Reproductive endocrinology

Suicide Attempts After a Diagnosis of Polycystic Ovary Syndrome : A Cohort Study

Ann Intern MedPublished Matched cohort study

Main finding · Suicide attemptResult — go to the resultHazard ratio 8.47 95% CI 7.54–9.51

Authors' conclusion

This study underscores the heightened risk for suicide attempt that persons with PCOS face, even after adjustment for demographics, psychiatric comorbid conditions, physical conditions, and all-cause clinical visits. This suggests the importance of routine monitoring of mental health and suicide risk in persons diagnosed with PCOS.

Study context

Population
Persons with PCOS and matched controls, Taiwanese nationwide database, 1997–2012matched cohort
Exposure
PCOS vs matched controls
  • PCOSn = 18,960
Outcome
Suicide attempt
Methodological detailsnationwide, matched 1:10 on age, psychiatric comorbid conditions, urbanization level and income, Cox regression
  • Nationwide
  • Matched 1:10 on age, psychiatric comorbid conditions, urbanization level and income
  • Cox regression

Main finding

As reported in the abstract

Hazard ratio

8.47

95% CI 7.54–9.51

PCOSvs Control
HR 8.47 (95% CI 7.54–9.51)

Observational data: associations, not effects.

Further findings

OutcomeHR (CI)
Suicide attempt by age groupPCOSvs ControlAdolescent5.38 (3.93–7.37)
Suicide attempt by age groupPCOSvs ControlYoung adult (<40 years)9.15 (8.03–10.42)
Suicide attempt by age groupPCOSvs ControlOlder adult3.75 (2.23–6.28)

Sensitivity analyses

Excluding the first year or first 3 years of observation yielded consistent results

Original publication

Suicide Attempts After a Diagnosis of Polycystic Ovary Syndrome : A Cohort Study. Ann Intern Med. Published 6 February 2024. doi:10.7326/m23-2240

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