Suicide and unintentional injury mortality among homeless people: a Danish nationwide register-based cohort study

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Standard

Suicide and unintentional injury mortality among homeless people : a Danish nationwide register-based cohort study. / Nilsson, Sandra Feodor; Hjorthøj, Carsten Rygaard; Erlangsen, Annette; Nordentoft, Merete.

In: European Journal of Public Health, Vol. 24, No. 1, 02.2014, p. 50-56.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Nilsson, SF, Hjorthøj, CR, Erlangsen, A & Nordentoft, M 2014, 'Suicide and unintentional injury mortality among homeless people: a Danish nationwide register-based cohort study', European Journal of Public Health, vol. 24, no. 1, pp. 50-56. https://doi.org/10.1093/eurpub/ckt025

APA

Nilsson, S. F., Hjorthøj, C. R., Erlangsen, A., & Nordentoft, M. (2014). Suicide and unintentional injury mortality among homeless people: a Danish nationwide register-based cohort study. European Journal of Public Health, 24(1), 50-56. https://doi.org/10.1093/eurpub/ckt025

Vancouver

Nilsson SF, Hjorthøj CR, Erlangsen A, Nordentoft M. Suicide and unintentional injury mortality among homeless people: a Danish nationwide register-based cohort study. European Journal of Public Health. 2014 Feb;24(1):50-56. https://doi.org/10.1093/eurpub/ckt025

Author

Nilsson, Sandra Feodor ; Hjorthøj, Carsten Rygaard ; Erlangsen, Annette ; Nordentoft, Merete. / Suicide and unintentional injury mortality among homeless people : a Danish nationwide register-based cohort study. In: European Journal of Public Health. 2014 ; Vol. 24, No. 1. pp. 50-56.

Bibtex

@article{671809212c0f46859afde9c0d1d282a6,
title = "Suicide and unintentional injury mortality among homeless people: a Danish nationwide register-based cohort study",
abstract = "BACKGROUND: Homeless people have elevated mortality, especially due to external causes. We aimed to examine suicide and unintentional injury mortality levels and identify predictors in the homeless population.METHODS: A nationwide, register-based cohort study of homeless people aged 16 years and older was carried out using the Danish Homeless Register, 1999-2008.RESULTS: In all, 32 010 homeless people (70.5{\%} men) were observed. For men, the mortality rate was 174.4 [95{\%} confidence interval (CI) = 150.6-198.1] per 100 000 person-years for suicide and 463.3 (95{\%} CI = 424.6-502.0) for unintentional injury. For women, the corresponding rates were 111.4 (95{\%} CI = 81.7-141.1) for suicide and 241.4 (95{\%} CI = 197.6-285.1) for unintentional injury. Schizophrenia spectrum, affective, personality and substance use disorders were strongly associated with increased risk of suicide; the highest risk estimates were found for schizophrenia spectrum disorders among both men [hazard ratio (HR) = 3.1, 95{\%} CI = 2.0-4.9] and women (HR = 15.5, 95{\%} CI = 4.5-54.0). Alcohol and drug use disorders were predictors of death by unintentional injury for both men and women, whereas schizophrenia spectrum disorders and personality disorders were only significant predictors among men; the highest risk estimates were found for drug use disorders among men (HR = 2.2, 95{\%} CI = 1.8-2.8) and women (HR = 3.1, 95{\%} CI = 1.8-5.4). A history of psychiatric admission and emergency room contact were predictors for dying by suicide and unintentional injury.CONCLUSION: People in the homeless shelter population with a history of a psychiatric disorder constitute a high-risk group regarding the elevated suicide and unintentional injury mortality.",
keywords = "Faculty of Health and Medical Sciences, Hjeml{\o}shed, D{\o}delighed, Selvmord, Ulykker, Overlevelsesanalyse, Epidemiologi, Registerstudie, Psykiatri",
author = "Nilsson, {Sandra Feodor} and Hjorth{\o}j, {Carsten Rygaard} and Annette Erlangsen and Merete Nordentoft",
year = "2014",
month = "2",
doi = "10.1093/eurpub/ckt025",
language = "English",
volume = "24",
pages = "50--56",
journal = "European Journal of Public Health",
issn = "1101-1262",
publisher = "Oxford University Press",
number = "1",

