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dc.contributor.authorToo, LS
dc.contributor.authorSpittal, MJ
dc.contributor.authorBugeja, L
dc.contributor.authorReifels, L
dc.contributor.authorButterworth, P
dc.contributor.authorPirkis, J
dc.date.accessioned2020-05-03T08:23:10Z
dc.date.available2020-05-03T08:23:10Z
dc.date.issued2019-12-01
dc.identifierpii: S0165-0327(19)30620-2
dc.identifier.citationToo, L. S., Spittal, M. J., Bugeja, L., Reifels, L., Butterworth, P. & Pirkis, J. (2019). The association between mental disorders and suicide: A systematic review and meta-analysis of record linkage studies. Journal of Affective Disorders, 259, pp.302-313. https://doi.org/10.1016/j.jad.2019.08.054.
dc.identifier.issn0165-0327
dc.identifier.urihttp://hdl.handle.net/11343/238619
dc.description.abstractBackground: There has long been debate about the extent to which mental disorders contribute to suicide. We aimed to examine the evidence on the contribution of mental disorders to suicide among record linkage studies. Methods: We performed a systematic search using eight major health databases for English-language studies published between 1 January 2000 and 11 June 2018 that linked collected data on mental disorders and suicide. We then conducted a meta-analysis to assess risk of suicide conferred by mental disorders. Results: Our search identified 20 articles representing 13 unique studies. The pooled rate ratio (RR) was 13.2 (95% CI 8.6–20.3) for psychotic disorders, 12.3 (95% CI 8.9–17.1) for mood disorders, 8.1 (95% CI 4.6–14.2) for personality disorders, 4.4 (95% CI 2.9–6.8) for substance use disorders, and 4.1 (95% CI 2.4–6.9) for anxiety disorders in the general population. The overall pooled RR for these mental disorders was 7.5 (95% CI 6.6–8.6). The population attributable risk of mental disorders was up to 21%. Limitations: The overall heterogeneity between studies was very high. Conclusions: Our findings underline the important role of mental disorders in suicide. This suggests that ongoing efforts are required to improve access to and quality of mental health care to prevent suicide by people with mental disorders.
dc.languageEnglish
dc.publisherElsevier
dc.titleThe association between mental disorders and suicide: A systematic review and meta-analysis of record linkage studies
dc.typeJournal Article
dc.identifier.doi10.1016/j.jad.2019.08.054
melbourne.affiliation.departmentMelbourne Institute of Applied Economic and Social Research
melbourne.affiliation.departmentMelbourne School of Population and Global Health
melbourne.source.titleJournal of Affective Disorders
melbourne.source.volume259
melbourne.source.pages302-313
melbourne.identifier.arcFT180100075
melbourne.elementsid1409604
melbourne.contributor.authorSpittal, Matthew
melbourne.contributor.authorPirkis, Jane
melbourne.contributor.authorReifels, Lennart
melbourne.contributor.authorToo, Lay San
melbourne.contributor.authorButterworth, Peter
melbourne.contributor.authorBugeja, Lyndal
dc.identifier.eissn1573-2517
melbourne.identifier.fundernameidAUST RESEARCH COUNCIL, FT180100075
pubs.acceptance.date2019-08-17
melbourne.accessrightsOpen Access


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