Medical and Social Determinants of Subsequent Labour Market Marginalization in Young Hospitalized Suicide Attempters

PloS One
Thomas NiederkrotenthalerEllenor Mittendorfer-Rutz

Abstract

Individuals with a history of suicide attempt have a high risk for subsequent labour market marginalization. This study aimed at assessing the effect of individual and parental factors on different measures of marginalization. Prospective cohort study based on register linkage of 5 649 individuals who in 1994 were 16-30 years old, lived in Sweden and were treated in inpatient care for suicide attempt during 1992-1994. Hazard ratios (HRs) for labour market marginalization defined as long-term unemployment (>180 days), sickness absence (>90 days), or disability pension in 1995-2010 were calculated with Cox regression. Medical risk factors, particularly any earlier diagnosed specific mental disorders (e.g., schizophrenia: HR 5.4 (95% CI: 4.2, 7.0), personality disorders: HR 3.9, 95% CI: 3.1, 4.9), repetitive suicide attempts (HR 1.6, 95% CI: 1.4, 1.9) were associated with a higher relative risk of disability pension. Individual medical factors were of smaller importance for long-term sickness absence, and of only marginal relevance to long-term unemployment. Country of birth outside Europe had an opposite effect on disability pension (HR 0.6, 95% CI: 0.4, 0.8) and long-term unemployment (HR 1.5, 95% CI: 1.3, 1.8). Female sex was p...Continue Reading

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Citations

Oct 17, 2017·European Journal of Public Health·T NiederkrotenthalerE Mittendorfer-Rutz
Oct 17, 2017·Scandinavian Journal of Public Health·Lisa MatherPia Svedberg
Jun 25, 2017·BMC Public Health·Magnus HelgessonEllenor Mittendorfer-Rutz
Feb 22, 2017·Social Psychiatry and Psychiatric Epidemiology·T NiederkrotenthalerE Mittendorfer-Rutz
Nov 8, 2018·BMC Public Health·Magnus HelgessonEllenor Mittendorfer-Rutz
Nov 9, 2018·Social Psychiatry and Psychiatric Epidemiology·Karin BeckmanMarie Dahlin
Jun 27, 2021·European Child & Adolescent Psychiatry·Iman AlaieUlf Jonsson

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