}

RIS

TY - JOUR

T1 - Suicide and unintentional injury mortality among homeless people

T2 - a Danish nationwide register-based cohort study

AU - Nilsson, Sandra Feodor

AU - Hjorthøj, Carsten Rygaard

AU - Erlangsen, Annette

AU - Nordentoft, Merete

PY - 2014/2

Y1 - 2014/2

N2 - BACKGROUND: Homeless people have elevated mortality, especially due to external causes. We aimed to examine suicide and unintentional injury mortality levels and identify predictors in the homeless population.METHODS: A nationwide, register-based cohort study of homeless people aged 16 years and older was carried out using the Danish Homeless Register, 1999-2008.RESULTS: In all, 32 010 homeless people (70.5% men) were observed. For men, the mortality rate was 174.4 [95% confidence interval (CI) = 150.6-198.1] per 100 000 person-years for suicide and 463.3 (95% CI = 424.6-502.0) for unintentional injury. For women, the corresponding rates were 111.4 (95% CI = 81.7-141.1) for suicide and 241.4 (95% CI = 197.6-285.1) for unintentional injury. Schizophrenia spectrum, affective, personality and substance use disorders were strongly associated with increased risk of suicide; the highest risk estimates were found for schizophrenia spectrum disorders among both men [hazard ratio (HR) = 3.1, 95% CI = 2.0-4.9] and women (HR = 15.5, 95% CI = 4.5-54.0). Alcohol and drug use disorders were predictors of death by unintentional injury for both men and women, whereas schizophrenia spectrum disorders and personality disorders were only significant predictors among men; the highest risk estimates were found for drug use disorders among men (HR = 2.2, 95% CI = 1.8-2.8) and women (HR = 3.1, 95% CI = 1.8-5.4). A history of psychiatric admission and emergency room contact were predictors for dying by suicide and unintentional injury.CONCLUSION: People in the homeless shelter population with a history of a psychiatric disorder constitute a high-risk group regarding the elevated suicide and unintentional injury mortality.

AB - BACKGROUND: Homeless people have elevated mortality, especially due to external causes. We aimed to examine suicide and unintentional injury mortality levels and identify predictors in the homeless population.METHODS: A nationwide, register-based cohort study of homeless people aged 16 years and older was carried out using the Danish Homeless Register, 1999-2008.RESULTS: In all, 32 010 homeless people (70.5% men) were observed. For men, the mortality rate was 174.4 [95% confidence interval (CI) = 150.6-198.1] per 100 000 person-years for suicide and 463.3 (95% CI = 424.6-502.0) for unintentional injury. For women, the corresponding rates were 111.4 (95% CI = 81.7-141.1) for suicide and 241.4 (95% CI = 197.6-285.1) for unintentional injury. Schizophrenia spectrum, affective, personality and substance use disorders were strongly associated with increased risk of suicide; the highest risk estimates were found for schizophrenia spectrum disorders among both men [hazard ratio (HR) = 3.1, 95% CI = 2.0-4.9] and women (HR = 15.5, 95% CI = 4.5-54.0). Alcohol and drug use disorders were predictors of death by unintentional injury for both men and women, whereas schizophrenia spectrum disorders and personality disorders were only significant predictors among men; the highest risk estimates were found for drug use disorders among men (HR = 2.2, 95% CI = 1.8-2.8) and women (HR = 3.1, 95% CI = 1.8-5.4). A history of psychiatric admission and emergency room contact were predictors for dying by suicide and unintentional injury.CONCLUSION: People in the homeless shelter population with a history of a psychiatric disorder constitute a high-risk group regarding the elevated suicide and unintentional injury mortality.

KW - Faculty of Health and Medical Sciences

KW - Hjemløshed

KW - Dødelighed

KW - Selvmord

KW - Ulykker

KW - Overlevelsesanalyse

KW - Epidemiologi

KW - Registerstudie

KW - Psykiatri

U2 - 10.1093/eurpub/ckt025

DO - 10.1093/eurpub/ckt025

M3 - Journal article

C2 - 23482619

VL - 24

SP - 50

EP - 56

JO - European Journal of Public Health

JF - European Journal of Public Health

SN - 1101-1262

IS - 1

ER -

ID: 119349728