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Is transition to disability pension in young people associated with changes in risk of attempted suicide?

Published online by Cambridge University Press:  10 January 2014

E. Mittendorfer-Rutz ,
K. Alexanderson ,
H. Westerlund  and
T. Lange
E. Mittendorfer-Rutz*
Affiliation:
Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden
K. Alexanderson
Affiliation:
Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden
H. Westerlund
Affiliation:
Stress Research Institute, Stockholm University, Stockholm, Sweden
T. Lange
Affiliation:
University of Copenhagen, Department of Biostatistics, Copenhagen, Denmark
*
* Address for correspondence: E. Mittendorfer-Rutz, Ph.D., Associate Professor, Karolinska Institutet, Department of Clinical Neuroscience, Division of Insurance Medicine, Berzelius väg 3, SE-17177 Stockholm, Sweden. (Email: Ellenor.Mittendorfer-Rutz@ki.se)
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Abstract

Background

The aim of the present study was to investigate trajectories of suicide attempt risks before and after granting of disability pension in young people.

Method

The analytic sample consisted of all persons 16–30 years old and living in Sweden who were granted a disability pension in the years 1995–1997; 2000–2002 as well as 2005–2006 (n = 26 624). Crude risks and adjusted odds ratios for suicide attempt were computed for the 9-year window around the year of disability pension receipt by repeated-measures logistic regressions.

Results

The risk of suicide attempt was found to increase continuously up to the year preceding the granting of disability pension in young people, after which the risk declined. These trajectories were similar for women and men and for disability pension due to mental and somatic diagnoses. Still, the multivariate odds ratios for suicide attempts for women and for disability pension due to mental disorders were 2.5- and 3.8-fold increased compared with the odds ratios for men and disability pension due to somatic disorders, respectively. Trajectories of suicide attempts differed for young individuals granted a disability pension during 2005–2006 compared with those granted during 1995–1997 and 2000–2002.

Conclusions

We found an increasing risk of suicide attempt up until the granting of a disability pension in young individuals, after which the risk decreased. It is of clinical importance to monitor suicide attempt risk among young people waiting for the granting of a disability pension.

Keywords

Disability pensionsuicide attemptyoung adults
Type
Original Articles
Information
Psychological Medicine , Volume 44 , Issue 11 , August 2014 , pp. 2331 - 2338
Copyright
Copyright © Cambridge University Press 2014 

