Childhood death rates declined in Sweden from 2000 to 2014 but deaths from external causes were not always investigated

2018 ◽  
Vol 108 (1) ◽  
pp. 160-168 ◽  
Author(s):  
Gabriel Otterman ◽  
Klara Lahne ◽  
Elizabeth V. Arkema ◽  
Steven Lucas ◽  
Staffan Janson ◽  
...  
2018 ◽  
Vol 25 (5) ◽  
pp. 156-163
Author(s):  
E. A. Sukhova

Aim. This study was designed for the determination of the priority directions of the reduction of the population mortality of the Yamalo-Nenets autonomous district and the estimation of the place of death from certain major groups of death causes in total mortality in the Yamal-Nenets autonomous district for the period of 1993−2016.Materials and methods. There was performed the analysis of the dynamics of death rates and the number of deaths depending on the sex, age group, locality and causes of death.Results. The change in the sex and age structure of the population due to the natural aging and migration movements (the decrease in the proportion of the population younger than 20 years by 8.38% and the increase of the proportion of the population older than 60 years by 4.62% of the total population) had a major influence on the dynamics of the change in death rates of the population. The most significant causes of death in 2016 were: in men − cardiovascular diseases, external causes of death, neoplasms; in women − cardiovascular diseases, neoplasms, external causes of death. The primary directions of reducing the mortality of the population of the YNAO can be determined by the most significant groups of causes of death: cardiovascular diseases of the population; diseases of the digestive system; neoplasms of the digestive, respiratory and genital organs; infant mortality due to infections (with the exception of respiratory infections) and circulatory problems; deaths due to alcohol-related causes.Conclusion. The obtained results can form the basis for management measures to reduce mortality in the Yamalo-Nenets Autonomous District. 


2021 ◽  
Author(s):  
Anneliese Luck ◽  
Samuel H. Preston ◽  
Irma T. Elo ◽  
Andrew C. Stokes

This paper documents changes in mortality by race and ethnicity between 2019 and 2020. Using age-standardized death rates, it attributes changes for Black, Hispanic, and White populations to various underlying causes of death and shows how these racial and ethnic patterns vary by age and sex. Hispanic individuals had the largest increase in mortality attributed to Covid-19, but Black individuals had the largest increase in all-cause mortality. Exceptionally large increases in mortality from heart disease, diabetes, and external causes of death account for the adverse trend in all-cause mortality within the Black population. For the Black and White populations, percentage increases in all-cause mortality were similar for men and women and for ages 25-64 and 65+. Among the Hispanic population, however, percentage increases in mortality were greatest for working-aged men. Results are very similar when 2020 death rates are compared to those in 2019 and when they are compared to projected 2020 rates based on a time series extrapolation of death rates from 2015 to 2019.


Author(s):  
Charles Ellis ◽  
Molly Jacobs

Health disparities have once again moved to the forefront of America's consciousness with the recent significant observation of dramatically higher death rates among African Americans with COVID-19 when compared to White Americans. Health disparities have a long history in the United States, yet little consideration has been given to their impact on the clinical outcomes in the rehabilitative health professions such as speech-language pathology/audiology (SLP/A). Consequently, it is unclear how the absence of a careful examination of health disparities in fields like SLP/A impacts the clinical outcomes desired or achieved. The purpose of this tutorial is to examine the issue of health disparities in relationship to SLP/A. This tutorial includes operational definitions related to health disparities and a review of the social determinants of health that are the underlying cause of such disparities. The tutorial concludes with a discussion of potential directions for the study of health disparities in SLP/A to identify strategies to close the disparity gap in health-related outcomes that currently exists.


Crisis ◽  
2018 ◽  
Vol 39 (5) ◽  
pp. 318-325 ◽  
Author(s):  
Barbara Stanley ◽  
Glenn W. Currier ◽  
Megan Chesin ◽  
Sadia Chaudhury ◽  
Shari Jager-Hyman ◽  
...  

