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. 2020 Feb 4;323(5):444–454. doi: 10.1001/jama.2019.21834

Table 2. Suicides and Number of Hospital Contacts for Persons With Neurological Disorders.

Hospital Contacts No. of Suicidesa No. of Individuals Incidence Rate Fully Adjusted Incidence
Rate Ratio (95% CI)b
Any Neurological Disorder
None 29 972 6 052 133 20.1 1 [Reference]
1 3052 1 248 262 38.9 1.7 (1.6-1.7)
2-3 1600 543 605 49.4 1.8 (1.7-1.9)
≥4 859 190 539 59.3 2.1 (1.9-2.2)
Head Injury
None 33 891 6 893 439 21.5 1 [Reference]
1 1056 406 956 31.0 1.6 (1.5-1.7)
2-3 423 94 100 52.8 1.9 (1.7-2.0)
≥4 113 16 401 68.7 1.8 (1.5-2.2)
Stroke
None 34 248 6 981 273 21.4 1 [Reference]
1 699 319 122 51.8 1.2 (1.1-1.3)
2-3 406 127 290 64.8 1.4 (1.2-1.5)
≥4 130 33 294 64.7 1.3 (1.1-1.5)
Epilepsy
None 34 435 7 118 709 21.6 1 [Reference]
1 514 181 686 48.2 1.6 (1.4-1.7)
2-3 290 97 633 47.3 1.6 (1.5-1.8)
≥4 244 47 542 52.0 1.9 (1.7-2.1)
Polyneuropathy and Peripheral Neuropathy
None 34 623 7 158 322 21.6 1 [Reference]
1 572 142 073 48.7 1.6 (1.5-1.7)
2-3 223 44 528 59.9 1.9 (1.7-2.2)
≥4 65 9890 80.0 2.5 (1.9-3.1)
Myoneural Junction and Muscle Diseases
None 34 522 7 298 597 21.6 1 [Reference]
1 753 129 326 49.1 1.9 (1.8-2.1)
2-3 175 31 149 48.1 1.9 (1.7-2.2)
≥4 33 6702 40.6 2.0 (1.4-2.8)
Other Brain Disordersc
None 15 922 6 369 646 15.6 1 [Reference]
1 572 61 354 48.7 1.8 (1.5-2.2)
2-3 223 14 414 59.9 1.7 (1.2-2.5)
≥4 65 2202 80.0 2.2 (1.0-4.5)
Parkinson Disease
None 35 291 7 250 133 21.8 1 [Reference]
1 96 50 262 77.0 1.6 (1.3-1.9)
2-3 54 30 872 67.8 1.7 (1.3-2.2)
≥4 42 15 926 67.4 2.0 (1.5-2.7)
Multiple Sclerosis
None 35 331 7 269 259 21.9 1 [Reference]
1 44 31 136 30.7 1.6 (1.2-2.1)
2-3 36 21 581 33.3 1.9 (1.4-2.7)
≥4 72 14 845 49.3 3.2 (2.5-4.0)
CNS Infections
None 35 366 7 269 593 21.9 1 [Reference]
1 80 30 802 32.3 1.7 (1.4-2.1)
2-3 23 11 403 26.1 1.2 (0.8-1.8)
≥4 14 2893 48.4 1.9 (1.1-3.2)
Meningitis
None 35 426 7 281 078 21.9 1 [Reference]
1 43 19 317 25.6 1.7 (1.3-2.3)
2-3 8 6035 16.7 0.9 (0.4-1.7)
≥4 6 1023 60.0 2.8 (1.3-6.3)
Encephalitis
None 35 430 7 291 026 21.9 1 [Reference]
1 36 9369 40.3 1.8 (1.3-2.5)
2-3 <15 3326 41.9 1.8 (1.1-3.0)
≥4 <3 674 0.8 (0.2-3.1)
Dementia
None 34 914 7 057 373 21.7 1 [Reference]
1 355 243 022 55.4 0.8 (0.7-0.9)
2-3 166 99 401 59.4 0.8 (0.7-1.0)
≥4 48 22 648 73.3 0.8 (0.6-1.1)
Intellectual Disabilities
None 35 387 7 265 129 21.9 1 [Reference]
1 57 35 266 24.3 0.7 (0.5-0.9)
2-3 24 17 020 19.8 0.6 (0.4-0.9)
≥4 15 6208 24.7 0.6 (0.3-1.0)

Abbreviation: CNS, central nervous system.

a

Each person could be diagnosed with multiple neurological disorders. The sum of numbers of persons diagnosed with individual disorders is therefore not equal to the number of persons diagnosed any with neurological disorders.

b

Full adjusted models were adjusted for period, sex, age group, living status, region, socioeconomic status, physical comorbidity, psychiatric hospitalization prior to diagnosis of any neurological disorders, and deliberate self-harm prior to diagnosis of any neurological disorders.

c

Other brain disorders were only defined in International Statistical Classification of Diseases and Related Health Problems, Tenth Revision.