Harvard Medical School, Boston, Massachusetts.
Columbia University Vagelos College of Physicians and Surgeons, New York, New York.
Am J Cardiol. 2023 Sep 15;203:259-264. doi: 10.1016/j.amjcard.2023.07.048. Epub 2023 Jul 27.
Heart disease is the leading cause of death in the United States (US). Suicide is the 12th leading cause of death. However, little is known about the risk of suicide in patients with heart disease and heart failure. Using Multiple Cause of Death data from the Centers for Disease Control and Prevention (CDC) Wide-ranging ONline Data for Epidemiologic Research (WONDER) database, we used a cross-sectional analysis to examine the risk of suicide in patients with heart disease and heart failure as compared with the general US population and in subgroups within the US. We assessed suicide rate in patients with heart disease and heart failure in the US population as a whole and stratified by race, time, urbanization levels, and census regions using the CDC WONDER Multiple Cause of Death database. Standardized mortality rates were calculated as observed deaths divided by expected deaths. As compared with the general population, patients with heart disease and heart failure had an elevated risk of suicide. This was true across racial and geographic subgroups. There was an elevated risk of suicide in patients with heart disease and heart failure in the United States. For heart disease, there were particular elevations in the Western US, and there was a particular elevation in Black Americans compared with the age-matched population.
心脏病是美国（美国）的主要死因。自杀是第 12 大死因。然而，对于心脏病和心力衰竭患者的自杀风险知之甚少。使用疾病控制和预防中心（CDC）的多原因死亡数据，我们使用横断面分析来检查心脏病和心力衰竭患者与普通美国人群以及美国亚组中的自杀风险。我们在美国人群中整体评估了心脏病和心力衰竭患者的自杀率，并根据种族、时间、城市化水平和人口普查区域使用 CDC WONDER 多原因死亡数据库进行分层。标准化死亡率计算为观察到的死亡人数除以预期死亡人数。与普通人群相比，心脏病和心力衰竭患者的自杀风险升高。这在所有种族和地理亚组中都是如此。在美国，心脏病和心力衰竭患者的自杀风险升高。对于心脏病，美国西部的风险尤其高，与年龄匹配的人群相比，美国黑人的风险尤其高。