Abstract. Background: External causes of injury codes (E-codes) are used in administrative and claims databases for billing and often employed to estimate the number of self-injury visits to emergency departments (EDs). Aims: This study assessed the accuracy of E-codes using standardized, independently administered research assessments at the time of ED visits. Method: We recruited 254 patients at three psychiatric emergency departments in the United States between 2007 and 2011, who completed research assessments after presenting for suicide-related concerns and were classified as suicide attempters (50.4%, n = 128), nonsuicidal self-injurers (11.8%, n = 30), psychiatric controls (29.9%, n = 76), or interrupted suicide attempters (7.8%, n = 20). These classifications were compared with their E-code classifications. Results: Of the participants, 21.7% (55/254) received an E-code. In all, 36.7% of research-classified suicide attempters and 26.7% of research-classified nonsuicidal self-injurers received self-inflicted injury E-codes. Those who did not receive an E-code but should have based on the research assessments had more severe psychopathology, more Axis I diagnoses, more suicide attempts, and greater suicidal ideation. Limitations: The sample came from three large academic medical centers and these findings may not be generalizable to all EDs. Conclusion: The frequency of ED visits for self-inflicted injury is much greater than current figures indicate and should be increased threefold.


Crisis ◽  
2014 ◽  
Vol 35 (5) ◽  
pp. 292-300 ◽  
Author(s):  
Rebecca Soole ◽  
Kairi Kõlves ◽  
Diego De Leo

Background: Suicide among children under the age of 15 years is a leading cause of death. Aims: The aim of the current study is to identify demographic, psychosocial, and psychiatric factors associated with child suicides. Method: Using external causes of deaths recorded in the Queensland Child Death Register, a case-control study design was applied. Cases were suicides of children (10–14 years) and adolescents (15–17 years); controls were other external causes of death in the same age band. Results: Between 2004 and 2012, 149 suicides were recorded: 34 of children aged 10–14 years and 115 of adolescents aged 15–17 years. The gender asymmetry was less evident in child suicides and suicides were significantly more prevalent in indigenous children. Children residing in remote areas were significantly more likely to die by suicide than other external causes compared with children in metropolitan areas. Types of precipitating events differed between children and adolescents, with children more likely to experience family problems. Disorders usually diagnosed during infancy, childhood, and adolescence (e.g., ADHD) were significantly more common among children compared with adolescents who died by suicide. Conclusion: Psychosocial and environmental aspects of children, in addition to mental health and behavioral difficulties, are important in the understanding of suicide in this age group and in the development of targeted suicide prevention.


Crisis ◽  
2010 ◽  
Vol 31 (4) ◽  
pp. 217-223 ◽  
Author(s):  
Paul Yip ◽  
David Pitt ◽  
Yan Wang ◽  
Xueyuan Wu ◽  
Ray Watson ◽  
...  

Background: We study the impact of suicide-exclusion periods, common in life insurance policies in Australia, on suicide and accidental death rates for life-insured individuals. If a life-insured individual dies by suicide during the period of suicide exclusion, commonly 13 months, the sum insured is not paid. Aims: We examine whether a suicide-exclusion period affects the timing of suicides. We also analyze whether accidental deaths are more prevalent during the suicide-exclusion period as life-insured individuals disguise their death by suicide. We assess the relationship between the insured sum and suicidal death rates. Methods: Crude and age-standardized rates of suicide, accidental death, and overall death, split by duration since the insured first bought their insurance policy, were computed. Results: There were significantly fewer suicides and no significant spike in the number of accidental deaths in the exclusion period for Australian life insurance data. More suicides, however, were detected for the first 2 years after the exclusion period. Higher insured sums are associated with higher rates of suicide. Conclusions: Adverse selection in Australian life insurance is exacerbated by including a suicide-exclusion period. Extension of the suicide-exclusion period to 3 years may prevent some “insurance-induced” suicides – a rationale for this conclusion is given.


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