Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Psychiatric disorders and suicide attempts in Swedish survivors of the 2004 southeast Asia tsunami: a 5 year matched cohort study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, National Center for Disaster Psychiatry. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital. Stress Research Institute, Stockholm University.ORCID iD: 0000-0002-1317-2093
Show others and affiliations
2015 (English)In: The Lancet Psychiatry, ISSN 2215-0366, Vol. 2, no 9, 817-824 p.Article in journal (Refereed) Published
Abstract [en]

Background

Survivors of natural disasters are thought to be at an increased risk of psychiatric disorders, however the extent of this risk, and whether it is linked to pre-existing psychopathology, is not known. We aimed to establish whether Swedish survivors of tsunamis from the 2004 Sumatra–Andaman earthquake had increased risks of psychiatric disorders and suicide attempts 5 years after repatriation.

Methods

We identified Swedish survivors repatriated from southeast Asia (8762 adults and 3742 children) and 864 088 unexposed adults and 320 828 unexposed children matched for sex, age, and socioeconomic status. We retrieved psychiatric diagnoses and suicide attempts from the Swedish patient register for the 5 years after the tsunami (from Dec 26, 2004, to Jan 31, 2010) and estimated hazard ratios (HRs), then adjusted for pre-tsunami psychiatric disorders, and, for children, for parental pre-tsunami disorders.

Findings

Exposed adults were more likely than unexposed adults to receive any psychiatric diagnosis (547 [6.2%] vs 47 734 [5.5%]; adjusted HR 1.21, 95% CI 1.11–1.32), particularly stress-related disorders (187 [2.1%] vs 8831 [1.0%]; 2.27, 1.96–2.62) and suicide attempts (38 [0.43%] vs 2752 [0.32%]; 1.54, 1.11–2.13), but not mood or anxiety disorders. Risk of psychiatric diagnoses did not differ between exposed and unexposed children and adolescents (248 [6.6] vs 22 081 [6.9%]; 0.98, 0.86–1.11), although exposed children and adolescents had a higher risk for suicide attempts with uncertain intent (1.43; 1.01–2.02) and stress-related disorders (1.79; 1.30–2.46), mainly during the first 3 months after the tsunami.

Interpretation

The 2004 tsunami was, independently of previous psychiatric morbidity, associated with an increased risk of severe psychopathology, mainly stress-related disorders and suicide attempts, in children and adults. Survivors of natural disasters should be targeted with early interventions and active long-term follow-up to prevent, detect, and alleviate psychiatric disorders that might follow.

Place, publisher, year, edition, pages
2015. Vol. 2, no 9, 817-824 p.
Keyword [en]
post-traumatic stress, PTSD, disaster, psychiatry, cohort study
Keyword [sv]
posttraumatisk stress, PTSD, tsunami, katastrof, psykiatri
National Category
Psychiatry
Research subject
Psychiatry
Identifiers
URN: urn:nbn:se:uu:diva-258964DOI: 10.1016/S2215-0366(15)00124-8ISI: 000360967200031OAI: oai:DiVA.org:uu-258964DiVA: diva2:842858
Funder
Swedish National Board of Health and WelfareSwedish Society for Medical Research (SSMF)
Available from: 2015-07-23 Created: 2015-07-23 Last updated: 2017-01-25Bibliographically approved

Open Access in DiVA

fulltext(1551 kB)198 downloads
File information
File name FULLTEXT01.pdfFile size 1551 kBChecksum SHA-512
164369b04fca66634e95838bbdda4654d5e86396951cbba55b4fe100146664121e6d3b7c93a56953c34f95ad0f5481d51d8f1b3734a8b670ae9b278783a62e8f
Type fulltextMimetype application/pdf
Appendix(565 kB)17 downloads
File information
File name ATTACHMENT01.pdfFile size 565 kBChecksum SHA-512
1e29acadcb7849c2cd39749d75379b2cea6dd569784fdbf3adae7f26d18f5d9d36e69453505707f597fcccc4948b6255a614c19eaa16934303f77d1080d58c85
Type attachmentMimetype application/pdf

Other links

Publisher's full texthttp://www.sciencedirect.com/science/article/pii/S2215036615001248

Authority records BETA

Arnberg, Filip K

Search in DiVA

By author/editor
Arnberg, Filip K
By organisation
National Center for Disaster PsychiatryPsychiatry, University Hospital
Psychiatry

Search outside of DiVA

GoogleGoogle Scholar
Total: 198 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 533 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf