@article{ref1,
title="Diseases of the pancreas and suicide mortality: a nationwide nested case-control study among patients with mental health disorders in Taiwan",
journal="General hospital psychiatry",
year="2017",
author="Chen, Hong-Ming and Chen, Vincent Chin-Hung and Wang, Tsu-Nai and Lu, Mong-Liang and Huang, Yin-Cheng and Dewey, Michael E. and Lee, Johnny Kuang-Wu and Tsai, Ching-Piao",
volume="50",
number="",
pages="45-50",
abstract="OBJECTIVE: Diseases of the pancreas, especially pancreatitis, have been implicated as possible risk factors for psychiatric illnesses, such as depression and anxiety disorder. This nested case-control study aimed to investigate the association between diseases of the pancreas and completed suicide in a psychiatric population-based study. <br><br>METHODS: The case group comprised 6568 completed suicides (ICD-9: E950-E959, E980-989) patients from the national mortality database between January 1, 2002 and December 1, 2010. These cases were compared with 6568 gender-, age-, residence-, and insurance premium-matched controls. Both suicide and non-suicide study patients were drawn from a group with previous psychiatric diagnoses. The risk of suicide among patients with diseases of the pancreas was analyzed using a conditional logistic regression model that controlled for alcohol-related disorder, drug dependence, schizophrenia, depressive disorder, bipolar disorder, anxiety disorder, Charlson comorbidity score, and outpatient visits. <br><br>RESULTS: Disease of the pancreas was an independent risk factor for psychiatric patients who had completed suicide when adjusted for clinical and other comorbid factors. Among these covariates, alcohol-related disorders partially mediate the suicide risk among patients with disease of the pancreas, and mental disorders may not mediate this suicide risk. <br><br>CONCLUSIONS: Diseases of the pancreas were associated with increased risk of completed suicide after controlling for potential confounding factors.<br><br>Copyright © 2017 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0163-8343",
doi="10.1016/j.genhosppsych.2017.09.008",
url="http://dx.doi.org/10.1016/j.genhosppsych.2017.09.008"
}