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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

Reclassification of suicides in the Swedish data set. First re-evaluation (1), and second re-evaluation (2). Agreement (blue slanted lines) in classification of manner of death between the Swedish Cause of Death Register and the experts’ classification. Bars to the left of the vertical black line show the experts’ reclassifications (%) from suicides to undetermined, natural deaths and accidents. Bars to the right of the vertical black line show the experts’ reclassifications (%) of accidents, undetermined manner of deaths and natural deaths to suicides.
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BMJOPEN2015009120F3: Reclassification of suicides in the Swedish data set. First re-evaluation (1), and second re-evaluation (2). Agreement (blue slanted lines) in classification of manner of death between the Swedish Cause of Death Register and the experts’ classification. Bars to the left of the vertical black line show the experts’ reclassifications (%) from suicides to undetermined, natural deaths and accidents. Bars to the right of the vertical black line show the experts’ reclassifications (%) of accidents, undetermined manner of deaths and natural deaths to suicides.

Mentions: In total, there was 81% (range 39–100%) agreement in the classification of suicides between the official mortality statistics and the experts’ reclassifications. In total, there was 18% (range 0–59%) disagreement between the official mortality statistics and the experts’ reclassification of suicides as undetermined manner of death. The Swedish psychiatrist, the Danish psychiatrist and the Danish forensic pathologist had 51%, 39% and 52% agreement, respectively, with the official mortality statistics. The disagreement concerned mainly the reclassification of suicides as undetermined manner of death. The other experts had more than 97% agreement (figure 3). Among the suicides, 0.5% (range 0–1.5%) were reclassified as accidents and 0.1% (range 0–0.5%) as natural deaths. Among the accidents, 0.3% (range 0–1%) were reclassified as suicides, 0.5% (range 0–4%) as natural deaths and 0.6% (range 0–2%) as undetermined deaths.


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)

Reclassification of suicides in the Swedish data set. First re-evaluation (1), and second re-evaluation (2). Agreement (blue slanted lines) in classification of manner of death between the Swedish Cause of Death Register and the experts’ classification. Bars to the left of the vertical black line show the experts’ reclassifications (%) from suicides to undetermined, natural deaths and accidents. Bars to the right of the vertical black line show the experts’ reclassifications (%) of accidents, undetermined manner of deaths and natural deaths to suicides.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

BMJOPEN2015009120F3: Reclassification of suicides in the Swedish data set. First re-evaluation (1), and second re-evaluation (2). Agreement (blue slanted lines) in classification of manner of death between the Swedish Cause of Death Register and the experts’ classification. Bars to the left of the vertical black line show the experts’ reclassifications (%) from suicides to undetermined, natural deaths and accidents. Bars to the right of the vertical black line show the experts’ reclassifications (%) of accidents, undetermined manner of deaths and natural deaths to suicides.
Mentions: In total, there was 81% (range 39–100%) agreement in the classification of suicides between the official mortality statistics and the experts’ reclassifications. In total, there was 18% (range 0–59%) disagreement between the official mortality statistics and the experts’ reclassification of suicides as undetermined manner of death. The Swedish psychiatrist, the Danish psychiatrist and the Danish forensic pathologist had 51%, 39% and 52% agreement, respectively, with the official mortality statistics. The disagreement concerned mainly the reclassification of suicides as undetermined manner of death. The other experts had more than 97% agreement (figure 3). Among the suicides, 0.5% (range 0–1.5%) were reclassified as accidents and 0.1% (range 0–0.5%) as natural deaths. Among the accidents, 0.3% (range 0–1%) were reclassified as suicides, 0.5% (range 0–4%) as natural deaths and 0.6% (range 0–2%) as undetermined deaths.

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