Presentation T O23

T O23 (Oral Presentation):
Is transition to disability pension in young people associated with changes in risk of attempted suicide?

Presented by: Ellenor Mittendorfer-Rutz

Authors

Mittendorfer-Rutz E1, Alexanderson K2, Westerlund H3, Lange T

  1. Karolinka Institutet
  2. Stockholm University
  3. University of Copenhagen

Abstract

Background

Despite the increasing trends of disability pension in young adults, there is hardly any evidence on the effect of this social insurance measure on the mental health development. The aim of the present study was to investigate trajectories of suicide attempt risks before and after granting of disability pension in young people and to see if these patterns differed across diagnosis, sex and period of granted disability pensions. Suicide attempt can be viewed as the outmost consequence of mental ill-health and represents a considerable public health problem in young people

Methods

The analytic sample consisted of all persons 16-30 years old and living in Sweden who were granted a disability pension in the years 1995 through 1997; 2000 through 2002 as well as 2005 through 2006 (N=26 624). Crude risks and adjusted odds ratios for suicide attempt were computed for the 9 year window around the year of disability pension receipt by repeated-measures logistic regressions.

Results

The risk of suicide attempt was found to increase continuously up to the year preceding the granting of disability pension in young people, after which the risk declined. These trajectories were similar for women and men and for disability pension due to mental and somatic diagnoses. Still, the multivariate odds ratios for suicide attempts for women and for disability pension due to mental disorders were 2.5 and 3.8 fold increased compared to the odds ratios for men and disability pension due to somatic disorders, respectively. Trajectories of suicide attempts differed for young individuals granted a disability pension during 2005-2006 from those granted during 1995-97 and 2000-2002.

Conclusions

We found an increasing risk of suicide attempt up until the granting of a disability pension in young individuals, after which the risk decreased. It is of clinical importance to monitor suicide attempt risk among young people waiting for granting of a disability pension.

Schedule Details

Tuesday September 30
13:45 - 15:15 Afternoon Concurrent Sessions (T O13 - T O24 and Seminar 5)
Session: Work disability in younger workers
Room A