The Burden Attributable to Mental and Substance Use Disorders as Risk Factors for Suicide: Findings from the Global Burden of Disease Study 2010
Identifieur interne : 000073 ( Main/Exploration ); précédent : 000072; suivant : 000074The Burden Attributable to Mental and Substance Use Disorders as Risk Factors for Suicide: Findings from the Global Burden of Disease Study 2010
Auteurs : Alize J. Ferrari [Australie] ; Rosana E. Norman [Australie] ; Greg Freedman [États-Unis] ; Amanda J. Baxter [Australie] ; Jane E. Pirkis [Australie] ; Meredith G. Harris [Australie] ; Andrew Page [Australie] ; Emily Carnahan [États-Unis] ; Louisa Degenhardt [Australie] ; Theo Vos [Australie, États-Unis] ; Harvey A. Whiteford [Australie]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
The Global Burden of Disease Study 2010 (GBD 2010) identified mental and substance use disorders as the 5th leading contributor of burden in 2010, measured by disability adjusted life years (DALYs). This estimate was incomplete as it excluded burden resulting from the increased risk of suicide captured elsewhere in GBD 2010's mutually exclusive list of diseases and injuries. Here, we estimate suicide DALYs attributable to mental and substance use disorders.
Relative-risk estimates of suicide due to mental and substance use disorders and the global prevalence of each disorder were used to estimate population attributable fractions. These were adjusted for global differences in the proportion of suicide due to mental and substance use disorders compared to other causes then multiplied by suicide DALYs reported in GBD 2010 to estimate attributable DALYs (with 95% uncertainty).
Mental and substance use disorders were responsible for 22.5 million (14.8–29.8 million) of the 36.2 million (26.5–44.3 million) DALYs allocated to suicide in 2010. Depression was responsible for the largest proportion of suicide DALYs (46.1% (28.0%–60.8%)) and anorexia nervosa the lowest (0.2% (0.02%–0.5%)). DALYs occurred throughout the lifespan, with the largest proportion found in Eastern Europe and Asia, and males aged 20–30 years. The inclusion of attributable suicide DALYs would have increased the overall burden of mental and substance use disorders (assigned to them in GBD 2010 as a direct cause) from 7.4% (6.2%–8.6%) to 8.3% (7.1%–9.6%) of global DALYs, and would have changed the global ranking from 5th to 3rd leading cause of burden.
Capturing the suicide burden attributable to mental and substance use disorders allows for more accurate estimates of burden. More consideration needs to be given to interventions targeted to populations with, or at risk for, mental and substance use disorders as an effective strategy for suicide prevention.
Url:
DOI: 10.1371/journal.pone.0091936
PubMed: 24694747
PubMed Central: 3973668
Affiliations:
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Ferrari</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>University of Queensland, School of Population Health, Herston, Queensland, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>University of Queensland, School of Population Health, Herston, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Queensland Centre for Mental Health Research, Wacol, Queensland, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Queensland Centre for Mental Health Research, Wacol, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Norman, Rosana E" sort="Norman, Rosana E" uniqKey="Norman R" first="Rosana E." last="Norman">Rosana E. Norman</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>University of Queensland, School of Population Health, Herston, Queensland, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>University of Queensland, School of Population Health, Herston, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Queensland Children's Medical Research Institute, University of Queensland, Herston, Queensland, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Queensland Children's Medical Research Institute, University of Queensland, Herston, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Freedman, Greg" sort="Freedman, Greg" uniqKey="Freedman G" first="Greg" last="Freedman">Greg Freedman</name><affiliation wicri:level="4"><nlm:aff id="aff4"><addr-line>Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington</wicri:regionArea><placeName><region type="state">Washington (État)</region><settlement type="city">Seattle</settlement></placeName><orgName type="university">Université de Washington</orgName></affiliation></author><author><name sortKey="Baxter, Amanda J" sort="Baxter, Amanda J" uniqKey="Baxter A" first="Amanda J." last="Baxter">Amanda J. Baxter</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>University of Queensland, School of Population Health, Herston, Queensland, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>University of Queensland, School of Population Health, Herston, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Queensland Centre for Mental Health Research, Wacol, Queensland, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Queensland Centre for Mental Health Research, Wacol, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Pirkis, Jane E" sort="Pirkis, Jane E" uniqKey="Pirkis J" first="Jane E." last="Pirkis">Jane E. Pirkis</name><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Melbourne School of Population and Global Health, University of Melbourne, Melbourne</wicri:regionArea><wicri:noRegion>Melbourne</wicri:noRegion></affiliation></author><author><name sortKey="Harris, Meredith G" sort="Harris, Meredith G" uniqKey="Harris M" first="Meredith G." last="Harris">Meredith G. Harris</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>University of Queensland, School of Population Health, Herston, Queensland, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>University of Queensland, School of Population Health, Herston, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Queensland Centre for Mental Health Research, Wacol, Queensland, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Queensland Centre for Mental Health Research, Wacol, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Page, Andrew" sort="Page, Andrew" uniqKey="Page A" first="Andrew" last="Page">Andrew