Poor psychological health and 5-year suicide mortality : A population-based prospective cohort study
(2020) In Social Science and Medicine 258.- Abstract
Objective: The objective was to investigate associations between the General Health Questionnaire with twelve sub-items (GHQ-12) and prospective five-year suicide mortality. The two commonly used GHQ-12 cut-offs (2/3 and 3/4) were analyzed. Method: The 2008 public health survey, which was conducted in the autumn of 2008 in Scania, southern Sweden, is based on a postal questionnaire answered by 28,198 participants, aged 18 to 80. GHQ-12 was assessed from the baseline questionnaire, and five-year prospective register data on causes of death were connected to the baseline survey. In total, 21 persons died from intentional self-inflicted injuries, and twenty of them had complete answers regarding GHQ-12. Hazard rate ratios (HRR) were... (More)
Objective: The objective was to investigate associations between the General Health Questionnaire with twelve sub-items (GHQ-12) and prospective five-year suicide mortality. The two commonly used GHQ-12 cut-offs (2/3 and 3/4) were analyzed. Method: The 2008 public health survey, which was conducted in the autumn of 2008 in Scania, southern Sweden, is based on a postal questionnaire answered by 28,198 participants, aged 18 to 80. GHQ-12 was assessed from the baseline questionnaire, and five-year prospective register data on causes of death were connected to the baseline survey. In total, 21 persons died from intentional self-inflicted injuries, and twenty of them had complete answers regarding GHQ-12. Hazard rate ratios (HRR) were analyzed in survival (Cox-) regression analyses, adjusted for age, sex, marital status and socioeconomic status (SES). Results: The prevalence of poor psychological health according to GHQ-12 with the 2/3 cut-off was 14% among men and 18% among women, and with the 3/4 cut-off it was 11% among men and 15% among women. The 2/3 cut-off yielded a HRR of 3.02 (1.14–7.98, 95% CI) which decreased to 2.44 (0.92–6.49) when adjusted for marital status and SES, and a 3/4 cut-off HRR of 3.97 (1.51–10.47) which decreased to 3.23 (1.22-1.22-8.56) when adjusted for marital status and SES. Conclusion: The results indicate high effect measures (HRRs) between GHQ12 with both cut offs and five-year suicide mortality.
(Less)
- author
- Fridh, Maria LU ; Rosvall, Maria LU and Lindström, Martin LU
- organization
- publishing date
- 2020
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- GHQ-12, Intentional self-injury, Mental health, Suicide, Suicide mortality, Sweden
- in
- Social Science and Medicine
- volume
- 258
- article number
- 113056
- publisher
- Elsevier
- external identifiers
-
- pmid:32516638
- scopus:85085898706
- ISSN
- 0277-9536
- DOI
- 10.1016/j.socscimed.2020.113056
- language
- English
- LU publication?
- yes
- id
- 56ee5a90-5820-4471-8f5d-083f91df3fa3
- date added to LUP
- 2020-07-01 12:39:21
- date last changed
- 2024-04-03 10:47:10
@article{56ee5a90-5820-4471-8f5d-083f91df3fa3,
abstract = {{<p>Objective: The objective was to investigate associations between the General Health Questionnaire with twelve sub-items (GHQ-12) and prospective five-year suicide mortality. The two commonly used GHQ-12 cut-offs (2/3 and 3/4) were analyzed. Method: The 2008 public health survey, which was conducted in the autumn of 2008 in Scania, southern Sweden, is based on a postal questionnaire answered by 28,198 participants, aged 18 to 80. GHQ-12 was assessed from the baseline questionnaire, and five-year prospective register data on causes of death were connected to the baseline survey. In total, 21 persons died from intentional self-inflicted injuries, and twenty of them had complete answers regarding GHQ-12. Hazard rate ratios (HRR) were analyzed in survival (Cox-) regression analyses, adjusted for age, sex, marital status and socioeconomic status (SES). Results: The prevalence of poor psychological health according to GHQ-12 with the 2/3 cut-off was 14% among men and 18% among women, and with the 3/4 cut-off it was 11% among men and 15% among women. The 2/3 cut-off yielded a HRR of 3.02 (1.14–7.98, 95% CI) which decreased to 2.44 (0.92–6.49) when adjusted for marital status and SES, and a 3/4 cut-off HRR of 3.97 (1.51–10.47) which decreased to 3.23 (1.22-1.22-8.56) when adjusted for marital status and SES. Conclusion: The results indicate high effect measures (HRRs) between GHQ12 with both cut offs and five-year suicide mortality.</p>}},
author = {{Fridh, Maria and Rosvall, Maria and Lindström, Martin}},
issn = {{0277-9536}},
keywords = {{GHQ-12; Intentional self-injury; Mental health; Suicide; Suicide mortality; Sweden}},
language = {{eng}},
publisher = {{Elsevier}},
series = {{Social Science and Medicine}},
title = {{Poor psychological health and 5-year suicide mortality : A population-based prospective cohort study}},
url = {{http://dx.doi.org/10.1016/j.socscimed.2020.113056}},
doi = {{10.1016/j.socscimed.2020.113056}},
volume = {{258}},
year = {{2020}},
}