@article{ref1,
title="Evaluating clinical risk factors for suicide attempts in patients with epilepsy",
journal="Journal of affective disorders",
year="2017",
author="Harnod, Tomor and Lin, Cheng-Li and Kao, Chia-Hung",
volume="229",
number="",
pages="79-84",
abstract="OBJECTIVE: We would like to exam whether epilepsy patients in Taiwan have a high risk of attempted and completed suicide. <br><br>METHODS: In this study, we used a subset of the National Health Insurance Research Database (NHIRD) of Taiwan. Inpatients (≥ 18 years) who received a new diagnosis of epilepsy between 2000 and 2011 were enrolled in the epilepsy cohort. The epilepsy and comparison cohorts included 68,543 patients and 2-fold controls respectively. We calculated the adjusted hazard ratio (aHR) for suicide attempts after adjustment for age, sex, monthly income, the urbanization level, occupation, and comorbidity. <br><br>RESULTS: The epilepsy cohort had a 2.06-fold risk of suicide attempts (95% CI = 1.65-2.56) compared with the control cohort. The suicide attempt risk did not significantly differ between men and women and between patients with and without psychiatric comorbidity. The mortality risk after a suicide attempt was higher in the epilepsy cohort than in the comparison cohort (aHR = 1.66, 95% CI = 1.02-2.69). <br><br>CONCLUSION: Epilepsy is an independent and predisposing factor for suicide attempt. These results provide important information for clinicians and governments to prevent suicide in epilepsy patients in Asian countries.<br><br>Copyright © 2017 Elsevier B.V. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2017.12.048",
url="http://dx.doi.org/10.1016/j.jad.2017.12.048"
}