{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:02:31Z","timestamp":1761058951717,"version":"build-2065373602"},"reference-count":37,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Epidemiol Community Health"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:sec>\n                  <jats:title>Background:<\/jats:title>\n                  <jats:p>Some small studies have reported high risk of suicide after surgical treatment for peptic ulcer. The aim of the present study was to explore the risk of suicide in hospitalised gastric ulcer and duodenal ulcer patients separately among operated and non-operated cohorts.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods:<\/jats:title>\n                  <jats:p>Retrospective cohorts of 163\u2009579 non-operated patients with gastric ulcer or duodenal ulcer and 28\u2009112 patients with surgical treatment for ulcer, recorded in the Swedish Inpatient Register since 1965, were followed from the first hospitalisation, or operation for the surgery cohort, until death, any cancer, emigration, or 31 December 2003. Standardised mortality ratios (SMRs) were calculated, and Poisson regression produced adjusted relative risk estimates among operated and non-operated patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>Non-operated patients hospitalised for peptic ulcer showed a 70% excess risk of suicide (SMR 1.7, 95% CI 1.6 to 1.9) and those who underwent operation had a 60% increased risk (SMR 1.6, 95% CI 1.4 to 1.8). The risk of suicide was very high during the first year after hospitalisation (SMR 4.0, 95% CI 3.4 to 4.7) and more marked among women, patients under 70 and patients hospitalised without complications of ulcer. Both gastric ulcer and duodenal ulcer patients had high risk of suicide completion.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion:<\/jats:title>\n                  <jats:p>Hospitalised patients with gastric ulcer or duodenal ulcer have an increased risk of suicide regardless of surgical treatment. These patients, especially women, are at very high risk during the first year after first hospitalisation\/operation. The evaluation and management of suicidal thoughts in patients in medical settings should be further considered.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jech.2008.086348","type":"journal-article","created":{"date-parts":[[2009,7,14]],"date-time":"2009-07-14T21:12:45Z","timestamp":1247605965000},"page":"1016-1021","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Risk of suicide among operated and non-operated patients hospitalised for peptic ulcers"],"prefix":"10.1136","volume":"63","author":[{"given":"S","family":"Bahmanyar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Spar\u00e9n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E Mittendorfer","family":"Rutz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C M","family":"Hultman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2009,7,13]]},"reference":[{"key":"2025100305075842000_63.12.1016.1","unstructured":"WHO Europe. European health for all database. Regional office for Europe 2008."},{"key":"2025100305075842000_63.12.1016.2","unstructured":"Socialstyrelsen (National board on Health and Welfare). Skador och f\u00f6rgiftningar behandlade i sluten v\u00e5rd 2006. Socialstyrelsen 2008."},{"key":"2025100305075842000_63.12.1016.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1819.1995.tb01912.x"},{"key":"2025100305075842000_63.12.1016.4","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awn161"},{"key":"2025100305075842000_63.12.1016.5","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2004.02.052"},{"key":"2025100305075842000_63.12.1016.6","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.11.8844"},{"key":"2025100305075842000_63.12.1016.7","first-page":"895","article-title":"Mortality from gastric cancer and other causes after medical or surgical treatment for gastric ulcer.","volume":"41","author":"Hirohata","year":"1968","journal-title":"J Natl Cancer Inst"},{"key":"2025100305075842000_63.12.1016.8","doi-asserted-by":"publisher","DOI":"10.1007\/BF01655056"},{"key":"2025100305075842000_63.12.1016.9","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1056\/NEJM198208263070902","article-title":"Late mortality after surgery for peptic ulcer.","volume":"307","author":"Ross","year":"1982","journal-title":"N Engl J Med"},{"key":"2025100305075842000_63.12.1016.10","doi-asserted-by":"publisher","DOI":"10.1136\/gut.37.5.617"},{"key":"2025100305075842000_63.12.1016.11","first-page":"341","article-title":"Late prognosis after partial gastrectomy for ulcer; a follow-up study of 361 patients operated upon from 1905 to 1933.","volume":"114","author":"Krause","year":"1958","journal-title":"Acta Chir Scand"},{"key":"2025100305075842000_63.12.1016.12","first-page":"588","article-title":"Mortality from carcinoma after partial gastrectomy.","volume":"75","author":"Inokuchi","year":"1984","journal-title":"Gann"},{"key":"2025100305075842000_63.12.1016.13","doi-asserted-by":"publisher","DOI":"10.1007\/BF02090206"},{"key":"2025100305075842000_63.12.1016.14","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/0016-5085(91)90471-V","article-title":"Long-term prognosis after partial gastrectomy for benign conditions. Survival and smoking-related death of 2633 Amsterdam postgastrectomy patients followed up since surgery between 