A Retrospective Administrative Database Analysis of Suicide Attempts and Completed Suicide in Patients With Chronic Pancreatitis

Abstract

Background: The actual incidence rate of suicide attempt and the suicide-related fatality rate (completed suicide) in patients with chronic pancreatitis (CP) have not been mentioned in the literature.Methods: We conducted a nationwide population-based cohort study by analyzing data from Taiwan's National Health Insurance Research Database (NHIRD) to compare the rate of suicide attempt between a CP cohort and a non-CP cohort. For the study cohort, we identified 17,733 patients (age ≥ 20 years) diagnosed as having CP between 2000 and 2010 from the NHIRD in Taiwan. Beneficiaries with no history of CP were matched with the study cohort at a 2:1 ratio according to age, sex, and index date. To determine the incidence of suicide, all patients were followed until the end of 2011 or until their withdrawal from the Taiwan National Health Insurance program.Results: Patients with CP had an increased risk of suicide attempt, compared with those without CP (adjusted hazard ratio [aHR] = 2.72, 95% confidence interval [CI] = 1.69–4.37). The suicide-related fatality in the CP cohort was higher than that in the non-CP cohort, but the difference was not statistically significant (aHR = 1.21, 95% CI = 0.39–3.78).Conclusion: Our population-based cohort study reveals a close association between CP and subsequent suicide attempt. Compared with the non-CP cohort, the suicide-related fatality was higher in the CP cohort, although the result was not statistically significant. These findings necessitate surveying patients with CP and providing psychological support to prevent suicide.

Risk of suicide attempts among colorectal cancer patients: A nationwide population‐based matched cohort study

“…The reimbursement policy of NHIRD is universal and operated by a single buyer, the government in Taiwan. All insurance claims should be scrutinized by medical reimbursement specialists and peer review according to the standard diagnostic criteria, and medical providers face administrative sanction and high financial penalties (100 times the amount of the false claim charged to the NHI Bureau) if diagnostic claims do not agree with the standard diagnostic criteria used for medical reimbursement . Therefore, the diagnosed validity of “CRC” and “suicide” based on ICD‐9 codes in this study is highly reliable.…”

“…Therefore, the diagnosed validity of “CRC” and “suicide” based on ICD‐9 codes in this study is highly reliable. In addition, some related studies with the same diagnostic method and criteria by ICD‐9 coding were already been published …”

“…The research methodology was based on that in previous studies . In brief, we designed a population‐based retrospective study to analyze Taiwan's National Health Insurance (NHI) claims database.…”

The Risk of Venous Thromboembolism in Patients with Gallstones

“…The LHID2000 of the NHIRD comprised the database for inpatient claims in the National Health Insurance (NHI) program of Taiwan and we used this database to conduct this retrospective nationwide cohort study [19]. The mandatory NHI program of Taiwan has been launched since 1 March 1995 and this unique health care system, a government-owned single payer system, has covered approximately 99.2% of the 23.74 million residents of Taiwan [20,21]. All the citizens could fairly access the healthcare system without discrimination.…”

Association of Cholecystectomy with the Risk of Prostate Cancer in Patients with Gallstones

“…This retrospective nationwide population-based cohort study utilized the LHID2000 of the NHIRD database for inpatient claims in the National Health Insurance (NHI) program of Taiwan [23]. Our former studies have thoroughly detailed the NHI program and LHID2000 [24,25]. Furthermore, we used the 2001 International Classification of Diseases, Ninth revision, Clinical Modification (ICD-9-CM) for the claim codes.…”