Risk for suicide attempt in the offspring of parents with suicide attempt.

In this study we use data from Danish, nationwide registers to investigate risk of suicide attempt in individuals whose parents have attempted suicide. Results show that parental suicide attempt is associated with a 3-fold increased risk of suicide attempt in the offspring. Risks are highest if the parent attempted suicide during early childhood of the offspring. Risks were slightly higher for children of mothers than fathers with suicide attempt. Suicide attempt in a stepparent was associated with a 1,7 fold risk of suicide attempt in the stepchild. Analyses are adjusted for important socioeconomic confounders.

DRISP: Anne RanningAnnette ErlangsenTrine Madsen, Merete Nordentoft

Partners:

  • Center for Register-based Research

iCare: Psychoeducation for parents of children

Approximately, 11,000 self-harm episodes occur on a yearly basis in Denmark. Of these, the majority are among youth below the age of 25 years. The Suicide Prevention Clinics experience that parents often request information on how they can best help their child after a self-harm episode. The aim of this project is to 1) in collaboration with parents to develop a webpage for this group, 2) to test whether the webpage can help reduce the stress burden that parents experience in a randomised trial, 3) to examine whether parents of children who self-harm have a higher rate of stress-related response when compared to parents not exposed. The project has received 3.7 DKR from the Danish TRYG Foundation

DRISP: Jette Louise Skovgaard Larsen, Anette Juel Kynde, Britt Morthorst, Annette Erlangsen


Partners

  • Elene Fleischer, PhD Netværk for selvmordsramte (www.nefos.dk)
  • Niels Buus, Mental Health Nursing, Sydney Nursing School, University of Sydney
  • Jan-Henrik Winsløw, Enhed for Selvmordsforebyggelse, Region Nordjylland
  • Prof Keith Hawton, Centre for Suicide Research, University of Oxford

Suicide risk associated with psychiatric hospitalization

To examine the trend and excess risk of suicide in suicidal high-risk phases, namely among psychiatric inpatients and recently discharged patients. We will examine the risk in these high-risk phases according to sex, age-groups and psychiatric diagnoses.


DRISP: Trine Madsen, Merete Nordentoft & Annette Erlangsen

Suicide risk according to highest level of psychiatric service received

Different patient groups are seen across psychiatric sectors and it is relevant to know which groups are at imminent risk of suicide. In this project, the risk of suicide is examined according to the highest level of psychiatric service received. The level will be graded according to severity as well as by type of contact, such as psychiatric admission, psychiatric ER visit, psychiatric outpatient, psychiatric medicine.

DRISP: Trine Madsen, Merete Nordentoft, Annette Erlangsen

Lyme disease and risk of suicidal behaviour suicidal adfærd

We will examine the risk of suicidal behavior associated with Lyme disease. We will look into how this risk is according to age of infection with Lyme, number of infections, days hospitalized due to Lyme disease and time since Lyme disease.


DRISP: Trine Madsen, Merete Nordentoft & Annette Erlangsen

Partners:

  • Michael Eriksen Benros, Research Unit, Mental Health Centre Copenhagen
  • Brian A. Fallon, MD, Center for Neuroinflammatory Disorders and Biobehavioral Medicine and director of the Lyme and Tick-Borne Diseases Research Center at Columbia University, USA

Combat exposure and risk of suicide attempt in previously deployed soldiers

In this study we have information on 13.000 deployed soldiers who reported on combat exposure after home-coming in a survey and this is linked to register-based data on self-harm/suicidal attempt.

Partners:

Traumatic brain injury (TBI) and risk of suicidal behaviour

We found that the risk of suicide is almost twice as high in people who experienced a TBI compared with people who had no TBI records. The risk was especially high in the first period after the TBI incident and oncreased by number of experienced TBI’s.

Internationale media
Washington Post
Reuters
ABC News
The Telegraph (britiskmedie)


The study has been published in JAMA.

DRISP: Trine Madsen, Merete Nordentoft & Annette Erlangsen

Partners:

  • Michael Eriksen Benros Research Unit, Mental Health Centre Copenhagen

Suicide rates in Nordic prisons 1999-2016

International research has shown an increased suicide rate among people in prison.  However, studies have yet to address age structural differences. In this longitudinal the suicide rates among male prisoners is compared to the general population in three Nordic countries, Denmark, Iceland, and Norway,  while adjusting for age differences.

Findings from the study shows that men in prison have a 7-fold higher suicide rate compared to the background population in Denmark, Iceland, and Norway and when accounting for age differences. For females, a rate 18-fold higher suicide rate was found among those in prison when compared to the general population. Over the 17-year study period, the suicide rate of people in prison decreased from 129 per 100,000 in 1999 to 70 per 100,000 in 2016. This decline was steeper that the decline observed for the suicide rate in the general population in the Nordic countries.

Link to study

https://www.tandfonline.com/doi/abs/10.1080/13811118.2020.1746943


DRISP: Britt Morthorst, Charlotte Mühlmann, Trine Madsen, Merete Nordentoft
og Annette Erlangsen

Partners

  • Lars Mehlum, Professor, National Centre for Suicide Research and Prevention, Institute of Clinical Medicine Oslo, Norway
  • Aiguröur Pàlsson, MD, Unit of Forensic Psychiatry, Iceland
  • Högni Óskarsson, md, Humus inc., Iceland Yngve Hammerlin, MD, Correctional Service of Norway Staff Academy, Norway

Relative affected by suicidal behaviour in Denmark

International research has demonstrate that a substantially share of the population have experienced to lose a next of kin to suicide. This study examines how many Danes have been affected by a suicide attempt. The aim of this on-going study is the assess how large a share of the Danish population have been affected by suicidal behaviour. The project has received support from the Partnership for Suicide Prevention, Danish Health Authority.

