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Are suicide deaths under-reported? Nationwide re-evaluations of 1800 deaths in Scandinavia.

Tøllefsen IM, Helweg-Larsen K, Thiblin I, Hem E, Kastrup MC, Nyberg U, Rogde S, Zahl PH, Østevold G, Ekeberg Ø - BMJ Open (2015)

Bottom Line: Valid mortality statistics are important for healthcare planning and research.The reclassification comprised an assessment of the manner and cause of death as well as the level of certainty.Hence, reclassification did not increase the overall official suicide statistics of the 3 Scandinavian countries.

View Article: PubMed Central - PubMed

Affiliation: Department of Acute Medicine, Oslo University Hospital Ullevaal, Oslo, Norway Faculty of Medicine, Department of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.

No MeSH data available.


Related in: MedlinePlus

Distribution of the 1800 extracted cases. This distribution of cases ensured that the experts with a similar profession re-evaluated a minimum of 200 similar cases extracted from each of the cause of death registers in 2008. We planned to have a third ‘expert coder’ from Sweden, but this person had to withdraw during the process.
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BMJOPEN2015009120F1: Distribution of the 1800 extracted cases. This distribution of cases ensured that the experts with a similar profession re-evaluated a minimum of 200 similar cases extracted from each of the cause of death registers in 2008. We planned to have a third ‘expert coder’ from Sweden, but this person had to withdraw during the process.

Mentions: Per protocol, we divided 600 cases from each country into 12 groups of 50 cases in each group to ensure the reclassification of cases from all three countries by all three expert groups (figure 1). In each group, a random sample of causes of death was included. Thus, all 1800 cases would be re-evaluated by at least three experts, and some cases re-evaluated by all experts. In the present study, the Norwegian psychiatrist re-evaluated 1000 cases (600 from the Norwegian data set and 200 from each of the Swedish and Danish sets). The Swedish and Norwegian forensic pathologists and the Norwegian expert coder re-evaluated 800 deaths (400 deaths from his/her own country and 200 from each of the other two). The Swedish psychiatrist and the three Danish experts re-evaluated 600 cases each, 200 from each country.


Are suicide deaths under-reported? Nationwide re-evaluations of 1800 deaths in Scandinavia.

Tøllefsen IM, Helweg-Larsen K, Thiblin I, Hem E, Kastrup MC, Nyberg U, Rogde S, Zahl PH, Østevold G, Ekeberg Ø - BMJ Open (2015)

Distribution of the 1800 extracted cases. This distribution of cases ensured that the experts with a similar profession re-evaluated a minimum of 200 similar cases extracted from each of the cause of death registers in 2008. We planned to have a third ‘expert coder’ from Sweden, but this person had to withdraw during the process.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663440&req=5

BMJOPEN2015009120F1: Distribution of the 1800 extracted cases. This distribution of cases ensured that the experts with a similar profession re-evaluated a minimum of 200 similar cases extracted from each of the cause of death registers in 2008. We planned to have a third ‘expert coder’ from Sweden, but this person had to withdraw during the process.
Mentions: Per protocol, we divided 600 cases from each country into 12 groups of 50 cases in each group to ensure the reclassification of cases from all three countries by all three expert groups (figure 1). In each group, a random sample of causes of death was included. Thus, all 1800 cases would be re-evaluated by at least three experts, and some cases re-evaluated by all experts. In the present study, the Norwegian psychiatrist re-evaluated 1000 cases (600 from the Norwegian data set and 200 from each of the Swedish and Danish sets). The Swedish and Norwegian forensic pathologists and the Norwegian expert coder re-evaluated 800 deaths (400 deaths from his/her own country and 200 from each of the other two). The Swedish psychiatrist and the three Danish experts re-evaluated 600 cases each, 200 from each country.

Bottom Line: Valid mortality statistics are important for healthcare planning and research.The reclassification comprised an assessment of the manner and cause of death as well as the level of certainty.Hence, reclassification did not increase the overall official suicide statistics of the 3 Scandinavian countries.

View Article: PubMed Central - PubMed

Affiliation: Department of Acute Medicine, Oslo University Hospital Ullevaal, Oslo, Norway Faculty of Medicine, Department of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.

No MeSH data available.


Related in: MedlinePlus