Page</name><affiliation wicri:level="1"><nlm:aff id="aff6"><addr-line>School of Science and Health, University of Western Sydney, Campbelltown, New South Wales, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Science and Health, University of Western Sydney, Campbelltown, New South Wales</wicri:regionArea><wicri:noRegion>New South Wales</wicri:noRegion></affiliation></author><author><name sortKey="Carnahan, Emily" sort="Carnahan, Emily" uniqKey="Carnahan E" first="Emily" last="Carnahan">Emily Carnahan</name><affiliation wicri:level="4"><nlm:aff id="aff4"><addr-line>Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington</wicri:regionArea><placeName><region type="state">Washington (État)</region><settlement type="city">Seattle</settlement></placeName><orgName type="university">Université de Washington</orgName></affiliation></author><author><name sortKey="Degenhardt, Louisa" sort="Degenhardt, Louisa" uniqKey="Degenhardt L" first="Louisa" last="Degenhardt">Louisa Degenhardt</name><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Melbourne School of Population and Global Health, University of Melbourne, Melbourne</wicri:regionArea><wicri:noRegion>Melbourne</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="aff7"><addr-line>National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>National Drug and Alcohol Research Centre, University of New South Wales, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement></placeName></affiliation></author><author><name sortKey="Vos, Theo" sort="Vos, Theo" uniqKey="Vos T" first="Theo" last="Vos">Theo Vos</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>University of Queensland, School of Population Health, Herston, Queensland, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>University of Queensland, School of Population Health, Herston, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff4"><addr-line>Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington</wicri:regionArea><placeName><region type="state">Washington (État)</region><settlement type="city">Seattle</settlement></placeName><orgName type="university">Université de Washington</orgName></affiliation></author><author><name sortKey="Whiteford, Harvey A" sort="Whiteford, Harvey A" uniqKey="Whiteford H" first="Harvey A." last="Whiteford">Harvey A. Whiteford</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>University of Queensland, School of Population Health, Herston, Queensland, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>University of Queensland, School of Population Health, Herston, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Queensland Centre for Mental Health Research, Wacol, Queensland, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Queensland Centre for Mental Health Research, Wacol, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The Global Burden of Disease Study 2010 (GBD 2010) identified mental and substance use disorders as the 5<sup>th</sup> leading contributor of burden in 2010, measured by disability adjusted life years (DALYs). This estimate was incomplete as it excluded burden resulting from the increased risk of suicide captured elsewhere in GBD 2010's mutually exclusive list of diseases and injuries. Here, we estimate suicide DALYs attributable to mental and substance use disorders.</p></sec><sec><title>Methods</title><p>Relative-risk estimates of suicide due to mental and substance use disorders and the global prevalence of each disorder were used to estimate population attributable fractions. These were adjusted for global differences in the proportion of suicide due to mental and substance use disorders compared to other causes then multiplied by suicide DALYs reported in GBD 2010 to estimate attributable DALYs (with 95% uncertainty).</p></sec><sec><title>Results</title><p>Mental and substance use disorders were responsible for 22.5 million (14.8–29.8 million) of the 36.2 million (26.5–44.3 million) DALYs allocated to suicide in 2010. Depression was responsible for the largest proportion of suicide DALYs (46.1% (28.0%–60.8%)) and anorexia nervosa the lowest (0.2% (0.02%–0.5%)). DALYs occurred throughout the lifespan, with the largest proportion found in Eastern Europe and Asia, and males aged 20–30 years. The inclusion of attributable suicide DALYs would have increased the overall burden of mental and substance use disorders (assigned to them in GBD 2010 as a direct cause) from 7.4% (6.2%–8.6%) to 8.3% (7.1%–9.6%) of global DALYs, and would have changed the global ranking from 5<sup>th</sup> to 3<sup>rd</sup> leading cause of burden.</p></sec><sec><title>Conclusions</title><p>Capturing the suicide burden attributable to mental and substance use disorders allows for more accurate estimates of burden. More consideration needs to be given to interventions targeted to populations with, or at risk for, mental and substance use disorders as an effective strategy for suicide prevention.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wang, H" uniqKey="Wang H">H Wang</name></author><author><name sortKey="Dwyer Lindgren, L" uniqKey="Dwyer Lindgren L">L Dwyer-Lindgren</name></author><author><name sortKey="Lofgren, Kt" uniqKey="Lofgren K">KT Lofgren</name></author><author><name sortKey="Rajaratnam, Jk" uniqKey="Rajaratnam J">JK Rajaratnam</name></author><author><name sortKey="Marcus, Jr" uniqKey="Marcus J">JR Marcus</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vos, T" uniqKey="Vos T">T Vos</name></author><author><name sortKey="Flaxman, Ad" uniqKey="Flaxman A">AD Flaxman</name></author><author><name sortKey="Naghavi, M" uniqKey="Naghavi M">M Naghavi</name></author><author><name 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Whiteford</name></country><country name="États-Unis"><region name="Washington (État)"><name sortKey="Freedman, Greg" sort="Freedman, Greg" uniqKey="Freedman G" first="Greg" last="Freedman">Greg Freedman</name></region><name sortKey="Carnahan, Emily" sort="Carnahan, Emily" uniqKey="Carnahan E" first="Emily" last="Carnahan">Emily Carnahan</name><name sortKey="Vos, Theo" sort="Vos, Theo" uniqKey="Vos T" first="Theo" last="Vos">Theo Vos</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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