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Journal Article

Citation

Jamison EC, Bol KA, Mintz SN. Crisis 2018; ePub(ePub): 1-8.

Affiliation

Center for Health and Environmental Data, Colorado Department of Public Health and Environment, Denver, CO, USA.

Copyright

(Copyright © 2018, International Association for Suicide Prevention, Publisher Hogrefe Publishing)

DOI

10.1027/0227-5910/a000563

PMID

30474409

Abstract

BACKGROUND: Divorced individuals carry unique suicide risks, from both acute and chronic exposure to stressors from divorce. AIMS: Several statewide data sets were linked to assess the relationship between divorce and suicide.

METHOD: Divorced suicide decedents in the Colorado Violent Death Reporting System, 2004-2015, were matched with divorce decree, using multiple identifiers. Statistically significant differences between the linked cohort and all divorced suicide decedents were assessed using chi-square statistics. Kaplan-Meier survival analyses were conducted assessing which demographics and circumstances had a significant effect on the time between divorce and death.

RESULTS: The linkage resulted in 381 divorced suicide decedents linked to a divorce decree. Time between divorce and death ranged from less than 1 year to more than 10 years. Age and intimate partner problems both had significant effects on reducing the survival probability at 1 year and beyond. LIMITATIONS: Only 14% of divorced suicide decedents were linked to a Colorado divorce decree. There were noted significant differences between the linked cohort and the total divorced suicide population.

CONCLUSION: Better understanding the relationship between divorce and suicide is imperative to design effective prevention programs for this specific population.


Language: en

Keywords

divorce; linkage; suicide; survival; violent death

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