Childhood adversity, mental health and suicide (CHASE): a longitudinal case-control linked data study of lifetime inpatient records associated with suicide.
Objectives Childhood adversity (CA) carries an increased risk of developing later mental health (MH) problems and suicidal behaviour. This study aimed to summarise lifetime hospital attendances for CA and MH in young people who later died by suicide. Approach This study is a retrospective longitud...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Swansea University
2022-08-01
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| Series: | International Journal of Population Data Science |
| Subjects: | |
| Online Access: | https://ijpds.org/article/view/1878 |
| _version_ | 1797427141737971712 |
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| author | Jan Savinc Nadine Dougall Margaret Maxwell Thanos Karatzias Rory O'Connor Brian Williams Ann John Helen Cheyne Claire Fyvie Jonathan Bisson Carina Hibberd Susan Abbott-Smith Liz Nolan |
| author_facet | Jan Savinc Nadine Dougall Margaret Maxwell Thanos Karatzias Rory O'Connor Brian Williams Ann John Helen Cheyne Claire Fyvie Jonathan Bisson Carina Hibberd Susan Abbott-Smith Liz Nolan |
| author_sort | Jan Savinc |
| collection | DOAJ |
| description | Objectives
Childhood adversity (CA) carries an increased risk of developing later mental health (MH) problems and suicidal behaviour. This study aimed to summarise lifetime hospital attendances for CA and MH in young people who later died by suicide.
Approach
This study is a retrospective longitudinal case control study. Lifetime Scottish inpatient acute and psychiatric records were linked to death records and summarised for individuals born since 1981 who died by suicide in the period 1991-2017 (cases), and controls (1:10) matched on sex, age, and postcode. Relevant records were coded MH (including self-harm) and/or CA. Descriptive statistics and odds ratios (OR) were computed.
Results
Data for 2,477 and 24,777 ‘cases’ and ‘controls’ were extracted, of whom 2,106 cases (85%) and 13,589 controls (55%) had lifespan hospital records. Mean age at death for cases was 23.7 (SD=4.9) and 75.9% were male. Psychiatric records represented 11.6% and 1.4% of records for cases and controls, respectively.
For the age range 10-18, Maltreatment & violence-related codes were recorded for 160 (7.6%) cases and 371 (2.7%) controls, corresponding to OR=2.9 (95%CI: 2.4-3.6). This was compared with MH at 458 (21.7%) cases and 560 (4.1%) controls and OR=6.5 (95%CI: 5.7-7.4). The highest adjusted ORs were for self-harm episodes recorded in general hospital with aORmale=6.56 (95%CI: 4.96-8.68) and aORfemale=6.87 (95%CI: 4.99-9.48).
Conclusion
All CA and MH presentations in inpatient hospital records were associated with greater risk of subsequent suicide, with the strongest association for self-harm.
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| first_indexed | 2024-03-09T08:39:40Z |
| format | Article |
| id | doaj.art-28ee1f0719964d86a17335714c9f953c |
| institution | Directory Open Access Journal |
| issn | 2399-4908 |
| language | English |
| last_indexed | 2024-03-09T08:39:40Z |
| publishDate | 2022-08-01 |
| publisher | Swansea University |
| record_format | Article |
| series | International Journal of Population Data Science |
| spelling | doaj.art-28ee1f0719964d86a17335714c9f953c2023-12-02T17:02:25ZengSwansea UniversityInternational Journal of Population Data Science2399-49082022-08-017310.23889/ijpds.v7i3.1878Childhood adversity, mental health and suicide (CHASE): a longitudinal case-control linked data study of lifetime inpatient records associated with suicide.Jan Savinc0Nadine Dougall1Margaret Maxwell2Thanos Karatzias3Rory O'Connor4Brian Williams5Ann John6Helen Cheyne7Claire Fyvie8Jonathan Bisson9Carina Hibberd10Susan Abbott-Smith11Liz Nolan12Edinburgh Napier UniversityEdinburgh Napier UniversityUniversity of StirlingEdinburgh Napier UniversityUniversity of GlasgowUniversity of the Highlands & IslandsSwansea UniversityUniversity of StirlingThe Rivers Centre, NHS LothianCardiff UniversityUniversity of StirlingChild and Adolescent Mental Health Service (CAMHS), NHS LothianAberlourObjectives Childhood adversity (CA) carries an increased risk of developing later mental health (MH) problems and suicidal behaviour. This study aimed to summarise lifetime hospital attendances for CA and MH in young people who later died by suicide. Approach This study is a retrospective longitudinal case control study. Lifetime Scottish inpatient acute and psychiatric records were linked to death records and summarised for individuals born since 1981 who died by suicide in the period 1991-2017 (cases), and controls (1:10) matched on sex, age, and postcode. Relevant records were coded MH (including self-harm) and/or CA. Descriptive statistics and odds ratios (OR) were computed. Results Data for 2,477 and 24,777 ‘cases’ and ‘controls’ were extracted, of whom 2,106 cases (85%) and 13,589 controls (55%) had lifespan hospital records. Mean age at death for cases was 23.7 (SD=4.9) and 75.9% were male. Psychiatric records represented 11.6% and 1.4% of records for cases and controls, respectively. For the age range 10-18, Maltreatment & violence-related codes were recorded for 160 (7.6%) cases and 371 (2.7%) controls, corresponding to OR=2.9 (95%CI: 2.4-3.6). This was compared with MH at 458 (21.7%) cases and 560 (4.1%) controls and OR=6.5 (95%CI: 5.7-7.4). The highest adjusted ORs were for self-harm episodes recorded in general hospital with aORmale=6.56 (95%CI: 4.96-8.68) and aORfemale=6.87 (95%CI: 4.99-9.48). Conclusion All CA and MH presentations in inpatient hospital records were associated with greater risk of subsequent suicide, with the strongest association for self-harm. https://ijpds.org/article/view/1878Secondary careHospital admissionsChildhood adversitySuicideMental healthSelf-harm |
| spellingShingle | Jan Savinc Nadine Dougall Margaret Maxwell Thanos Karatzias Rory O'Connor Brian Williams Ann John Helen Cheyne Claire Fyvie Jonathan Bisson Carina Hibberd Susan Abbott-Smith Liz Nolan Childhood adversity, mental health and suicide (CHASE): a longitudinal case-control linked data study of lifetime inpatient records associated with suicide. International Journal of Population Data Science Secondary care Hospital admissions Childhood adversity Suicide Mental health Self-harm |
| title | Childhood adversity, mental health and suicide (CHASE): a longitudinal case-control linked data study of lifetime inpatient records associated with suicide. |
| title_full | Childhood adversity, mental health and suicide (CHASE): a longitudinal case-control linked data study of lifetime inpatient records associated with suicide. |
| title_fullStr | Childhood adversity, mental health and suicide (CHASE): a longitudinal case-control linked data study of lifetime inpatient records associated with suicide. |
| title_full_unstemmed | Childhood adversity, mental health and suicide (CHASE): a longitudinal case-control linked data study of lifetime inpatient records associated with suicide. |
| title_short | Childhood adversity, mental health and suicide (CHASE): a longitudinal case-control linked data study of lifetime inpatient records associated with suicide. |
| title_sort | childhood adversity mental health and suicide chase a longitudinal case control linked data study of lifetime inpatient records associated with suicide |
| topic | Secondary care Hospital admissions Childhood adversity Suicide Mental health Self-harm |
| url | https://ijpds.org/article/view/1878 |
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