History of diabetes and risk of suicide and accidental death in Japan

The Japan Public Health Centre-based Prospective Study, 1990-2012

T. Yamauchi, M. Inagaki, N. Yonemoto, M. Iwasaki, T. Akechi, N. Sawada, H. Iso, M. Noda, S. Tsugane

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Aim: This study looked at whether a history of diabetes mellitus (DM) is associated with a higher risk of externally caused death (by suicide and accident), using data for a large population-based prospective cohort from an Asian population. Methods: Data collected between 1990 and 2012 from the Japan Public Health Centre-based Prospective Study were analyzed, and Poisson regression models were used to calculate adjusted risk ratios (RR) for external causes of death. Results: The population-based cohort comprised 105,408 Japanese residents (49,484 men and 55,924 women; mean age: 51.2 [SD 7.9] years). At baseline, 3250 (6.6%) men and 1648 (3.0%) women had a history of DM. During the follow-up period, 113 external deaths (41 suicides and 72 accidents) were noted among those with a history of DM, with 1304 external deaths (577 suicides and 727 accidents) among those without such a history. A higher risk of external death (men, RR: 1.4, 95% CI: 1.2-1.8; women, RR: 1.6, 95% CI: 1.01-2.4) was observed in those with a history of DM. Also, among those aged 40-49 years (RR: 1.9, 95% CI: 1.3-2.7) and 50-59 years (RR: 1.4, 95% CI: 1.05-1.9) at baseline, the risk of external death was significantly higher in those with a history of DM. Conclusion: Compared with people with no history of DM, those with such a history had a significantly greater risk of externally caused death (particularly accidental deaths) in both genders and in those aged. ≤. 59 years at baseline.

Original languageEnglish
JournalDiabetes and Metabolism
DOIs
Publication statusAccepted/In press - Jul 18 2015

Fingerprint

Suicide
Japan
Public Health
Diabetes Mellitus
Prospective Studies
Odds Ratio
Accidents
History
Population
Cause of Death

Keywords

  • Accidents
  • Asian population
  • Cohort studies
  • Diabetes mellitus
  • Prospective studies
  • Suicide

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology
  • Endocrinology, Diabetes and Metabolism

Cite this

History of diabetes and risk of suicide and accidental death in Japan : The Japan Public Health Centre-based Prospective Study, 1990-2012. / Yamauchi, T.; Inagaki, M.; Yonemoto, N.; Iwasaki, M.; Akechi, T.; Sawada, N.; Iso, H.; Noda, M.; Tsugane, S.

In: Diabetes and Metabolism, 18.07.2015.

Research output: Contribution to journalArticle

Yamauchi, T. ; Inagaki, M. ; Yonemoto, N. ; Iwasaki, M. ; Akechi, T. ; Sawada, N. ; Iso, H. ; Noda, M. ; Tsugane, S. / History of diabetes and risk of suicide and accidental death in Japan : The Japan Public Health Centre-based Prospective Study, 1990-2012. In: Diabetes and Metabolism. 2015.
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abstract = "Aim: This study looked at whether a history of diabetes mellitus (DM) is associated with a higher risk of externally caused death (by suicide and accident), using data for a large population-based prospective cohort from an Asian population. Methods: Data collected between 1990 and 2012 from the Japan Public Health Centre-based Prospective Study were analyzed, and Poisson regression models were used to calculate adjusted risk ratios (RR) for external causes of death. Results: The population-based cohort comprised 105,408 Japanese residents (49,484 men and 55,924 women; mean age: 51.2 [SD 7.9] years). At baseline, 3250 (6.6{\%}) men and 1648 (3.0{\%}) women had a history of DM. During the follow-up period, 113 external deaths (41 suicides and 72 accidents) were noted among those with a history of DM, with 1304 external deaths (577 suicides and 727 accidents) among those without such a history. A higher risk of external death (men, RR: 1.4, 95{\%} CI: 1.2-1.8; women, RR: 1.6, 95{\%} CI: 1.01-2.4) was observed in those with a history of DM. Also, among those aged 40-49 years (RR: 1.9, 95{\%} CI: 1.3-2.7) and 50-59 years (RR: 1.4, 95{\%} CI: 1.05-1.9) at baseline, the risk of external death was significantly higher in those with a history of DM. Conclusion: Compared with people with no history of DM, those with such a history had a significantly greater risk of externally caused death (particularly accidental deaths) in both genders and in those aged. ≤. 59 years at baseline.",
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T1 - History of diabetes and risk of suicide and accidental death in Japan

