Trauma & major bleeding

Risk of Suicide in Patients With Traumatic Injuries

JAMA Netw OpenPublished Nationwide register-based matched cohort study

Authors' conclusion

In this cohort study of patients in Norway discharged alive after critical injury, a 9-fold increased risk of suicide after 2 years was observed.

Study context

Population
Patients with traumatic injuries admitted to Norwegian hospitals, discharged alivematched cohort
Participants
25,536 vs 247,095
Exposure
Patients with traumatic injuries vs matched general-population controls
  • Traumatic injuriesn = 25,536
  • Controlsn = 247,095reference
Outcome
Suicide (Norwegian Cause of Death Registry); CIR with nonsuicidal death as competing event
Methodological detailsmatched cohort (1:10, gender and birth year), inverse probability of treatment weights, Data from 5 Norwegian nationwide health registries and Statistics Norway, 2014–2020; follow-up ≥2 years
  • Matched cohort (1:10, gender and birth year)
  • Inverse probability of treatment weights
  • Data from 5 Norwegian nationwide health registries and Statistics Norway, 2014–2020; follow-up ≥2 years

Main finding

As reported in the abstract

Cumulative incidence of suicide

2-year cumulative incidence ratios (CIR)

9.3

95% CI 5.4–13.0

Traumatic injuries

5-year CIR

6.9

95% CI 4.4–9.1

Traumatic injuries

Observational data: associations, not effects.

Further findings

Age at suicide

P = 0.03

Incidence of suicide, females (subgroup)

P = 0.005

Original publication

Risk of Suicide in Patients With Traumatic Injuries. JAMA Netw Open. Published 2 January 2026. doi:10.1001/jamanetworkopen.2025.54168

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