1931 and 1960.","volume":"101","author":"Tersmette","year":"1991","journal-title":"Gastroenterology"},{"issue":"(SUPPL402)","key":"2025100305075842000_63.12.1016.15","first-page":"1","article-title":"Mortality of Peptic Ulcer Patients.","volume":"174","author":"Westlund","year":"1963","journal-title":"Acta Med Scand"},{"key":"2025100305075842000_63.12.1016.16","doi-asserted-by":"publisher","DOI":"10.1007\/s002689910049"},{"key":"2025100305075842000_63.12.1016.17","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1097\/00005792-199411000-00001","article-title":"Suicide as an outcome for medical disorders.","volume":"73","author":"Harris","year":"1994","journal-title":"Medicine (Baltimore)"},{"key":"2025100305075842000_63.12.1016.18","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1111\/j.1600-0447.1975.tb11088.x","article-title":"Ulcer, attempted suicide and suicide.","volume":"51","author":"Viskum","year":"1975","journal-title":"Acta Psychiatr Scand"},{"key":"2025100305075842000_63.12.1016.19","unstructured":"Epidemiologic Center. http:\/\/www.socialstyrelsen.se\/NR\/rdonlyres\/BCCD170B-E998-411B-8F6A-40A2E6A3890D\/0\/Kvalitetochinneh\u00e5ll19642004.pdf. Stockholm: Epidemiologic Center, National Board of Health and Welfare 2004."},{"key":"2025100305075842000_63.12.1016.20","doi-asserted-by":"crossref","unstructured":"Bahmanyar S Ye W Dickman PW . Long-Term Risk of Gastric Cancer by Subsite in Operated and Unoperated Patients Hospitalized for Peptic Ulcer. Am J Gastroenterol 2007.","DOI":"10.1111\/j.1572-0241.2007.01161.x"},{"key":"2025100305075842000_63.12.1016.21","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1177\/030089160208800303","article-title":"Suicide and suicidal thoughts in cancer patients.","volume":"88","author":"Filiberti","year":"2002","journal-title":"Tumori"},{"key":"2025100305075842000_63.12.1016.22","doi-asserted-by":"publisher","DOI":"10.1007\/s001270200014"},{"key":"2025100305075842000_63.12.1016.23","doi-asserted-by":"publisher","DOI":"10.1159\/000067184"},{"key":"2025100305075842000_63.12.1016.24","doi-asserted-by":"publisher","DOI":"10.1097\/01.PSY.0000038935.67401.F3"},{"key":"2025100305075842000_63.12.1016.25","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1992.00400160119023"},{"key":"2025100305075842000_63.12.1016.26","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.1.10"},{"key":"2025100305075842000_63.12.1016.27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2005.08.009"},{"key":"2025100305075842000_63.12.1016.28","doi-asserted-by":"publisher","DOI":"10.1080\/00365520410006044"},{"key":"2025100305075842000_63.12.1016.29","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1097\/00006842-200011000-00015","article-title":"Seeking medical consultation: perceptual and behavioral characteristics distinguishing consulters and nonconsulters with functional dyspepsia.","volume":"62","author":"Cheng","year":"2000","journal-title":"Psychosom Med"},{"key":"2025100305075842000_63.12.1016.30","unstructured":"Del Valle J . Gastroenterology. In: Kasper DL, Braunwald E, Fauci AS, et al., eds. Harrison\u2019s Principles of Internal Medicine 2004:Chapter 274."},{"key":"2025100305075842000_63.12.1016.31","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.86.2.200"},{"key":"2025100305075842000_63.12.1016.32","doi-asserted-by":"crossref","first-page":"433","DOI":"10.3109\/00365528209182082","article-title":"Long-term effects after partial gastrectomy in elderly men. A longitudinal population study of men between 70 and 75 years of age.","volume":"17","author":"Mellstrom","year":"1982","journal-title":"Scand J Gastroenterol"},{"key":"2025100305075842000_63.12.1016.33","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1097\/00000658-198912000-00003","article-title":"Time trends in peptic ulcer surgery, 1956 to 1986. A nation-wide survey in Sweden.","volume":"210","author":"Gustavsson","year":"1989","journal-title":"Ann Surg"},{"key":"2025100305075842000_63.12.1016.34","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(81)92471-5"},{"key":"2025100305075842000_63.12.1016.35","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1097\/00004836-199002000-00026","article-title":"Changes in peptic ulcer and gastritis\/duodenitis in Great Britain, 1970-1985.","volume":"12","author":"Bloom","year":"1990","journal-title":"J Clin Gastroenterol"},{"key":"2025100305075842000_63.12.1016.36","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.1986.tb05158.x"},{"key":"2025100305075842000_63.12.1016.37","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2004.08.003"}],"container-title":["Journal of Epidemiology and Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jech.2008.086348","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T12:08:08Z","timestamp":1759493288000},"score":1,"resource":{"primary":{"URL":"https:\/\/jech.bmj.com\/lookup\/doi\/10.1136\/jech.2008.086348"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,7,13]]},"references-count":37,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2009,11,18]]},"published-print":{"date-parts":[[2009,12]]}},"alternative-id":["10.1136\/jech.2008.086348"],"URL":"https:\/\/doi.org\/10.1136\/jech.2008.086348","relation":{},"ISSN":["0143-005X","1470-2738"],"issn-type":[{"type":"print","value":"0143-005X"},{"type":"electronic","value":"1470-2738"}],"subject":[],"published":{"date-parts":[[2009,7,13]]}}}