Skip header and navigation

3 records – page 1 of 1.

Are suicide deaths under-reported? Nationwide re-evaluations of 1800 deaths in Scandinavia.

https://arctichealth.org/en/permalink/ahliterature275766
Source
BMJ Open. 2015;5(11):e009120
Publication Type
Article
Date
2015
Author
Ingvild Maria Tøllefsen
Karin Helweg-Larsen
Ingemar Thiblin
Erlend Hem
Marianne C Kastrup
Ullakarin Nyberg
Sidsel Rogde
Per-Henrik Zahl
Gunvor Østevold
Øivind Ekeberg
Source
BMJ Open. 2015;5(11):e009120
Date
2015
Language
English
Publication Type
Article
Keywords
Accidents - mortality
Adult
Aged
Autopsy
Cause of Death
Datasets as Topic
Death Certificates
Denmark - epidemiology
Female
Humans
Male
Middle Aged
Norway - epidemiology
Reproducibility of Results
Suicide - statistics & numerical data
Sweden - epidemiology
Abstract
Valid mortality statistics are important for healthcare planning and research. Suicides and accidents often present a challenge in the classification of the manner of death. The aim of this study was to analyse the reliability of the national suicide statistics by comparing the classification of suicide in the Scandinavian cause of death registers with a reclassification by 8 persons with different medical expertise (psychiatry, forensic pathology and public health) from each of the 3 Scandinavian countries.
The cause of death registers in Norway, Sweden and Denmark retrieved available information on a sample of 600 deaths in 2008 from each country. 200 were classified in the registers as suicides, 200 as accidents or undetermined and 200 as natural deaths. The reclassification comprised an assessment of the manner and cause of death as well as the level of certainty.
In total, 81%, 88% and 90% of deaths registered as suicide in the official mortality statistics were confirmed by experts using the Swedish, Norwegian and Danish data sets, respectively. About 3% of deaths classified as accidents or natural deaths in the cause of death registers were reclassified as suicides. However, after a second reclassification based on additional information, 9% of the natural deaths and accidents were reclassified as suicides in the Norwegian data set, and 21% of the undetermined deaths were reclassified as suicides in the Swedish data set. In total, the levels of certainty of the experts were 87% of suicides in the Norwegian data set, 77% in the Swedish data set and 92% in Danish data set; the uncertainty was highest in poisoning suicides.
A high percentage of reported suicides were confirmed as being suicides. Few accidents and natural deaths were reclassified as suicides. Hence, reclassification did not increase the overall official suicide statistics of the 3 Scandinavian countries.
Notes
Cites: Acta Psychiatr Scand. 1998 Dec;98(6):467-739879789
Cites: Acta Psychiatr Scand. 1991 Dec;84(6):520-31792925
Cites: Am J Forensic Med Pathol. 2006 Dec;27(4):352-417133038
Cites: Psychother Psychosom. 2008;77(2):78-8218230940
Cites: BMC Psychiatry. 2010;10:3520482844
Cites: Arch Gen Psychiatry. 2011 Oct;68(10):1050-721646567
Cites: BMC Psychiatry. 2012;12:922333684
Cites: Forensic Sci Int. 2003 Sep 9;136(1-3):35-4612969618
Cites: Lakartidningen. 2001 Apr 25;98(17):2016-2211374230
Cites: Can J Psychiatry. 1983 Jun;28(4):291-36603256
Cites: Acta Med Scand. 1976;200(3):223-8970229
Cites: Br J Psychiatry. 1975 Sep;127:247-561182381
Cites: Br J Psychiatry. 1975 Apr;126:301-81156735
Cites: Suicide Life Threat Behav. 2004 Autumn;34(3):233-4115385178
Cites: Int J Psychiatry Med. 2003;33(4):323-3115152783
Cites: Psychol Med. 1983 May;13(2):385-916878525
Cites: Tidsskr Nor Laegeforen. 1985 Jan 20;105(2):123-73975879
Cites: Acta Psychiatr Scand Suppl. 1987;336:22-433481190
Cites: Z Rechtsmed. 1988;100(2-3):207-133176712
Cites: Arctic Med Res. 1989 Jul;48(3):124-302789569
Cites: Psychol Med. 1990 Nov;20(4):867-712284394
Cites: Scand J Soc Med. 1991 Dec;19(4):242-71775959
Cites: Crisis. 1998;19(2):78-869785649
Cites: Acta Psychiatr Scand. 1998 Sep;98(3):214-89761408
Cites: Br J Psychiatry. 1997 Mar;170:205-289229027
Cites: Int J Legal Med. 1995;107(6):306-97577694
Cites: Crisis. 1995;16(1):34-87614831
Cites: Br J Psychiatry. 1995 Apr;166(4):458-617795916
Cites: Med Sci Law. 1994 Apr;34(2):99-1058028498
Cites: Nervenarzt. 2006 Nov;77(11):1355-6, 1358-60, 136216028079
PubMed ID
26608638 View in PubMed
Less detail

Gender, human rights and cultural diversity: reflections on a career in transcultural psychiatry.

https://arctichealth.org/en/permalink/ahliterature135073
Source
Transcult Psychiatry. 2011 Apr;48(1-2):66-78
Publication Type
Article
Date
Apr-2011
Author
Marianne C Kastrup
Author Affiliation
Centre for Transcultural Psychiatry, Psychiatric Center Copenhagen, Denmark. marianne.kastrup@regionh.dk
Source
Transcult Psychiatry. 2011 Apr;48(1-2):66-78
Date
Apr-2011
Language
English
Publication Type
Article
Keywords
Career Choice
Cultural Diversity
Denmark
Emigrants and Immigrants - psychology
Ethnopsychology - trends
Female
Feminism
Forecasting
Gender Identity
Health Policy - trends
Health Services Needs and Demand - trends
Human Rights - trends
Humans
Male
Refugees - psychology
Research - trends
Social Justice
Social Values
Stress Disorders, Post-Traumatic - ethnology - psychology
Torture - psychology
Abstract
The three issues of gender equality, human rights and cultural diversity have dominated my organizational commitments, research, and clinical practice in transcultural psychiatry. These issues are intertwined in many ways and have broad implications for transcultural psychiatry. With increasing globalization, psychiatrists in many countries are likely to be treating patients who have migrated from different cultures and who may have been exposed to a variety of traumatic experiences that have a profound impact on their mental health. Of particular concern is the group of torture survivors and the elucidation of their symptom manifestations, as well as effective therapeutic interventions, which clearly show how human rights issues are linked to research and clinical psychiatry. The analyses of how different ethnic groups use psychiatric services, epitomize how important it is to pay attention to gender aspects in the interpretation of the findings and their therapeutic, as well as policy, implications.
PubMed ID
21511847 View in PubMed
Less detail

[Mental health of elderly immigrants].

https://arctichealth.org/en/permalink/ahliterature191142
Source
Ugeskr Laeger. 2002 Feb 11;164(7):915
Publication Type
Article
Date
Feb-11-2002
Author
Marianne C Kastrup
Author Affiliation
H:S Rigshospitalet, Videnscenter for Transkulturel Psykiatri, Psykiatrisk, Klinik, Neurocentret.
Source
Ugeskr Laeger. 2002 Feb 11;164(7):915
Date
Feb-11-2002
Language
Danish
Publication Type
Article
Keywords
Aged
Denmark - epidemiology
Emigration and Immigration
Health Services for the Aged
Humans
Mental Disorders - epidemiology - ethnology
Mental health
Mental health services
Refugees - psychology
PubMed ID
11881559 View in PubMed
Less detail