DRISP: Trine Madsen, Anne Ranning, Annette Erlangsen


Partners

  • Karine Hvidkjaer, medicinstuderende ved Københavns Universitet
  • Elene Fleischer, PhD Netværk for selvmordsramte (www.nefos.dk)
  • Jens Peter Eckardt,chefanalytiker, Bedre Psykiatri

Call volume to a national suicide hotline, the Lifeline

It is estimated that between 50-60% of callers to suicide hotlines might be in an acute crisis and as many as 56% have reported to have had a previous suicide attempt. It is, thus, important to answer these calls. In Denmark, the Lifeline answers >14,000 calls on a yearly basis but many calls remain unanswered. The aim of this research project is to examine how many calls to the Lifeline are answered as well as to determine peak call hours during the day.

The project has received support from the Partnership for Suicide Prevention, Danish Health Authority

DRISP: Annette Erlangsen

Partners:

  • Livslinien

Bereaved by suicide: psychological mechanism

To lose a next of kin to suicide can be an extremely distressing event. Studies show that bereaved by suicide have an elevated risk of stress-related diseases and suicidal behaviour themselves. The aim of this study is to examine the psychological mechanisms that affect the risk of suicidal behaviour among bereaved by suicide. These insights are needed in order to optimise the support for bereaved by suicide.
The project has received support from the American Foundation for Suicide Prevention

DRISP: Annette Erlangsen

Partner:

  • Dr Alexandra Pitman, Senior Clinical Lecturer, UCL Division of Psychiatry (projektansvarlig)
  • Dr Gemma Lewis, Research Associate in Psychiatric Epidemiology, UCL Division of Psychiatry
  • Professor Julie Cerel, Professor, College of Social Work, University of Kentucky


Bereaved by suicide and affected by suicide: how many receive help?

Every year about 600 suicide deaths and 11,000 suicide attempts are recorded in Denmark. Next to each suicidal act are numerous relatives and other next of kin who are deeply affected. Specialised support for bereaved and affected is being provided by volunteer organisations and it is unclear how many receive help. This research project will seek to map how many bereaved by suicide and affected by suicidal behaviour receive support from Nefos, one of the Danish volunteer organisations.


The project has received support from the Partnership for Suicide Prevention, Danish Health Authority

DRISP:  Annette Erlangsen


Partner:

  • Elene Fleischer, PhD Netværk for selvmordsramte (NEFOS)

MYPLAN – a self-help tool for management of crisis

People who have had a suicide attempt have a significantly higher risk of repeated suicidal behaviour. MYPLAN was created with the intention of being a self-help tool for management of suicidal crisis. This project consists of 1) a qualitative study of stakeholders on improvements to MYPLAN; 2) a randomized clinical trial to evaluate MYPLAN’s efficacy in reducing suicide intent among persons at risk of suicide, and 3) a person-centered evaluation of the MYPLAN to identify barriers and facilitators to its general implementation. The RCT was initiated in 2019 and is currently ongoing. Following studies have been published :
The project received support from the Danish TRYG Foundation.

Publications

https://trialsjournal.biomedcentral.com
https://www.tandfonline.com


DRISP: Charlotte Mühlmann Kate Andreassen Aamund, Jette Louise S. Larsen, Annette Erlangsen

Partners:

  • Hanne Frandsen, Mental Health Centre Copenhagen, Region H
  • Niels Buus, Mental Health Nursing, Sydney Nursing School, University of Sydney, Australia

Psycho-social speech therapy in the Danish Suicide Prevetion Clincs

Although deliberate self-harm is a strong predictor of suicide, evidence for effective interventions is missing. The aim of this study was to examine whether psychosocial therapy after self-harm was linked to lower risks of repeated self-harm, suicide, and general mortality.
Our findings show a lower risk of repeated deliberate self-harm and general mortality in recipients of psychosocial therapy after short-term and long-term follow-up, and a protective effect for suicide after long-term follow-up, which favour the use of psychosocial therapy interventions after deliberate self-harm.
The project was supported by Danish Health Insurance Foundation; the Research Council of Psychiatry, Region of Southern Denmark; the Research Council of Psychiatry, Capital Region of Denmark; and the Strategic Research Grant from Health Sciences, Capital Region of Denmark.

The project in the media

Information
TV2
Politiken
Kristeligt Dagblad
Jyllandsposten
DR

Abroad
New York Times
BBC
The Washington Post
Bloomberg News

The study was published in Psychological Medicine and Lancet Psychiatry.

DRISP: Annette Erlangsen & Merete Nordentoft

Partners:

  • Elizabeth A Stuart, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
  • Ping Qin, National Centre for Suicide Research and Prevention, University of Oslo, Oslo, Norway
  • Elsebeth Stenager, Department of Psychiatry, University of Southern Denmark, Odense, Region of Southern Denmark, Denmark
  • Leaders of the Danish Suicide Prevention Clinics


WHO-media guidelines

Media reporting of suicidal behavior can be beneficial as well as harmful. Dramatic and sensational descriptions may lead to increased suicidal behavior in the population while objective reporting with focus on where to seek help (hopeful stories) can be preventive. WHO has in collaboration with international experts developed a set of media guide lines with recommendations on how to present suicidal events in online as well as written media.

DRISP: Britt Morthorst


Partners:

  • National Health Authorities in Denmark