# Poster, Lunds universitet, suicidkongress i Ghent, september 2018

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# Poster, Lunds universitet, suicidkongress i Ghent, september 2018

Young men who committed suicide – an investigation of health care in Sweden

Probert-Lindström S. , Roos Af Hjelmsäter, E. , Palmqvist- Öberg, N. Bergqvist, E. , Holck A. , Brunner, C. , Ehnvall, A. , Westrin, Å

## Aims and background

Aim: As the knowledge of factors contributing to suicide risk in young Table 2. Health care contacts, all individuals men is limited, the main aim of this study was to study the type and All Men Women extent of health care utilization and analyze gender based distribution of

health care prior to suicide. Any health care 49% 52% 39% within 4 weeks

| Health care | Primary care | 15% | 17% | 8% |
|---|---|---|---|---|
| ? | ? Suicide | or somatic care |  |  |
| Symptoms | utilization |  |  |  |
| Somatic care | 5% | 7% | 0% |  |

only

Table 3. Overview of received psychiatric care

| All n = 44 | Men n=29 | Women n=15 |  |  |
|---|---|---|---|---|
| Suicide is the second most common cause of death among young men in | Number of | 4 (0-16) | 4 (0-6) | 9 (0-16) |
| Sweden (1), despite efforts to identify risk factors and build prevention | visits median |  |  |  |
| strategies. Approximately half of all individuals who commit suicide | (min-max) |  |  |  |
| every year in Sweden have been in contact with their primary or | during the last 4 |  |  |  |
| secondary health care provider prior to the suicide, indicating that further | weeks |  |  |  |

improvements are needed within prevention.

Psychotropic 84% 83% 87% medications at Methods time of death

Psycho- 34% 24% 53% therpeutic Subjects: treatments at All young men time of death and women who

| committed | Increased suicide | 16% | 17% | 13% |
|---|---|---|---|---|
| suicide 2015 in 4 | risk noted at last |  |  |  |
| regions of | vistit to |  |  |  |
| Sweden | psychiatrist |  |  |  |

Table 4. Inpatient care and previous suicide attempts in patients with psychiatric care the last 24 months

Methods: Medical records from the last two years in life of 81 All n=27 Men n=19 Women n=8 individuals (57 men), aged 15-44, who committed suicide 2015, were

Inpatient care 61% 66% 53% examined with a protocol addressing health care contacts and treatments prior to death. The protocol was developed based on Swedish

| Previous suicide | 57% | 52% | 67% |
|---|---|---|---|
| guidelines (2). | attempts |  |  |

### Table 1

All n=81 Men n=57 Women n=24 Table 5. The last visit to primary care

| Examined | 80 | 57 | 23 | All n=70 | Men n=49 | Women n=21 |
|---|---|---|---|---|---|---|
| Psychiatric | 43% | 42% | 43% |  |  |  |
| Any health care | 76 | 54 | 22 |  |  |  |

diagnose the last 24

months Psychiatric 38% 34% 48% symptoms

Suicidal ideation 4% 4% 4% assessed

Affiliations and references 1Lund University,²Jönköping University,³University of Conclusions Gothenburg,⁴,⁵Kalmar County, Sweden. Contact: Sara Probert-Lindström +46702823770 Sara.probert-lindstrom@med.lu.se

References: (1) Statistics of causes of death 2016, National board of health and welfare, Sweden www.socialstyrelsen.se/register/dodsorsaksregistret (2) Svenska psykiatriska Föreningens kliniska riktlinjer för utredning och behandling av suicidnära patienter www.svenskpsykiatri.se/spfs-kliniska-riktlinjer/ 2013

It is notable that more than half of the men who committed suicide had been in contact with health care prior to suicide but only a portion of them were assessed to have a elevated suicide risk. Further, more than half of the men with a psychiatric contact within 24 months prior to death, had made a previous suicide attempt. There were no major gender differences found in this study but the population is to small for statistic comparison. However it is noteworthy that men received less psychotherapeutic treatment compared to women. We will extend the study by including all individuals who committed suicide within all age groups and in a larger portion of the Swedish regions.

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