Emma Björkenstam

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About me

PhD in Epidemiology and member of the research group MENTE (Mental Health and Social Integration).

I have a background in psychiatric and social epidemiology, public health, pharmacoepidemiology and statistics. My research interests include among
others the health and social consequences following exposure to early life adversity. My research involves large-scale population studies, used to
investigate links between adversities occurring in different sensitive childhood periods, the mediating role of factors in adolescence, and subsequent mental health, and also the role of parental socioeconomic factors.

Articles

Article: PSYCHOLOGICAL MEDICINE. 2024;54(1):148-158

Labour market integration among young adults diagnosed with attention-deficit/hyperactivity disorder (ADHD) at working age.

Chen L; Mittendorfer-Rutz E; Björkenstam E; Rahman S; Gustafsson K; Kjeldgård L; Ekselius L; Taipale H; Tanskanen A; Helgesson M
Article: SSM-POPULATION HEALTH. 2023;23:101444

Sustainable labour market participation among working young adults with diagnosed attention deficit/hyperactivity disorder (ADHD).

Helgesson M; Kjeldgård L; Björkenstam E; Rahman S; Gustafsson K; Taipale H; Tanskanen A; Ekselius L; Mittendorfer-Rutz E
Article: SCANDINAVIAN JOURNAL OF PUBLIC HEALTH. 2023;51(3):391-402

Differences in labour market marginalisation between refugees, non-refugee immigrants and Swedish-born youth: Role of age at arrival and residency duration.

Geirsdottir G; Mittendorfer-Rutz E; Björkenstam E; Chen L; Dorner TE; Amin R
Article: EUROPEAN JOURNAL OF PUBLIC HEALTH. 2023;33(2):264-271

Childhood adversity and risk of later labor market marginalization in young employees in Sweden.

Björkenstam E; Helgesson M; Mittendorfer-Rutz E
Article: EUROPEAN JOURNAL OF PUBLIC HEALTH. 2023;33(2):272-278

Time period effects in work disability due to common mental disorders among young employees in Sweden-a register-based cohort study across occupational classes and employment sectors.

Amin R; Mittendorfer-Rutz E; Björkenstam E; Virtanen M; Helgesson M; Gustafsson N; Rahman S
Article: PSYCHOLOGICAL MEDICINE. 2023;53(4):1224-1232

Labour market marginalisation in young adults diagnosed with attention-deficit hyperactivity disorder (ADHD): a population-based longitudinal cohort study in Sweden.

Helgesson M; Björkenstam E; Rahman S; Gustafsson K; Taipale H; Tanskanen A; Ekselius L; Mittendorfer-Rutz E
Article: FRONTIERS IN PSYCHIATRY. 2023;14:1152286

The role of sociodemographic and clinical factors in the initiation and discontinuation of attention deficit hyperactivity disorder medication among young adults in Sweden.

Gémes K; Taipale H; Björkenstam E; Rahman S; Gustafsson K; Tanskanen A; Ekselius L; Mittendorfer-Rutz E; Helgesson M
Article: BORDERLINE PERSONALITY DISORDER AND EMOTION DYSREGULATION. 2022;9(1):25

Effect of comorbid ADHD on mortality in women with borderline personality disorder.

Kouppis E; Gerdin B; Björkenstam C; Björkenstam E; Ekselius L
Article: BMC PSYCHIATRY. 2022;22(1):633

Resilience of people with chronic medical conditions during the COVID-19 pandemic: a 1-year longitudinal prospective survey.

Tarsitani L; Pinucci I; Tedeschi F; Patanè M; Papola D; Palantza C; Acarturk C; Björkenstam E; Bryant R; Burchert S; Davisse-Paturet C; Díaz-García A; Farrel R; Fuhr DC; Hall BJ; Huizink AC; Lam AIF; Kurt G; Leijen I; Mittendorfer-Rutz E; Morina N; Panter-Brick C; Purba FD; Quero S; Seedat S; Setyowibowo H; van der Waerden J; Pasquini M; Sijbrandij M; Barbui C
Article: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH. 2022;19(12):7254

Occupational Branch and Labor Market Marginalization among Young Employees with Adult Onset of Attention Deficit Hyperactivity Disorder-A Population-Based Matched Cohort Study.

