Table 4.
Mediation analysis investigating the association of mental disorder with subsequent suicide attempt and suicide, mediated by sickness absence (SA) and disability pension (DP), respectively, Swedish-born individuals and refugees aged 16–64 years residing in Sweden in 2004 and 2005
| Mediator and outcome | Direct effect (HRa, (95% CI) | Indirect effect (HRa, 95% CI) | Total effect (HRa, 95% CI) | Percentage of total effect mediated by SA and DP, respectively (%) |
|---|---|---|---|---|
| SA | ||||
| Suicide attempt | ||||
| Swedish-born individuals | 9.57 (9.25–9.89) | 1.07 (1.06–1.07) | 10.21 (9.88–10.56) | 7.0 |
| Refugees | 6.18 (5.34–7.14) | 1.01 (1.00–1.01) | 6.21 (5.37–7.18) | 0.6 |
| Suicide | ||||
| Swedish-born individuals | 7.99 (7.38–8.65) | 1.05 (1.05–1.06) | 8.42 (7.78–9.11) | 5.8 |
| Refugees | 7.40 (5.07–10.79) | 1.01 (1.00–1.01) | 7.45 (5.11–10.87) | 0.8 |
| DP | ||||
| Suicide attempt | ||||
| Swedish-born individuals | 10.01 (9.68–10.36) | 1.02 (1.02–1.03) | 10.26 (9.92–10.61) | 2.7 |
| Refugees | 6.06 (5.23–7.02) | 1.03 (1.00–1.05) | 6.22 (5.38–7.19) | 3.0 |
| Suicide | ||||
| Swedish-born individuals | 8.37 (7.72–9.06) | 1.02 (1.01–1.03) | 8.56 (7.91–9.27) | 2.6 |
| Refugees | 7.50 (5.13–10.97) | 1.00 (0.97–1.04) | 7.51 (5.15–10.95) | 0.1 |
Direct effect: mental disorder → outcome. Indirect effect: mental disorder → mediator → outcome. Total effect: combined direct and indirect effect
aAdjusted for age, sex, educational level, family situation and place of residence