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Related Experiment Videos

Suicide after a stroke: a population study.

T W Teasdale1, A W Engberg

  • 1Department of Psychology, University of Copenhagen, Njalsgade 88, 2300 Copenhagen S, Denmark. teasdale@psy.ku.dk

Journal of Epidemiology and Community Health
|November 15, 2001
PubMed
Summary

Stroke survivors face a doubled suicide risk, particularly younger individuals and those with shorter hospital stays. This elevated risk is highest within five years post-stroke.

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Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Stroke is a leading cause of long-term disability.
  • Mental health outcomes following stroke require further investigation.
  • Suicide risk among stroke survivors is not well-established.

Purpose of the Study:

  • To determine if stroke patients have higher suicide rates.
  • To analyze how gender, age, diagnosis, hospitalization duration, and time since stroke influence suicide risk.

Main Methods:

  • Utilized cross-linkage of Danish national registers for hospitalizations and causes of death (1979-1993).
  • Defined a cohort of 114,098 stroke patients discharged alive.
  • Identified 359 suicide cases within the cohort through death records.

Main Results:

  • Stroke patients exhibited an overall standardized mortality ratio (SMR) for suicide of 1.88 (men) and 1.78 (women).
  • Suicide risk was highest in younger patients (under 50) and those hospitalized for less than two weeks.
  • The risk of suicide was greatest within five years after stroke, declining thereafter.

Conclusions:

  • Stroke patients have approximately double the risk of suicide compared to the general population.
  • Younger age and shorter hospitalizations are associated with increased suicide risk post-stroke.
  • Suicide risk is elevated in the first five years after stroke, gradually decreasing over time.

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