Gémes K; Björkenstam E; Rahman S; Gustafsson K; Taipale H; Tanskanen A; Ekselius L; Mittendorfer-Rutz E; Helgesson M
Article: BMJ OPEN. 2022;12(5):e054351

Mental and somatic disorders and the subsequent risk of all-cause and cause-specific mortality in refugees, non-refugee migrants and the Swedish-born youth: a population-based cohort study in Sweden.

Helgesson M; Björkenstam E; Filatova S; Rahman SG; Cullen A; Dorner T; Gémes K; Amin R; Mittendorfer-Rutz E
Article: PSYCHOLOGICAL MEDICINE. 2022;52(7):1365-1375

Differences in psychiatric care utilization between refugees, non-refugee migrants and Swedish-born youth.

Björkenstam E; Helgesson M; Norredam M; Sijbrandij M; de Montgomery CJ; Mittendorfer-Rutz E
Article: SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY. 2022;57(5):1097-1106

Sickness absence due to common mental disorders in young employees in Sweden: are there differences in occupational class and employment sector?

Björkenstam E; Helgesson M; Gustafsson K; Virtanen M; Hanson LLM; Mittendorfer-Rutz E
Article: JOURNAL OF ATTENTION DISORDERS. 2022;26(5):723-734

Risk Factors for Disability Pension among Young Adults Diagnosed with Attention-deficit Hyperactivity Disorder (ADHD) in Adulthood.

Chen L; Mittendorfer-Rutz E; Björkenstam E; Rahman S; Gustafsson K; Taipale H; Tanskanen A; Ekselius L; Helgesson M
Article: SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY. 2022;57(2):305-317

Trajectories of antidepressant use and characteristics associated with trajectory groups among young refugees and their Swedish-born peers with diagnosed common mental disorders-findings from the REMAIN study.

Rahman S; Filatova S; Chen L; Björkenstam E; Taipale H; Mittendorfer-Rutz E
Article: PLOS ONE. 2022;17(2):e0263450

Labour market marginalisation in young refugees and their majority peers in Denmark and Sweden: The role of common mental disorders and secondary school completion.

de Montgomery CJ; Norredam M; Krasnik A; Petersen JH; Björkenstam E; Berg L; Hjern A; Sijbrandij M; Klimek P; Mittendorfer-Rutz E
Article: PLOS ONE. 2022;17(12):e0279096

Differences in all-cause and cause-specific mortality due to external causes and suicide between young adult refugees, non-refugee immigrants and Swedish-born young adults: The role of education and migration-related factors.

Stratmann M; Björkenstam E; Dorner TE; Chen L; Helgesson M; Cullen AE; Mittendorfer-Rutz E
Article: ARCHIVES OF SEXUAL BEHAVIOR. 2021;50(8):3563-3574

Psychological Distress, Suicidal Ideation, and Suicide Attempt Among Lesbian, Gay, and Bisexual Immigrants: Population-Based Findings from the Stockholm Public Health Cohort.

Clark KA; Björkenstam C; Kosidou K; Björkenstam E
Article: EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES. 2021;30:e67

Trajectories of labour market marginalisation among young adults with newly diagnosed attention-deficit/hyperactivity disorder (ADHD).

Helgesson M; Rahman S; Björkenstam E; Gustafsson K; Amin R; Taipale H; Tanskanen A; Ekselius L; Mittendorfer-Rutz E
Article: EUROPEAN JOURNAL OF PUBLIC HEALTH. 2021;31(4):809-815

Occupational class and employment sector differences in common mental disorders: a longitudinal Swedish cohort study.

Björkenstam E; Helgesson M; Gustafsson K; Virtanen M; Hanson LLM; Mittendorfer-Rutz E
Article: INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH. 2021;20(1):131

Trajectories of antidepressant use before and after a suicide attempt among refugees and Swedish-born individuals: a cohort study.

Amin R; Rahman S; Helgesson M; Björkenstam E; Runeson B; Tinghög P; Mehlum L; Qin P; Mittendorfer-Rutz E
Article: SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY. 2021;56(2):325-338

Healthcare use before and after suicide attempt in refugees and Swedish-born individuals.