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References

Allebeck, P, Mastekaasa, A (2004). Causes of sickness absence: research approaches and explanatory models. Scandinavian Journal of Public Health Supplement 32, 36–43.Google Scholar
Arnett, JJ (2001). Conceptions of the transition to adulthood: perspectives from adolescence through midlife. Journal of Adult Development 8, 133–143.Google Scholar
Claessen, H, Arndt, V, Drath, C, Brenner, H (2010). Smoking habits and occupational disability: a cohort study of 14,483 construction workers. Occupational and Environmental Medicine 67, 84–90.Google Scholar
Erikson, R (2005). Social class assignment and mortality in Sweden. Social Science and Medicine 62, 2151–2160.CrossRefGoogle ScholarPubMed
Hawton, K, Saunders, KE, O'Connor, RC (2012). Self-harm and suicide in adolescents. Lancet 379, 2373–2382.CrossRefGoogle ScholarPubMed
Honkonen, TI, Aro, TA, Isometsa, ET, Virtanen, EM, Katila, HO (2007). Quality of treatment and disability compensation in depression: comparison of 2 nationally representative samples with a 10-year interval in Finland. Journal of Clinical Psychiatry 68, 1886–1893.Google Scholar
Järvisalo, J, Anderson, B, Boedeker, W, Houtman, I (2005). Mental Disorders as a Major Challenge in Prevention of Work Disability. Kela: Helsinki.Google Scholar
Jonsson, U, Alexanderson, K, Kjeldgard, L, Westerlund, H, Mittendorfer-Rutz, E (2013). Diagnosis-specific disability pension predicts suicidal behaviour and mortality in young adults: a nationwide prospective cohort study. BMJ Open 3, e002286.Google Scholar
Jonsson, U, Bohman, H, Von Knorring, L, Olsson, G, Paaren, A, Von Knorring, AL (2011). Mental health outcome of long-term and episodic adolescent depression: 15-year follow-up of a community sample. Journal of Affective Disorders 130, 395–404.Google Scholar
Kessler, RC, Berglund, P, Demler, O, Jin, R, Merikangas, KR, Walters, EE (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry 62, 593–602.Google Scholar
Kupfer, DJ, Frank, E, Phillips, ML (2012). Major depressive disorder: new clinical, neurobiological, and treatment perspectives. Lancet 379, 1045–1055.CrossRefGoogle ScholarPubMed
Laaksonen, M, Metsa-Simola, N, Martikainen, P, Pietilainen, O, Rahkonen, O, Gould, R, Partonen, T, Lahelma, E (2012). Trajectories of mental health before and after old-age and disability retirement: a register-based study on purchases of psychotropic drugs. Scandinavian Journal of Work, Environment and Health 38, 409–417.CrossRefGoogle Scholar
Lager, A, Berlin, M, Heimerson, I, Danielsson, M (2012). Young people's health: Health in Sweden: The National Public Health Report 2012. Scandinavian Journal of Public Health 40, 42–71.CrossRefGoogle ScholarPubMed
Lauber, C (2008). Stigma and discrimination against people with mental illness: a critical appraisal. Epidemiologia e Psichiatria Sociale 17, 10–13.CrossRefGoogle ScholarPubMed
Ludvigsson, JF, Andersson, E, Ekbom, A, Feychting, M, Kim, JL, Reuterwall, C, Heurgren, M, Olausson, PO (2011). External review and validation of the Swedish national inpatient register. BMC Public Health 11, 450–454.Google Scholar
Mantyniemi, A, Oksanen, T, Salo, P, Virtanen, M, Sjosten, N, Pentti, J, Kivimaki, M, Vahtera, J (2012). Job strain and the risk of disability pension due to musculoskeletal disorders, depression or coronary heart disease: a prospective cohort study of 69,842 employees. Occupational and Environmental Medicine 69, 574–581.Google Scholar
Mittendorfer-Rutz, E, Rasmussen, F, Wasserman, D (2004). Restricted fetal growth and adverse maternal psychosocial and socioeconomic conditions as risk factors for suicidal behaviour of offspring: a cohort study. Lancet 364, 1135–1140.Google Scholar
Mittendorfer-Rutz, E, Wasserman, D (2004). Trends in adolescent suicide mortality in the WHO European Region. European Child and Adolescent Psychiatry 13, 321–331.Google Scholar
National Board of Health and Welfare (2009). The Cause of Death Register. National Board of Health and Welfare: Stockholm.Google Scholar
Oksanen, T, Vahtera, J, Westerlund, H, Pentti, J, Sjosten, N, Virtanen, M, Kawachi, I, Kivimaki, M (2011). Is retirement beneficial for mental health?: Antidepressant use before and after retirement. Epidemiology 22, 553–559.Google Scholar
Organisation for Economic Co-operation and Development (2003). Transfoming Disability into Ability: Policies to Promote Work and Income Security for Disabled People. O. Publishing: Paris.Google Scholar
Overland, S, Glozier, N, Henderson, M, Maeland, JG, Hotopf, M, Mykletun, A (2008). Health status before, during and after disability pension award: the Hordaland Health Study (HUSK). Occupational and Environmental Medicine 65, 769–773.Google Scholar
Ramberg, IL, Wasserman, D (2000). Prevalence of reported suicidal behaviour in the general population and mental health-care staff. Psychological Medicine 30, 1189–1196.Google Scholar
Shrivastava, A, Johnston, M, Bureau, Y (2012). Stigma of mental illness-1: clinical reflections. Mens Sana Monographs 10, 70–84.CrossRefGoogle ScholarPubMed
Skogen, JC, Knudsen, AK, Mykletun, A, Nesvag, S, Overland, S (2012). Alcohol consumption, problem drinking, abstention and disability pension award. The Nord-Trondelag Health Study (HUNT). Addiction 107, 98–108.Google Scholar
Social Insurance Agency (2007). New Disability Pensions – Focus on Young People with Mental Diagnoses 1995–2005. Social Insurance Agency: Stockholm.Google Scholar
Social Insurance Agency (2012). Social Insurance in Figures. Social Insurance Agency: Stockholm.Google Scholar
Social Security Administration (2012). Fast Facts and Figures about Social Security. Social Security Administration, Office of Retirement and Disability Policy: Washington, DC.Google Scholar
Sorvaniemi, M, Helenius, H, Salokangas, RK (2003). Factors associated with being granted a pension among psychiatric outpatients with major depression. Journal of Affective Disorders 75, 43–48.CrossRefGoogle ScholarPubMed
Statistiska Centralbryån (2003). Regional Divisions in Sweden on 1 January 2003. Part 1. Reports on Statistical Co-ordination for the Official Statistics of Sweden. Statistics Sweden: Stockholm.Google Scholar
Vingård, E, Alexanderson, K, Norlund, A (2004). Consequences of being on sick leave. Scandinavian Journal of Public Health Supplement 32, 207–215.Google Scholar
Waddell, G, Burton, A (2006). Is Work Good for Your Health and Wellbeing? The Stationery Office: London.Google Scholar