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The burden of mental health-related mortality in the Baltic States in 2007-2018

BACKGROUND: The problem of underestimating the burden of mental health-related mortality is widely discussed in the public health literature. Relevant scientific evidence from societies experiencing the largest burden of mental health mortality is important for better understanding global and nation...

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Autores principales: Stumbrys, Daumantas, Jasilionis, Domantas, Pūras, Dainius
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9487037/
https://www.ncbi.nlm.nih.gov/pubmed/36123665
http://dx.doi.org/10.1186/s12889-022-14175-9
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author Stumbrys, Daumantas
Jasilionis, Domantas
Pūras, Dainius
author_facet Stumbrys, Daumantas
Jasilionis, Domantas
Pūras, Dainius
author_sort Stumbrys, Daumantas
collection PubMed
description BACKGROUND: The problem of underestimating the burden of mental health-related mortality is widely discussed in the public health literature. Relevant scientific evidence from societies experiencing the largest burden of mental health mortality is important for better understanding global and national mental health challenges and improving policies. Three Baltic States - Estonia, Lithuania, and Latvia - are countries in the Central and Eastern European region that experienced post-soviet transition trauma and showed among the highest suicide and alcohol-related mortality rates in Europe. This study aimed to examine the change in the burden of mental health-related mortality in three Baltic States in the context of consistent growth in life expectancy in 2007-2018. METHODS: We calculated age-standardized years of life lost due to specific mental health-related causes of death in three Baltic countries from 2007 to 2018. Four mental health-related causes of death groups were analyzed: (i) all mental and behavioural disorders; (ii) intentional self-harm; (iii) main substance use-related causes of death; and (iv) external causes of death. The number of deaths came from the WHO Mortality Database; population exposures were extracted from the Human Mortality Database. RESULTS: We found that the proportion of age-standardized years of life lost due to mental disorders was relatively low in all three countries. It varied from 0.2% for females in Lithuania in 2009 to 2.4% for males in Estonia in 2007. However, the proportion of age-standardized years of life lost from self-harm and substance use remained high. In 2018, the proportion of age-standardized years of life lost due to self-harm was highest among males in Lithuania (4.1%) while the highest proportion due to substance use-related causes of death was among males in Estonia (7.3%). CONCLUSIONS: Our findings indicate that the burden of mental health-related mortality remained high and showed divergent temporal changes across the three countries. In the context of the Baltic States and other post-soviet countries, fractions of various external causes of death and alcohol-related causes of death should be considered in assessing the total burden of mental health-related mortality. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-14175-9.
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spelling pubmed-94870372022-09-21 The burden of mental health-related mortality in the Baltic States in 2007-2018 Stumbrys, Daumantas Jasilionis, Domantas Pūras, Dainius BMC Public Health Research BACKGROUND: The problem of underestimating the burden of mental health-related mortality is widely discussed in the public health literature. Relevant scientific evidence from societies experiencing the largest burden of mental health mortality is important for better understanding global and national mental health challenges and improving policies. Three Baltic States - Estonia, Lithuania, and Latvia - are countries in the Central and Eastern European region that experienced post-soviet transition trauma and showed among the highest suicide and alcohol-related mortality rates in Europe. This study aimed to examine the change in the burden of mental health-related mortality in three Baltic States in the context of consistent growth in life expectancy in 2007-2018. METHODS: We calculated age-standardized years of life lost due to specific mental health-related causes of death in three Baltic countries from 2007 to 2018. Four mental health-related causes of death groups were analyzed: (i) all mental and behavioural disorders; (ii) intentional self-harm; (iii) main substance use-related causes of death; and (iv) external causes of death. The number of deaths came from the WHO Mortality Database; population exposures were extracted from the Human Mortality Database. RESULTS: We found that the proportion of age-standardized years of life lost due to mental disorders was relatively low in all three countries. It varied from 0.2% for females in Lithuania in 2009 to 2.4% for males in Estonia in 2007. However, the proportion of age-standardized years of life lost from self-harm and substance use remained high. In 2018, the proportion of age-standardized years of life lost due to self-harm was highest among males in Lithuania (4.1%) while the highest proportion due to substance use-related causes of death was among males in Estonia (7.3%). CONCLUSIONS: Our findings indicate that the burden of mental health-related mortality remained high and showed divergent temporal changes across the three countries. In the context of the Baltic States and other post-soviet countries, fractions of various external causes of death and alcohol-related causes of death should be considered in assessing the total burden of mental health-related mortality. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-14175-9. BioMed Central 2022-09-19 /pmc/articles/PMC9487037/ /pubmed/36123665 http://dx.doi.org/10.1186/s12889-022-14175-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Stumbrys, Daumantas
Jasilionis, Domantas
Pūras, Dainius
The burden of mental health-related mortality in the Baltic States in 2007-2018
title The burden of mental health-related mortality in the Baltic States in 2007-2018
title_full The burden of mental health-related mortality in the Baltic States in 2007-2018
title_fullStr The burden of mental health-related mortality in the Baltic States in 2007-2018
title_full_unstemmed The burden of mental health-related mortality in the Baltic States in 2007-2018
title_short The burden of mental health-related mortality in the Baltic States in 2007-2018
title_sort burden of mental health-related mortality in the baltic states in 2007-2018
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9487037/
https://www.ncbi.nlm.nih.gov/pubmed/36123665
http://dx.doi.org/10.1186/s12889-022-14175-9
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