Healthcare resource utilization prior to suicide death or suicide attempt in patients with major depressive disorder-A Danish registry-based cohort study
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Healthcare resource utilization prior to suicide death or suicide attempt in patients with major depressive disorder-A Danish registry-based cohort study. / Jensen, Kristoffer Jarlov; Osler, Merete; Bodker, Nikolaj; Riise, Jesper; Petersen, Janne.
I: Suicide and Life-Threatening Behavior, Bind 53, Nr. 3, 2023, s. 399-414.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Healthcare resource utilization prior to suicide death or suicide attempt in patients with major depressive disorder-A Danish registry-based cohort study
AU - Jensen, Kristoffer Jarlov
AU - Osler, Merete
AU - Bodker, Nikolaj
AU - Riise, Jesper
AU - Petersen, Janne
PY - 2023
Y1 - 2023
N2 - IntroductionMajor depressive disorder (MDD) is associated with suicide events and with increased healthcare resource utilization (HRU). The aim was to analyze the pattern of HRU prior to death by suicide or suicide attempt in patients with MDD using national registries. MethodsDanish adults with MDD, who died by suicide or had a first-time suicide attempt, were matched with MDD controls on age, sex, and MDD severity and analyzed for psychiatric and non-psychiatric hospital and private practitioner contacts, and prescriptions 1 year prior to the event. For individuals having a second suicide attempt, HRU prior to first and second suicide attempt was analyzed. ResultsAmong 1061 individuals dying by suicide and 3759 individuals with suicide attempt, compared with their controls, the proportion with psychiatric hospitalization was more than 50% increased, mainly accounted for by acute contacts. The difference to the matched controls decreased with increasing MDD severity. Non-psychiatric HRU was increased as well. The proportion with psychiatric hospitalizations or ED visits was reduced prior to the second attempt compared with first attempt. ConclusionAmong individuals with MDD, psychiatric and non-psychiatric HRU was increased 1 year prior to suicide event. The proportion of individuals who had psychiatric HRU decreased from first to second suicide attempt.
AB - IntroductionMajor depressive disorder (MDD) is associated with suicide events and with increased healthcare resource utilization (HRU). The aim was to analyze the pattern of HRU prior to death by suicide or suicide attempt in patients with MDD using national registries. MethodsDanish adults with MDD, who died by suicide or had a first-time suicide attempt, were matched with MDD controls on age, sex, and MDD severity and analyzed for psychiatric and non-psychiatric hospital and private practitioner contacts, and prescriptions 1 year prior to the event. For individuals having a second suicide attempt, HRU prior to first and second suicide attempt was analyzed. ResultsAmong 1061 individuals dying by suicide and 3759 individuals with suicide attempt, compared with their controls, the proportion with psychiatric hospitalization was more than 50% increased, mainly accounted for by acute contacts. The difference to the matched controls decreased with increasing MDD severity. Non-psychiatric HRU was increased as well. The proportion with psychiatric hospitalizations or ED visits was reduced prior to the second attempt compared with first attempt. ConclusionAmong individuals with MDD, psychiatric and non-psychiatric HRU was increased 1 year prior to suicide event. The proportion of individuals who had psychiatric HRU decreased from first to second suicide attempt.
KW - cohort study
KW - healthcare resource utilization
KW - major depressive disorder
KW - suicide
KW - suicide attempt
KW - RISK
KW - IDEATION
KW - PREVALENCE
U2 - 10.1111/sltb.12953
DO - 10.1111/sltb.12953
M3 - Journal article
C2 - 36825304
VL - 53
SP - 399
EP - 414
JO - Suicide and Life-Threatening Behavior
JF - Suicide and Life-Threatening Behavior
SN - 0363-0234
IS - 3
ER -
ID: 340324738