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dc.contributor.authorMyhre, Martin Øverlien
dc.contributor.authorWalby, Fredrik Andreas
dc.contributor.authorBramness, Jørgen Gustav
dc.contributor.authorMehlum, Lars
dc.date.accessioned2022-12-08T08:41:49Z
dc.date.available2022-12-08T08:41:49Z
dc.date.issued2022-12-06
dc.description.abstractObjective: This study aimed to identify trajectories of service use during the last year before suicide death and the characteristics associated with the trajectories in patients with substance use disorders.<p> <p>Methods: This study used a national registry data linkage, which included all patients with substance use disorders who died by suicide in Norway between 2010 and 2018. In- and outpatient contacts with mental health or substance use services during the last year before suicide death was analyzed by week using Sequence State Analysis and cluster analysis to identify trajectories. Logistic regression was used to measure the association between the characteristics and the trajectories.<p> <p>Results: We identified four trajectories of service contact. A brief contact trajectory (n ¼ 366) with a low proportion of weeks in contact (M weeks ¼ 8.3), associated with less psychosis or bipolar disorder (aOR ¼ 0.13 (0.08–0.22)) and higher age. A regular contact trajectory (n ¼ 160), with a higher proportion of contact (M weeks ¼ 47.9), associated with psychosis or bipolar disorder (aOR ¼ 3.66 (2.10–6.47)) and depressive or anxiety disorder (aOR ¼ 3.11 (1.93–5.13)). An intermittent contact trajectory (n ¼ 195) with most contacts with outpatient substance use disorder services (M weeks ¼ 9.7). A continuous contact trajectory (n ¼ 109) with a high proportion of inpatient contact (M weeks ¼ 44.5), strongly associated with psychosis or bipolar disorder (aOR ¼ 6.08 (3.26–11.80)).<p> <p>Conclusion: Longitudinal descriptions of service use reveal different trajectories that are important to consider when developing policies or interventions to reduce the risk of suicide death in patients with substance use disorders.en_US
dc.identifier.citationMyhre, Walby, Bramness, Mehlum. Trajectories of Service Contact before Suicide in People with Substance Use Disorders—A National Register Study. Archives of Suicide Research. 2022en_US
dc.identifier.cristinIDFRIDAID 2089524
dc.identifier.doi10.1080/13811118.2022.2151959
dc.identifier.issn1381-1118
dc.identifier.issn1543-6136
dc.identifier.urihttps://hdl.handle.net/10037/27738
dc.language.isoengen_US
dc.publisherTaylor & Francisen_US
dc.relation.journalArchives of Suicide Research
dc.relation.projectIDStiftelsen Dam: ​​2021/FO347373en_US
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2022 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleTrajectories of Service Contact before Suicide in People with Substance Use Disorders—A National Register Studyen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)