title: Long-term suicide risk in no, one or more mental disorders: the Lundby Study 1947-1997.
abstract: OBJECTIVE
  To investigate long-term suicide risk in individuals with no, one or more mental disorders.
  
  
  METHODS
  In the Lundby Study, involving a total population of 3563 subjects, mental health and suicide risk were monitored over 54-64 years.
  
  
  RESULTS
  The long-term suicide risk in subjects with no, one, or more mental disorders was 0.3%, 3.4% and 6.2% respectively. For individuals with only depression, the risk was 6.0%, only alcohol use disorder 4.7%, and only psychosis 3.1%. However, when individuals had additional disorders, the suicide risks were 6.6%, 9.4% and 10.4% respectively. Each diagnosis per se was significantly related to increased risk of suicide. Men had a higher suicide risk in depression than women. Men who had alcohol use disorder in addition to depression showed a very high risk of suicide, 16.2%.
  
  
  CONCLUSIONS
  Long-term suicide risk was increased for depression, alcohol use disorder, and psychosis per se. For the latter two the diagnosis alone there may be a lower risk than previously estimated when there is no additional diagnosis. In men, depression in addition to alcohol use disorder should be treated vigorously in the work to prevent suicide.
authors.affiliation: Department of Clinical Sciences, Psychiatry, Lund University, Lund, Sweden.
authors.forename: C
authors.initials: C
authors.lastname: Holmstrand
authors.affiliation: Department of Clinical Sciences, Psychiatry, Lund University, Lund, Sweden.
authors.forename: M
authors.initials: M
authors.lastname: Bogren
authors.affiliation: Department of Clinical Sciences, Psychiatry, Lund University, Lund, Sweden.
authors.forename: C
authors.initials: C
authors.lastname: Mattisson
authors.affiliation: Department of Clinical Sciences, Psychiatry, Lund University, Lund, Sweden.
authors.forename: L
authors.initials: L
authors.lastname: Brådvik
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D012042:Registries / Q000706:statistics & numerical data*; D013405:Suicide / Q000706:statistics & numerical data*; D013548:Sweden / Q000453:epidemiology
keywords: alcohol use disorder; depression; long-term course; psychosis; suicide risk