Abstract:
BACKGROUND:The aim was to study whether number of visits to emergency department (ED) is associated with suicide, taking into consideration known risk factors. METHODS:This is a population-based case-control study nested in a cohort. Computerized database on attendees to ED (during 2002-2008) was record linked to nation-wide death registry to identify 152 cases, and randomly selected 1520 controls. The study was confined to patients attending the ED, who were subsequently discharged, and not admitted to hospital ward. Odds ratio (OR) and 95% confidence intervals (CI) of suicide risk according to number of visits (logistic regression) adjusted for age, gender, mental and behavioral disorders, non-causative diagnosis, and drug poisonings. RESULTS:Suicide cases had on average attended the ED four times, while controls attended twice. The OR for attendance due to mental and behavioral disorders was 3.08 (95% CI 1.61-5.88), 1.60 (95% CI 1.06-2.43) for non-causative diagnosis, and 5.08 (95% CI 1.69-15.25) for poisoning. The ORs increased gradually with increasing number of visits. Adjusted for age, gender, and the above mentioned diagnoses, the OR for three attendances was 2.17, for five attendances 2.60, for seven attendances 5.97, and for nine attendances 12.18 compared with those who had one visit. CONCLUSIONS:Number of visits to the ED is an independent risk factor for suicide adjusted for other known and important risk factors. The prevalence of four or more visits was 40% among cases compared with 10% among controls. This new risk factor may open new venues for suicide prevention.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Kvaran RB,Gunnarsdottir OS,Kristbjornsdottir A,Valdimarsdottir UA,Rafnsson Vdoi
10.1186/s12889-015-1544-5subject
Has Abstractpub_date
2015-03-07 00:00:00pages
227issn
1471-2458pii
10.1186/s12889-015-1544-5journal_volume
15pub_type
杂志文章abstract:BACKGROUND:Unintended pregnancy has dire consequences on the health and socioeconomic wellbeing of adolescent girls and young women (AGYW) (aged 15-24 years). While most studies tend to focus on lack of access to contraceptive information and services, and poverty as the main contributing factor to early-unintended pre...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09488-6
更新日期:2020-09-07 00:00:00
abstract:BACKGROUND:Health literacy is the ability to access to, understand, evaluate and use of essential health information to make basic health decisions. This study aimed to develop and psychometrically evaluate an instrument for measuring health literacy among adults (the Health Literacy Instrument for Adults - HELIA). ME...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08787-2
更新日期:2020-05-12 00:00:00
abstract:BACKGROUND:Achievement of the UNAIDS 90-90-90 targets in Sub-Sahara Africa is challenged by a weak care-cascade with poor linkage to care and retention in care. Community-based HIV testing and counselling (HTC) is widely used in African countries. However, rates of linkage to care and initiation of antiretroviral thera...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-016-2972-6
更新日期:2016-04-14 00:00:00
abstract:BACKGROUND:Reducing alcohol related harms in Australian Defence Force (ADF) trainees has been identified as a priority, but there are few evidence-based prevention programs available for the military setting. The study aims to test whether the P.A.R.T.Y. program delivered in-hospital or on-base, can reduce harmful alco...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-017-4330-8
更新日期:2017-05-02 00:00:00
abstract:BACKGROUND:Influenza is a global health threat to older adults, and the influenza vaccine is the most effective approach to prevent influenza infection. However, influenza vaccination coverage among Chinese older adults is far less than in developed countries such as the United States (4.0% vs. 64.9%). This study aims ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-021-10220-1
更新日期:2021-01-27 00:00:00
abstract:BACKGROUND:Regular participation in moderate-to-vigorous physical activity (MVPA) is important to manage obesity. Physical education (PE) is considered to play an important role in promoting lifelong participation in physical activity (PA) because it provides an existing network where cost-effective interventions can b...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5320-1