Amin R; Rahman S; Tinghög P; Helgesson M; Runeson B; Björkenstam E; Qin P; Mehlum L; Holmes EA; Mittendorfer-Rutz E
Article: SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY. 2021;56(2):237-246

Childhood adversity and common mental disorders in young employees in Sweden: is the association affected by early adulthood occupational class?

Björkenstam E; Helgesson M; Mittendorfer-Rutz E
Article: EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES. 2021;30:e62

Does country of resettlement influence the risk of suicide in refugees? A case-control study in Sweden and Norway

Amin R; Mittendorfer-Rutz E; Mehlum L; Runeson B; Helgesson M; Tinghog P; Bjorkenstam E; Holmes EA; Qin P
Article: EUROPEAN JOURNAL OF PUBLIC HEALTH. 2020;30(6):1169-1175

Country of birth, time period of resettlement and subsequent treated common mental disorders in young refugees in Sweden.

Amin R; Rahman S; Dorner TE; Björkenstam E; Helgesson M; Norredam ML; Sijbrandij M; Sever CA; Mittendorfer-Rutz E
Article: BRITISH JOURNAL OF PSYCHIATRY. 2020;217(6):679-685

Mental disorders, suicide attempt and suicide: differences in the association in refugees compared with Swedish-born individuals.

Björkenstam E; Helgesson M; Amin R; Mittendorfer-Rutz E
Article: SOCIAL FORCES. 2020;99(2):672-699

Precarious Childhoods: Childhood Family Income Volatility and Mental Health in Early Adulthood

Cheng S; Kosidou K; Burstrom B; Bjorkenstam C; Pebley AR; Bjorkenstam E
Article: BJPSYCH OPEN. 2020;6(5):e95

Childbearing and mortality among women with personality disorders: nationwide registered-based cohort study.

Kouppis E; Björkenstam C; Gerdin B; Ekselius L; Björkenstam E
Article: SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY. 2020;55(8):1061-1071

Mental disorders and suicidal behavior in refugees and Swedish-born individuals: is the association affected by work disability?

Björkenstam E; Helgesson M; Amin R; Lange T; Mittendorfer-Rutz E
Article: JOURNAL OF AFFECTIVE DISORDERS. 2020;270:189-197

Common mental disorders among young refugees in Sweden: The role of education and duration of residency

Bjorkenstam E; Helgesson M; Norredam M; Sijbrandij M; de Montgomery CJ; Mittendorfer-Rutz E
Article: SCHIZOPHRENIA RESEARCH. 2020;218:124-130

Attention Deficit/Hyperactivity Disorder and risk for non-affective psychotic disorder: The role of ADHD medication and comorbidity, and sibling comparison.

Björkenstam E; Pierce M; Björkenstam C; Dalman C; Kosidou K
Article: JOURNAL OF AFFECTIVE DISORDERS. 2020;266:563-571

Common mental disorders among young refugees in Sweden: The role of education and duration of residency.

Björkenstam E; Helgesson M; Norredam M; Sijbrandij M; de Montgomery CJ; Mittendorfer-Rutz E
Article: JOURNAL OF AFFECTIVE DISORDERS. 2020;265:263-271

Previous suicide attempt and subsequent risk of re-attempt and suicide: Are there differences in immigrant subgroups compared to Swedish-born individuals?

Niederkrotenthaler T; Mittendorfer-Rutz E; Mehlum L; Qin P; Björkenstam E
Article: EUROPEAN JOURNAL OF PUBLIC HEALTH. 2019;29(5):855-861

Cumulative childhood adversity, adolescent psychiatric disorder and violent offending in young adulthood.

Björkenstam E; Burström B; Hjern A; Vinnerljung B; Kosidou K; Berg L
Article: CHILD DEVELOPMENT. 2019;90(4):1097-1108

Parental Sexual Orientation and Children's Psychological Well-Being: 2013-2015 National Health Interview Survey.

