Marie Dahlin's research group

Suicide attempt and suicide

Suicide is a public health problem. During the 1980's and 1990's the suicide rate decreased substantially in Sweden, but this development has not continued into the first decade of 2000's. Suicide attempts, on the contrary, have increased dramatically among young females but also in young males.

We are investigating the situation and prognosis after suicide attempt, to improve suicide risk assessment and management.

We have shown that the coexisting psychiatric diagnosis at the suicide attempt affects the rate of later suicide. In subjects with severe mental disorder, such as schizophrenia and affective disorders, the risk is higher than in subjects with less pronounced symptom severity. We have also shown that the method used at the suicide attempt is relevant to the risk of suicide in the shorter and longer run. A violent method implies a higher risk, particularly when severe mental disorder is evident, but also in persons without obvious mental disorder.

We are studying large patient samples with a particular focus on young people and suicidal behaviour. A series of studies concerns the effect of a family history of suicide. Several studies concern violence and suicide in relationship to mental disorder. One study focuses suicide in relationship to university studies. The common aim is to find ways to understand and prevent suicide.

Research Projects

  • Prognosis after suicide attempts in relation to age and gender
  • Comorbidity as a risk factor for suicide in patients who have made previous suicide attempts
  • Change in suicide rate among suicide attempts patients since the 1970's
  • Mortality among clients of the Swedish Prison and Probation Services
  • High risk of suicide in psychiatric patients with violent behaviour
  • Filicide and extended suicide
  • Suicide in bipolar affective disorder
  • Suicide in university students

Selected Publications

Method of self-harm in adolescents and young adults and risk of subsequent suicide.
Beckman K, Mittendorfer-Rutz E, Waern M, Larsson H, Runeson B, Dahlin M
J Child Psychol Psychiatry 2018 Sep;59(9):948-956

Short term risk of non-fatal and fatal suicidal behaviours: the predictive validity of the Columbia-Suicide Severity Rating Scale in a Swedish adult psychiatric population with a recent episode of self-harm.
Lindh ÅU, Waern M, Beckman K, Renberg ES, Dahlin M, Runeson B
BMC Psychiatry 2018 Oct;18(1):319

Impulsive suicide attempts among young people-A prospective multicentre cohort study in Sweden.
Beckman K, Lindh AU, Waern M, Stromsten L, Renberg ES, Runeson B, et al
J Affect Disord 2019 01;243():421-426

Prognoses after self-harm in youth: exploring the gender factor.
Beckman K, Lysell H, Haglund A, Dahlin M
Soc Psychiatry Psychiatr Epidemiol 2019 Apr;54(4):437-444

Ongoing university studies and the risk of suicide: a register-based nationwide cohort study of 5 million young and middle-aged individuals in Sweden, 1993-2011.
Lageborn CT, Ljung R, Vaez M, Dahlin M
BMJ Open 2017 03;7(3):e014264

Mental illness and suicide after self-harm among young adults: long-term follow-up of self-harm patients, admitted to hospital care, in a national cohort.
Beckman K, Mittendorfer-Rutz E, Lichtenstein P, Larsson H, Almqvist C, Runeson B, et al
Psychol Med 2016 12;46(16):3397-3405

Association Between Spousal Suicide and Mental, Physical, and Social Health Outcomes: A Longitudinal and Nationwide Register-Based Study.
Erlangsen A, Runeson B, Bolton JM, Wilcox HC, Forman JL, Krogh J, et al
JAMA Psychiatry 2017 05;74(5):456-464

Suicide risk after nonfatal self-harm: a national cohort study, 2000-2008.
Runeson B, Haglund A, Lichtenstein P, Tidemalm D
J Clin Psychiatry 2016 02;77(2):240-6

Challenges of Combining Perspectives.
Sundvall M, Titelman D, Bäärnhielm S
Crisis 2018 Sep;39(5):326-334

Culture and psychiatric evaluation: operationalizing cultural formulation for DSM-5.
Lewis-Fernández R, Aggarwal NK, Bäärnhielm S, Rohlof H, Kirmayer LJ, Weiss MG, et al
Psychiatry 2014 ;77(2):130-54

Approaching the vulnerability of refugees: evaluation of cross-cultural psychiatric training of staff in mental health care and refugee reception in Sweden.
Bäärnhielm S, Edlund AS, Ioannou M, Dahlin M
BMC Med Educ 2014 Sep;14():207

Group members