Article

OBJECTIVES: To compare 12-year suicide-specific mortalities of 3 different injury
cohorts, identify the risk factors for suicide mortality after spinal cord injury
(SCI), and investigate whether suicide mortality is higher among those with SCI
than in the general population. DESIGN: Retrospective cohort study. SETTING:
United States hospitals (n=28) designated as SCI Model Systems. PARTICIPANTS:
Participants (N=31,339) injured between January 1, 1973, and December 31, 1999.
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Suicide death after SCI.
RESULTS: The crude annual suicide mortality rate during the first 12 years after
SCI was 91 per 100,000 person-years for 1973 to 1979 injury cohort, 69 per
100,000 person-years for 1980 to 1989 injury cohort, and 46 per 100,000
person-years for 1990 to 1999 injury cohort. Suicide mortality was associated
with race, injury severity, and years since injury. The standardized mortality
ratios for the 3 cohorts were 5.2, 3.7, and 3.0, respectively. CONCLUSIONS:
Suicide mortality among those with SCI decreased over 3 injury cohorts, but it
still remained 3 times higher than that of the general population.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS