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dc.contributor.authorGunnarsdottir, Oddny Sigurborg
dc.contributor.authorRafnsson, Vilhjálmur
dc.date.accessioned2020-09-18T15:19:55Z
dc.date.available2020-09-18T15:19:55Z
dc.date.issued2020-05-20
dc.date.submitted2020-09
dc.identifier.citationGunnarsdottir OS, Rafnsson V. Accidental poisoning, intentional self-harm and event of undetermined intent mortality over 20 years in Iceland: a population-based cohort study. BMJ Open. 2020;10(5):e034590. Published 2020 May 20. doi:10.1136/bmjopen-2019-034590en_US
dc.identifier.pmid32439692
dc.identifier.doi10.1136/bmjopen-2019-034590
dc.identifier.urihttp://hdl.handle.net/2336/621531
dc.descriptionTo access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Downloaden_US
dc.description.abstractObjectives: The aim was to study mortality due to suicide, accidental poisoning, event of undetermined intent and drug-related deaths through 20 years in Iceland. Design: A population-based register study. Participants: Individuals who died due to road traffic injury, suicide, accidental poisoning, event of undetermined intent and drug-related deaths in the population of Iceland during the years 1996-2015. Annual age-standardised rates were calculated, and the trend analysed by Pearson correlation and joinpoint regression. Setting: The population of Iceland framed the study material, and the data were obtained from nationwide registries for information on number of deaths and age-specific mean population in each year by gender. Results: The crude overall suicide rate during the last 10 years was 12.2 per 100 000 persons per year (95% CI 7.4 to 18.1), while the crude overall rate due to road traffic injuries was 4.6 per 100 000 persons per year (95% CI 2.0 to 8.3). Among men, suicide rates decreased, however not significantly (r(19)=-0.22, p=0.36), and for overdose by narcotics the rates increased significantly (r(19)=0.72, p<0.001) during the study period. Among women, the suicide rates increased, however not significantly (r(19)=0.35, p=0.13), for accidental poisoning, suicide and event of undetermined intent combined the rates increased significantly (r(19)=0.60, p=0.006); and the rates for overdose by sedative and overdose by narcotics both increased significantly r(19)=0.49, p=0.03, and r(19)=0.67, p=0.001, respectively. Conclusion: The suicide rates have not changed during 1996 to 2015; however, the rates for the combined accidental poisoning, suicide and event of undetermined intent increased significantly for women. The rise of the overdose rates for sedative among women and for narcotics among both genders are consistent with reports elsewhere. Keywords: epidemiology; public health; statistics & research methods; substance misuse; suicide & self-harm.en_US
dc.description.sponsorshipLandspitali-the National University Hospital Research Funden_US
dc.language.isoenen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.urlhttps://bmjopen.bmj.com/content/10/5/e034590.longen_US
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247372/en_US
dc.rights© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
dc.subjectepidemiologyen_US
dc.subjectpublic healthen_US
dc.subjectstatistics & research methodsen_US
dc.subjectsubstance misuseen_US
dc.subjectsuicide & self-harmen_US
dc.subjectSjálfsvígen_US
dc.subjectSjálfsmeiðingaren_US
dc.subjectFíkniefnien_US
dc.subject.meshSuicideen_US
dc.subject.meshPoisoningen_US
dc.titleAccidental poisoning, intentional self-harm and event of undetermined intent mortality over 20 years in Iceland: a population-based cohort study.en_US
dc.typeArticleen_US
dc.typeOtheren_US
dc.identifier.eissn2044-6055
dc.contributor.department1Office of Education, Research and Development, Landspitali-the National University Hospital of Iceland, Reykjavík, Iceland. 2Department of Preventive Medicine, Faculty of Medicine, University of Iceland, Reykjavík, Iceland vilraf@hi.is.en_US
dc.identifier.journalBMJ openen_US
dc.rights.accessOpen Access - Opinn aðganguren_US
dc.departmentcodeRES12
dc.source.journaltitleBMJ open
dc.source.volume10
dc.source.issue5
dc.source.beginpagee034590
dc.source.endpage
refterms.dateFOA2020-09-18T15:19:55Z
dc.source.countryEngland


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