Trajectories and characteristics of functional impairment before and after suicide attempt in young adults – a nationwide register-based cohort study

BMC Psychiatry

Thomas Niederkrotenthaler¹  Magnus Helgesson²  Mo Wang²  Syed Rahman²  Ellenor Mittendorfer-Rutz² 

[1]Center for Public Health, Department of Social and Preventive Medicine, Medical University Vienna

[2]Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet

关键词: Sick leave;    Disability pension;    Suicide attempt;    Trajectory;   

DOI  :  10.1186/s12888-017-1567-9

来源: DOAJ

【 摘 要 】

Abstract Background Despite high rates of youth suicide attempt, little is known about patterns of functional impairment in terms of sickness absence and disability pension (SA/DP) before and after an attempt. The aim was to identify SA/DP trajectories among young adults with or without suicide attempt and to describe associations of socio-demographic and clinical factors with such trajectories. Methods This is a population-based cohort study of 5385 individuals aged 25–40 years with a first suicide attempt during 2007–2009. One control for each case without suicide attempt was matched by socio-demographic factors. Trajectories of annual SA/DP months over an eight-year period were analysed by group-based trajectory modelling. Associations between socio-demographic and clinical factors with trajectory groups were estimated by chi2-test and multinomial logistic regression. Results Two groups of suicide attempters had low SA/DP levels over time (62%). One group had constantly high SA/DP levels (16%). The remaining two groups had increased SA/DP initially, which then decreased at different time points. Socio-demographic and clinical factors were associated with different trajectories (R2 = 0.44). Suicide attempters with low levels of SA/DP were likely to be unemployed whereas a larger proportion of those with high levels of SA/DP had psychiatric health care before the suicide attempt, particularly due to schizophrenia and non-affective psychoses or personality disorders. Conclusions Young suicide attempters even with no/low levels of SA/DP were likely to be marginalised at the labour market. Schizophrenia/non-affective psychoses and personality disorders were important clinical factors for differentiating the levels of SA/DP among young suicide attempters.

【 授权许可】

Unknown