Associations between body mass index and suicide in the veterans affairs health system
作者： John F. McCarthy , Mark A. Ilgen , Karen Austin , Frederic C. Blow , Ira R. Katz
DOI: 10.1002/OBY.20422
关键词:
摘要: Objectives Associations between BMI and suicide risks methods for individuals receiving care in the Veterans Health Administration (VHA) health system were evaluated. Design Methods For 4,005,640 patients fiscal years 2001-2002, multivariable survival analyses assessed associations suicide, through FY2009. Covariates included demographics, psychiatric, nonpsychiatric diagnoses, receipt of VHA mental encounters, regional network. Among decedents, Generalized Estimating Equations (GEE) regression examined method. Results 1.3% underweight, 24.3% normal weight, 40.6% overweight, 33.8% obese. Underweight was associated with increased risk (adjusted hazard ratio [AHR] = 1.17, 95% CI: 1.01, 1.36) compared to normal. Overweight obese status lower (AHR 0.78, 0.74, 0.82; AHR 0.63, 0.60, 0.66, respectively). high lethality most common among underweight least individuals. Adjusting covariates, not method lethality, yet some observed specific methods. Conclusion Among patients, negatively risks. These differences may partly relate choice method. Low offers an additional resource clinical assessments.
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