The association between adjustment disorder diagnosed at psychiatric treatment facilities and completed suicide

Jaimie L Gradus1,2, Ping Qin3, Alisa K Lincoln4, Matthew Miller5, Elizabeth Lawler6, Timothy L Lash2,71National Center for PTSD VA Boston Healthcare System, Boston, MA, USA; 2Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA; 3National Centre for Register-based R...

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Main Authors: Jaimie L Gradus, Ping Qin, Alisa K Lincoln, et al
Format: Article
Language:English
Published: Dove Medical Press 2010-03-01
Series:Clinical Epidemiology
Online Access:http://www.dovepress.com/the-association-between-adjustment-disorder-diagnosed-at-psychiatric-t-a4101
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author Jaimie L Gradus
Ping Qin
Alisa K Lincoln
et al
author_facet Jaimie L Gradus
Ping Qin
Alisa K Lincoln
et al
author_sort Jaimie L Gradus
collection DOAJ
description Jaimie L Gradus1,2, Ping Qin3, Alisa K Lincoln4, Matthew Miller5, Elizabeth Lawler6, Timothy L Lash2,71National Center for PTSD VA Boston Healthcare System, Boston, MA, USA; 2Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA; 3National Centre for Register-based Research, Aarhus University, Aarhus, Denmark; 4Health Sciences and Sociology Departments, Northeastern University, Boston, MA, USA; 5Department of Health Policy and Management, Harvard University School of Public Health, Boston, MA, USA; 6Department of Medicine, Harvard University, Boston, MA, USA; 7Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, DenmarkAbstract: Adjustment disorder is a diagnosis given following a significant psychosocial stressor from which an individual has difficulty recovering. The individual’s reaction to this event must exceed what would be observed among similar people experiencing the same stressor. Adjustment disorder is associated with suicidal ideation and suicide attempt. However the association between adjustment disorder and completed suicide has yet to be examined. The current study is a population-based case control study examining this association in the population of Denmark aged 15 to 90 years. All suicides in Denmark from 1994 to 2006 were included, resulting in 9,612 cases. For each case, up to 30 controls were matched on gender, exact date of birth, and calendar time, yielding 199,306 controls. Adjustment disorder diagnosis was found in 7.6% of suicide cases and 0.52% of controls. Conditional logistic regression analyses revealed that those diagnosed with adjustment disorder had 12 times the rate of suicide as those without an adjustment disorder diagnosis, after controlling for history of depression diagnosis, marital status, income, and the matched factors.Keywords: adjustment disorder, suicide, case-control study
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spelling doaj.art-6fe1fb0b3713447da228b738bbd960c22022-12-21T18:34:19ZengDove Medical PressClinical Epidemiology1179-13492010-03-012010default2328The association between adjustment disorder diagnosed at psychiatric treatment facilities and completed suicideJaimie L GradusPing QinAlisa K Lincolnet alJaimie L Gradus1,2, Ping Qin3, Alisa K Lincoln4, Matthew Miller5, Elizabeth Lawler6, Timothy L Lash2,71National Center for PTSD VA Boston Healthcare System, Boston, MA, USA; 2Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA; 3National Centre for Register-based Research, Aarhus University, Aarhus, Denmark; 4Health Sciences and Sociology Departments, Northeastern University, Boston, MA, USA; 5Department of Health Policy and Management, Harvard University School of Public Health, Boston, MA, USA; 6Department of Medicine, Harvard University, Boston, MA, USA; 7Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, DenmarkAbstract: Adjustment disorder is a diagnosis given following a significant psychosocial stressor from which an individual has difficulty recovering. The individual’s reaction to this event must exceed what would be observed among similar people experiencing the same stressor. Adjustment disorder is associated with suicidal ideation and suicide attempt. However the association between adjustment disorder and completed suicide has yet to be examined. The current study is a population-based case control study examining this association in the population of Denmark aged 15 to 90 years. All suicides in Denmark from 1994 to 2006 were included, resulting in 9,612 cases. For each case, up to 30 controls were matched on gender, exact date of birth, and calendar time, yielding 199,306 controls. Adjustment disorder diagnosis was found in 7.6% of suicide cases and 0.52% of controls. Conditional logistic regression analyses revealed that those diagnosed with adjustment disorder had 12 times the rate of suicide as those without an adjustment disorder diagnosis, after controlling for history of depression diagnosis, marital status, income, and the matched factors.Keywords: adjustment disorder, suicide, case-control studyhttp://www.dovepress.com/the-association-between-adjustment-disorder-diagnosed-at-psychiatric-t-a4101
spellingShingle Jaimie L Gradus
Ping Qin
Alisa K Lincoln
et al
The association between adjustment disorder diagnosed at psychiatric treatment facilities and completed suicide
Clinical Epidemiology
title The association between adjustment disorder diagnosed at psychiatric treatment facilities and completed suicide
title_full The association between adjustment disorder diagnosed at psychiatric treatment facilities and completed suicide
title_fullStr The association between adjustment disorder diagnosed at psychiatric treatment facilities and completed suicide
title_full_unstemmed The association between adjustment disorder diagnosed at psychiatric treatment facilities and completed suicide
title_short The association between adjustment disorder diagnosed at psychiatric treatment facilities and completed suicide
title_sort association between adjustment disorder diagnosed at psychiatric treatment facilities and completed suicide
url http://www.dovepress.com/the-association-between-adjustment-disorder-diagnosed-at-psychiatric-t-a4101
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