更新日期:2018-04-02 00:00:00
abstract:BACKGROUND:Little is known about how sitting time, alone or in combination with markers of physical activity (PA), influences mental well-being and work productivity. Given the need to develop workplace PA interventions that target employees' health related efficiency outcomes; this study examined the associations betw...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1447-5
更新日期:2015-01-31 00:00:00
abstract:BACKGROUND:Tobacco use has serious public health implications for both smokers and non-smokers and significant economic implications on health care spending for governments. Tobacco-related deaths are preventable through well-formulated and implemented tobacco control policies. Using tobacco policy as a case study, we ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5830-x
更新日期:2018-08-15 00:00:00
abstract:BACKGROUND:Harmful alcohol use has been linked to the spread of HIV in Kenya. It also adversely affects those on antiretroviral (ARV) treatment through poor compliance. This study using participatory research and action (PRA) methods sought to understand factors related to alcohol abuse and non-adherence and to formula...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-677
更新日期:2012-08-20 00:00:00
abstract:BACKGROUND:Tobacco and low socioeconomic status have been acknowledged as potential risk factors for upper aero-digestive tract (UADT) cancers in North America. In context of reducing adult male smoking prevalence (by over 50%), in the past few decades in Canada, this study tried to document changes in smoking-attribut...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-328
更新日期:2013-04-10 00:00:00
abstract:BACKGROUND:Data on Non-Communicable Diseases (NCDs) among indigenous populations are needed for interventions to improve health care. We conducted a survey in 2013 among rural indigenous Mbororo, Fulbe and other ethnic groups to determine the distribution of risk factors of NCDs in Cameroon. METHODS:We selected seven ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3837-8
更新日期:2016-11-24 00:00:00
abstract:BACKGROUND:In South Asia, up to 20% of people ingesting pesticides for self-poisoning purchase the pesticide from a shop with the sole intention of self-harm. Individuals who are intoxicated with alcohol and/or non-farmers represent 72% of such high-risk individuals. We aimed to test the feasibility and acceptability o...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5178-2
更新日期:2018-02-20 00:00:00
abstract:BACKGROUND:Given the rapid development during the early years (0-4 years), an understanding of the health implications of physical activity is needed. The purpose of this systematic review was to examine the relationships between objectively and subjectively measured physical activity and health indicators in the early...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/s12889-017-4860-0
更新日期:2017-11-20 00:00:00
abstract:BACKGROUND:To achieve the WHO End TB Strategy targets, it is necessary to detect and treat more people with active TB early. Scale-up of active case finding (ACF) may be one strategy to achieve that goal. Given human resource constraints in the health systems of most high TB burden countries, volunteer community health...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09042-4
更新日期:2020-06-15 00:00:00
abstract:BACKGROUND:Since the late nineties, no study has assessed the trends in management and in-hospital outcome of acute myocardial infarction (AMI) in Switzerland. Our objective was to fill this gap. METHODS:Swiss hospital discharge database for years 1998 to 2008. AMI was defined as a primary discharge diagnosis code I21...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-270
更新日期:2013-03-25 00:00:00
abstract:BACKGROUND:Volunteering has been advocated by the United Nations, and American and European governments as a way to engage people in their local communities and improve social capital, with the potential for public health benefits such as improving wellbeing and decreasing health inequalities. Furthermore, the US Corpo...
