Is mental health multimorbidity associated with contact with healthcare services before suicide? Retrospective analysis of Irish coronial data, 2015–2020

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dc.check.date2026-09-02en
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisheren
dc.contributor.authorKavalidou, Katerinaen
dc.contributor.authorCox, Gemmaen
dc.contributor.authorMunnelly, Anitaen
dc.contributor.authorPlatt, Stephenen
dc.date.accessioned2025-09-24T14:23:11Z
dc.date.available2025-09-24T14:23:11Z
dc.date.issued2025-09-02en
dc.description.abstractObjective: Healthcare services are potential interventions points before suicide. The aim of the current study was to explore whether mental health (MH) multimorbidity is associated with contact with healthcare services before suicide. Methods: A retrospective study was conducted using data from the Irish Probable Suicide Deaths Study (IPSDS), over the period 2015–2020. MH conditions were recorded on the basis of collateral information, including medical diagnosis or/and undiagnosed. The IPSDS cohort (n = 3625), comprising deaths given a coronial verdict of suicide and deaths on the balance of probabilities, was allocated to three mutually exclusive health groups: (a) no MH conditions, (b) one MH condition only, (c) two or more MH conditions (“MH multimorbidity”). Descriptive statistics (p ≤ 0.05) and binary logistic regression analyses with odds ratios (OR) and 95% CIs (p ≤ 0.01) are presented. Results: One fifth (20%) of the IPSDS cohort had MH multimorbidity, which was more prevalent among those aged 35–44 years. The unadjusted logistic regression analysis indicated that those with multimorbidity were significantly more likely to have contacted health services before suicide, compared to those with no MH conditions. This finding was substantially unchanged following adjustment for sex, age, and labor market position (OR = 12.170, 95% CI 9.595–15.437, p < .001) and in a sensitivity analysis restricted to a subset of deaths given a coronial verdict of suicide (OR = 12.728, 95% CI 9.635–16.814). Conclusions: Our findings suggest that those who experience MH multimorbidity and are in contact with health services should be targeted with tailor-made suicide prevention interventions.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationKavalidou, K., Cox, G., Munnelly, A. and Platt, S. (2025) 'Is mental health multimorbidity associated with contact with healthcare services before suicide? Retrospective analysis of Irish coronial data, 2015–2020', Archives of Suicide Research. https://doi.org/10.1080/13811118.2025.2552948en
dc.identifier.doi10.1080/13811118.2025.2552948en
dc.identifier.issn1381-1118en
dc.identifier.issn1543-6136en
dc.identifier.journaltitleArchives of Suicide Researchen
dc.identifier.urihttps://hdl.handle.net/10468/17894
dc.language.isoenen
dc.publisherRoutledgeen
dc.relation.ispartofArchives of Suicide Researchen
dc.rights© 2025, International Academy for Suicide Research. Published by Routledge - Taylor & Francis Group. All rights reserved. This is the Accepted Manuscript of an item published by Taylor & Francis in Archives of Suicide Research on 2 September 2025, available online: https://doi.org/10.1080/13811118.2025.2552948en
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectCoroneren
dc.subjectHealthcareen
dc.subjectIrelanden
dc.subjectMultimorbidityen
dc.subjectSuicideen
dc.titleIs mental health multimorbidity associated with contact with healthcare services before suicide? Retrospective analysis of Irish coronial data, 2015–2020en
dc.typeArticle (peer-reviewed)en
dc.typejournal-articleen
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