Citation

Cao Y, Massaro JF, Krause JS, Chen Y, Devivo MJ. Arch. Phys. Med. Rehabil. 2014; 95(2): 230-235.

Affiliation

Department of Health Sciences and Research, Medical University of South Carolina, Charleston, SC. Electronic address: caoyu@musc.edu.

Copyright

(Copyright © 2014, Elsevier Publishing)

DOI

10.1016/j.apmr.2013.10.007

PMID

24161272

Abstract

OBJECTIVE: 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: 28 United States hospitals designated as SCI Model Systems. PARTICIPANTS: 31,339 participants injured between January 1, 1973 and December 31, 1999 INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Suicide death after SCI. RESULTS: The crude annual suicide mortality rate during the first 12 years after SCI was 91/10(5) person-years for 1973-1979 injury cohort, 69/10(5) person-years for 1980-1989 injury cohort, and 46/10(5) person-years for 1990-1999 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.

Language: en