T2 - The Japan Public Health Centre-based Prospective Study, 1990-2012

AU - Yamauchi, T.

AU - Inagaki, M.

AU - Yonemoto, N.

AU - Iwasaki, M.

AU - Akechi, T.

AU - Sawada, N.

AU - Iso, H.

AU - Noda, M.

AU - Tsugane, S.

PY - 2015/7/18

Y1 - 2015/7/18

N2 - Aim: This study looked at whether a history of diabetes mellitus (DM) is associated with a higher risk of externally caused death (by suicide and accident), using data for a large population-based prospective cohort from an Asian population. Methods: Data collected between 1990 and 2012 from the Japan Public Health Centre-based Prospective Study were analyzed, and Poisson regression models were used to calculate adjusted risk ratios (RR) for external causes of death. Results: The population-based cohort comprised 105,408 Japanese residents (49,484 men and 55,924 women; mean age: 51.2 [SD 7.9] years). At baseline, 3250 (6.6%) men and 1648 (3.0%) women had a history of DM. During the follow-up period, 113 external deaths (41 suicides and 72 accidents) were noted among those with a history of DM, with 1304 external deaths (577 suicides and 727 accidents) among those without such a history. A higher risk of external death (men, RR: 1.4, 95% CI: 1.2-1.8; women, RR: 1.6, 95% CI: 1.01-2.4) was observed in those with a history of DM. Also, among those aged 40-49 years (RR: 1.9, 95% CI: 1.3-2.7) and 50-59 years (RR: 1.4, 95% CI: 1.05-1.9) at baseline, the risk of external death was significantly higher in those with a history of DM. Conclusion: Compared with people with no history of DM, those with such a history had a significantly greater risk of externally caused death (particularly accidental deaths) in both genders and in those aged. ≤. 59 years at baseline.

AB - Aim: This study looked at whether a history of diabetes mellitus (DM) is associated with a higher risk of externally caused death (by suicide and accident), using data for a large population-based prospective cohort from an Asian population. Methods: Data collected between 1990 and 2012 from the Japan Public Health Centre-based Prospective Study were analyzed, and Poisson regression models were used to calculate adjusted risk ratios (RR) for external causes of death. Results: The population-based cohort comprised 105,408 Japanese residents (49,484 men and 55,924 women; mean age: 51.2 [SD 7.9] years). At baseline, 3250 (6.6%) men and 1648 (3.0%) women had a history of DM. During the follow-up period, 113 external deaths (41 suicides and 72 accidents) were noted among those with a history of DM, with 1304 external deaths (577 suicides and 727 accidents) among those without such a history. A higher risk of external death (men, RR: 1.4, 95% CI: 1.2-1.8; women, RR: 1.6, 95% CI: 1.01-2.4) was observed in those with a history of DM. Also, among those aged 40-49 years (RR: 1.9, 95% CI: 1.3-2.7) and 50-59 years (RR: 1.4, 95% CI: 1.05-1.9) at baseline, the risk of external death was significantly higher in those with a history of DM. Conclusion: Compared with people with no history of DM, those with such a history had a significantly greater risk of externally caused death (particularly accidental deaths) in both genders and in those aged. ≤. 59 years at baseline.

KW - Accidents

KW - Asian population

KW - Cohort studies

KW - Diabetes mellitus

KW - Prospective studies

KW - Suicide

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U2 - 10.1016/j.diabet.2015.11.008

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