journal_title:BMC public health
pub_type: 杂志文章,meta分析
doi:10.1186/1471-2458-13-773
更新日期:2013-08-23 00:00:00
abstract:BACKGROUND:Although various HIV prevention programs targeting men who have sex with men (MSM) are operating in China, whether and how these programs are being utilized is unclear. This study explores participation of HIV prevention programs and influencing factors among MSM in two cities in China. METHODS:This is a mi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-847
更新日期:2012-10-08 00:00:00
abstract:BACKGROUND:Based on the need for better measurement of the retail food environment in rural settings and to examine how deprivation may be unique in rural settings, the aims of this study were: 1) to validate one commercially available data source with direct field observations of food retailers; and 2) to examine the ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-688
更新日期:2012-08-22 00:00:00
abstract:BACKGROUND:Examining professional assessments of a blood product recall/withdrawal and its implications for risk and public health, the paper introduces ideas about perceptions of minimal risk and its management. It also describes the context of publicly funded blood transfusion in Canada and the withdrawal event that ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-666
更新日期:2011-08-24 00:00:00
abstract:BACKGROUND:Little is known about adolescents' cancer awareness and help-seeking behaviour in Britain. This study assessed adolescents': awareness of cancer symptoms, common cancers, and the relationship between cancer and age; anticipated delay and perceived barriers to seeking medical advice; and examined variation by...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-580
更新日期:2012-07-31 00:00:00
abstract:BACKGROUND:Poultry farmers are at high-risk from avian influenza A/H7N9 infection due to sustained occupational exposures to live poultry. This study examined factors associated with poultry farmers' adoption of personal protective behaviours (PPBs) based on Protection Motivation Theory (PMT). METHODS:Totally, 297 pou...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4364-y
更新日期:2017-05-18 00:00:00
abstract:BACKGROUND:Integration of oral health promotion into general health care has been highly recommended by the World Health Organization. Primary-care physicians can as part of their general health care promote and contribute to improved oral health care. Our aim was to investigate primary-care physicians' knowledge of or...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-855
更新日期:2012-10-09 00:00:00
abstract:BACKGROUND:Immunization is an effective public health intervention to reduce morbidity and mortality among children and it will become more effective if the child can receive the full course of recommended immunization doses. The objective of this study was to determine the prevalence of childhood immunization defaulte...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7561-z
更新日期:2019-09-18 00:00:00
abstract:BACKGROUND:Whether the association of alcohol consumption and cardiovascular disease is the product of confounding and the degree to which this concern applies to other behaviors are unclear. METHODS:Using the 2003 Behavioral Risk Factor Surveillance System, a population-based telephone survey of adults in the US, we ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-6-118
更新日期:2006-05-03 00:00:00
abstract:BACKGROUND:This study describes exposure levels of bakery and pastry apprentices to flour dust, a known risk factor of occupational asthma. METHODS:Questionnaires on work activity were completed by 286 students. Among them, 34 performed a series of two personal exposure measurements using a PM2.5 and PM10 personal sam...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-7-311
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:Atherosclerotic cardiovascular diseases (ASCVD) are on the rise in low and middle-income countries attributed to modern sedentary lifestyle and dietary habits. This has led to the need of assessment of the burden of at-risk population so that prevention measures can be developed. The objective of this study ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08472-4
更新日期:2020-03-27 00:00:00
abstract:BACKGROUND:Since prevalence estimates of recommended physical activity (PA) considerably vary between different surveys, prevalence might be crucially affected by the choice of measuring instrument. The aim of the present study is to compare the results of four PA questionnaires regarding the current moderate- and vigo...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-10113-9
更新日期:2021-01-07 00:00:00
abstract:BACKGROUND:Populations in Europe are becoming increasingly ethnically diverse, and health risks differ between ethnic groups. The aim of the HELIUS (HEalthy LIfe in an Urban Setting) study is to unravel the mechanisms underlying the impact of ethnicity on communicable and non-communicable diseases. METHODS/DESIGN:HELI...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-402
更新日期:2013-04-27 00:00:00
abstract:BACKGROUND:Physical activity is critical to improving health and well-being in children. Quantitative studies have found a decline in activity in the transition from primary to secondary education. Exergames (active video games) might increase physical activity in adolescents. In January 2011 exergame dance mat systems...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3308-2
更新日期:2016-07-20 00:00:00
abstract:BACKGROUND:The provision of Anti-Retroviral Therapy (ART) was started in Myanmar in 2005 in collaboration with the National AIDS Program and the private sector. Successful clinical management of HIV-infected patients is subject to optimal adherence. The aim of the study was to determine the prevalence of adherence to A...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4309-5
更新日期:2017-05-05 00:00:00