Low intelligence test scores in 18 year old men and risk of suicide: cohort study
Abstract Objective To examine the association between intelligence test scores in men, measured at age 18, and subsequent suicide. Design Record linkage study of the Swedish military service conscription register (1968-94) with the multi-generation register, cause of death register and census data....
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Published in | BMJ Vol. 330; no. 7484; pp. 167 - 170 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
London
British Medical Journal Publishing Group
22.01.2005
British Medical Association BMJ Publishing Group LTD BMJ Publishing Group BMJ Publishing Group Ltd |
Edition | International edition |
Subjects | |
Online Access | Get full text |
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Summary: | Abstract Objective To examine the association between intelligence test scores in men, measured at age 18, and subsequent suicide. Design Record linkage study of the Swedish military service conscription register (1968-94) with the multi-generation register, cause of death register and census data. Four tests were performed at conscription covering logic, language, spatial, and technical skills. Setting Sweden. Participants 987 308 Swedish men followed up for 5-26 years. Main outcome measure Suicide. Results 2811 suicides occurred during follow up. The risk of suicide was two to three times higher in those with lowest compared with the highest test scores. The strongest associations were seen with the logic test: for each unit increase in test score the risk of suicide decreased by 12% (95% confidence interval 10% to 14%). Associations were only slightly attenuated when we controlled for parents' socioeconomic position. Greatest risks were seen among poorly performing offspring of well educated parents. Conclusions Performance in intelligence tests is strongly related to subsequent risk of suicide in men. This may be due to the importance of cognitive ability in either the aetiology of serious mental disorder or an individual's capacity to solve problems while going through an acute life crisis or suffering from mental illness. |
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Bibliography: | Correspondence to: F Rasmussen href:bmj-330-167.pdf local:bmj;330/7484/167 ark:/67375/NVC-S02ZQT0W-V ArticleID:bmj.38310.473565.8F istex:DA780200CDAB1DB9ADBCC2186C92F31ABA06042F PMID:15615767 ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Article-1 ObjectType-Feature-2 We thank Per Tynelius for help in data preparation and advice on statistical methodology. Funding: PKEM is funded by The Beijer Foundation. Contributors: DG, PKEM, and FR developed the core idea. FR and PKEM designed the study. FR prepared the cohort data and did the database linkages. PKEM conducted all statistical analysis. DG conducted the literature search and wrote the first draft of the paper. All authors critically reviewed and contributed to the final draft of the paper and all are guarantors. Correspondence to: F Rasmussen finn.rasmussen@phs.ki.se Ethical approval: The ethics committee at the Karolinska Institute, Stockholm, Sweden, approved the study. Competing interests: None declared. |
ISSN: | 0959-8138 0959-8146 1756-1833 1468-5833 1756-1833 |
DOI: | 10.1136/bmj.38310.473565.8F |