of Southern Denmark, Aabenraa, Denmark.ORCID 0000-0002-4752-3648
Erik ChristiansenCentre for Suicide Research, Odense, Denmark.ORCID 0000-0003-3562-9506

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany psychiatric and somatic comorbidities increase the risk of suicidal behavior, but the effect of co-existing comorbidities is sparsely elucidated. We described co-existence of psychiatric and somatic comorbidities and the influence of the combined comorbidity burden on the risk of suicidal behavior.

methodsWe defined two case populations above 10 years in the Danish health registries: those who 1) died by suicide (2010-2020) and 2) had an incident suicide attempt (2010-2021). Co-existing somatic and psychiatric comorbidities and relative odds of suicidal behavior at increasing comorbidity burden were assessed.

resultsAmong 5.9 million Danish citizens (2021), 6,257 individuals died by suicide whereas 30,570 had an incident suicide attempt. More than half had ≥2 co-existing psychiatric and/or somatic comorbidities. Of those who died by suicide, 18% had co-existing mood disorders and stress disorders, while 5% had both mood disorders and cancer. An 88-fold increase of odds for attempting suicide and a 35-fold increase of odds for suicide were observed among those with the highest combined burden of somatic and psychiatric comorbidities relative to those without. The presence of somatic comorbidities seemed to protect against suicide in older individuals.

conclusionsPsychiatric and somatic comorbidities commonly co-exist in individuals with suicidal behavior. Higher combined burden of psychiatric and somatic comorbidities increased the odds of suicidal behavior, though the presence of somatic diseases had a potential protective effect on the risk of suicide in older individuals. This warrants collaboration and enhanced awareness of suicidal behavior risks across somatic and psychiatric departments.

Indexed as

Mental DisordersMood DisordersNeoplasmsRegistriesSuicideSuicide, AttemptedAdolescentAdultAgedAged, 80 and overComorbidityDenmarkFemaleHumansMaleMiddle Agedcomorbidity burdenepidemiologysuicide research

Identifiers

PMID39834204
PMCPMC11822957

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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.