{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:46:58Z","timestamp":1787503618710,"version":"build-2736575974"},"reference-count":42,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T00:00:00Z","timestamp":1544572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008376","name":"Helsingin ja Uudenmaan Sairaanhoitopiiri","doi-asserted-by":"publisher","award":["TYH2016217"],"award-info":[{"award-number":["TYH2016217"]}],"id":[{"id":"10.13039\/100008376","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008376","name":"Helsingin ja Uudenmaan Sairaanhoitopiiri","doi-asserted-by":"publisher","award":["Y1012YTKK1\/30101\/1403"],"award-info":[{"award-number":["Y1012YTKK1\/30101\/1403"]}],"id":[{"id":"10.13039\/100008376","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008376","name":"Helsingin ja Uudenmaan Sairaanhoitopiiri","doi-asserted-by":"publisher","award":["Y1070TKK14\/1403"],"award-info":[{"award-number":["Y1070TKK14\/1403"]}],"id":[{"id":"10.13039\/100008376","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008723","name":"Suomen L\u00e4\u00e4ketieteen S\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008723","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine longitudinally risk factors for suicide in depression, and gender differences in risk factors and suicide methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We linked data from (i) The Finnish Hospital Discharge Register, (ii) the Census Register of Statistics Finland, and (iii) Statistics Finland's register on causes of deaths. All 56\u00a0826 first\u2010hospitalized patients (25\u00a0188 men, 31\u00a0638 women) in Finland in 1991\u20132011 with a principal diagnosis of depressive disorder were followed up until death (2587 suicides) or end of the year 2014 (maximum 24\u00a0years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Clinical characteristics (severe depression adjusted hazard ratio [AHR] 1.19 [95% CI 1.08\u20131.30]; psychotic depression AHR 1.45 [1.30\u20131.62]; and comorbid alcohol dependence AHR 1.26 [1.13\u20131.41]), male gender (AHR 2.07 [1.91\u20132.24]), higher socioeconomic status and living alone at first hospitalization were long\u2010term predictors of suicide deaths. Highest risk was associated with previous suicide attempts (cumulative probability 15.4% [13.7\u201317.3%] in men, 8.5% [7.3\u20139.7%] in women). Gender differences in risk factors were modest, but in lethal methods prominent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sociodemographic and clinical characteristics at first hospitalization predict suicide in the long term. Inpatients with previous suicide attempts constitute a high\u2010risk group. Despite some gender differences in risk factors, those in lethal methods may better explain gender disparity in risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acps.12990","type":"journal-article","created":{"date-parts":[[2018,11,27]],"date-time":"2018-11-27T08:36:48Z","timestamp":1543307808000},"page":"154-163","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Risk factors for suicide in depression in Finland: first\u2010hospitalized patients followed up to 24\u00a0years"],"prefix":"10.1111","volume":"139","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2428-3098","authenticated-orcid":false,"given":"K. I.","family":"Aaltonen","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Helsinki Helsinki Finland"},{"name":"Mental Health Unit Department of Public Health Solutions National Institute for Health and Welfare Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5956-2399","authenticated-orcid":false,"given":"E.","family":"Isomets\u00e4","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Helsinki Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Sund","sequence":"additional","affiliation":[{"name":"Faculty of Social Sciences Centre for Research Methods University of Helsinki Helsinki Finland"},{"name":"Institute of Clinical Medicine University of Eastern Finland Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Pirkola","sequence":"additional","affiliation":[{"name":"Mental Health Unit Department of Public Health Solutions National Institute for Health and Welfare Helsinki Finland"},{"name":"Faculty of Social Sciences and Pirkanmaa Hospital District University of Tampere Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.11.008"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.160.4.765"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.58.2.221"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.157.12.1925"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2017.1044"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a009428"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.113"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20501"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2013.01.004"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/00048674.2011.590465"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674371405900303"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-4-37"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.177.6.484"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-017-1398-8"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.12m08180"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.2007.164.1.134"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61848-6"},{"key":"e_1_2_8_19_1","unstructured":"Sotkanet.fi statistical information on welfare and health in Finland [Internet]. National Institute for Health and Welfare. Available from:https:\/\/www.sotkanet.fi\/sotkanet\/en\/index?"},{"key":"e_1_2_8_20_1","first-page":"65","article-title":"Classification of mental disorders in Finland. A comparison of the Finnish classification of mental disorders in\u00a01987 with DSM III\u2010R","volume":"20","author":"Kuoppasalmi K","year":"1989","journal-title":"Psychiatria Fennica"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494812456637"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/bdi.12237"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2006.012922"},{"key":"e_1_2_8_24_1","unstructured":"Official Statistics of Finland (OSF).Quality Description: Causes of death 2014. Available from:http:\/\/www.stat.fi\/til\/ksyyt\/2014\/ksyyt_2014_2015-12-30_laa_001_en.html."},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(02)00311-7"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.184.2.153"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.15m09776"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291713000706"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2013.12.003"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v65n0612"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717002501"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0089944"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2017.16111288"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.15m09793"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.173.6.531"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2016.15070854"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7282.334"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.177.6.546"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-031912-114409"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.64.12.1377"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.151.4.530"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2014.10.069"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.nmd.0000095127.16296.c1"}],"container-title":["Acta Psychiatrica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Facps.12990","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acps.12990","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/acps.12990","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acps.12990","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T04:45:53Z","timestamp":1694234753000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/acps.12990"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,12]]},"references-count":42,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1111\/acps.12990"],"URL":"https:\/\/doi.org\/10.1111\/acps.12990","archive":["Portico"],"relation":{},"ISSN":["0001-690X","1600-0447"],"issn-type":[{"value":"0001-690X","type":"print"},{"value":"1600-0447","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,12]]},"assertion":[{"value":"2018-11-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}