Calzo JP; Mays VM; Björkenstam C; Björkenstam E; Kosidou K; Cochran SD
Article: PSYCHOLOGICAL MEDICINE. 2018;48(3):498-507

Cumulative exposure to childhood adversity, and treated attention deficit/hyperactivity disorder: a cohort study of 543 650 adolescents and young adults in Sweden.

Björkenstam E; Björkenstam C; Jablonska B; Kosidou K
Article: JAMA PSYCHIATRY. 2018;75(2):185-193

Association of Cumulative Childhood Adversity and Adolescent Violent Offending With Suicide in Early Adulthood.

Björkenstam E; Hjern A; Björkenstam C; Kosidou K
Article: JOURNAL OF AFFECTIVE DISORDERS. 2017;223:95-100

Impact of childhood adversities on depression in early adulthood: A longitudinal cohort study of 478,141 individuals in Sweden.

Björkenstam E; Vinnerljung B; Hjern A
Article: EUROPEAN JOURNAL OF EPIDEMIOLOGY. 2017;32(8):721-731

Association between childhood adversity and a diagnosis of personality disorder in young adulthood: a cohort study of 107,287 individuals in Stockholm County.

Björkenstam E; Ekselius L; Burström B; Kosidou K; Björkenstam C
Article: JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH. 2017;71(7):648-654

Association between income trajectories in childhood and psychiatric disorder: a Swedish population-based study.

Björkenstam E; Cheng S; Burström B; Pebley AR; Björkenstam C; Kosidou K
Article: EUROPEAN JOURNAL OF PUBLIC HEALTH. 2017;27(3):472-477

Adverse childhood experiences and disability pension in early midlife: results from a Swedish National Cohort Study.

Björkenstam E; Hjern A; Vinnerljung B
Article: BMJ-BRITISH MEDICAL JOURNAL. 2017;357:j1334

Childhood adversity and risk of suicide: cohort study of 548 721 adolescents and young adults in Sweden.

Björkenstam C; Kosidou K; Björkenstam E
Article: JOURNAL OF AFFECTIVE DISORDERS. 2017;212:56-63

Childhood social adversity and risk of depressive symptoms in adolescence in a US national sample.

Björkenstam E; Pebley AR; Burström B; Kosidou K
Article: JOURNAL OF SEXUAL MEDICINE. 2017;14(3):396-403

Anxiety and Depression Among Sexual Minority Women and Men in Sweden: Is the Risk Equally Spread Within the Sexual Minority Population?

Björkenstam C; Björkenstam E; Andersson G; Cochran S; Kosidou K
Article: JOURNAL OF PSYCHIATRIC RESEARCH. 2016;83:29-36

Suicide risk and suicide method in patients with personality disorders.

Björkenstam C; Ekselius L; Berlin M; Gerdin B; Björkenstam E
Article: JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH. 2016;70(9):895-901

Self-reported suicide ideation and attempts, and medical care for intentional self-harm in lesbians, gays and bisexuals in Sweden.

Björkenstam C; Kosidou K; Björkenstam E; Dalman C; Andersson G; Cochran S
Article: JOURNAL OF PSYCHIATRIC RESEARCH. 2016;77:67-75

Childhood adversity and psychiatric disorder in young adulthood: An analysis of 107,704 Swedes.

Björkenstam E; Burström B; Vinnerljung B; Kosidou K
Article: JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH. 2016;70(5):473-480

Childhood household dysfunction, school performance and psychiatric care utilisation in young adults: a register study of 96 399 individuals in Stockholm County.

Björkenstam E; Dalman C; Vinnerljung B; Weitoft GR; Walder DJ; Burström B
Article: INTERNATIONAL JOURNAL OF EPIDEMIOLOGY. 2016;45(2):501-511

Childhood household dysfunction and risk of self-harm: a cohort study of 107 518 young adults in Stockholm County.

Björkenstam E; Kosidou K; Björkenstam C
Article: SCANDINAVIAN JOURNAL OF PUBLIC HEALTH. 2016;44(1):98-105

Occurrence of sickness absence and disability pension in relation to childbirth: A 16-year follow-up study of 6323 Swedish twins.

Narusyte J; Björkenstam E; Alexanderson K; Ropponen A; Kjeldgård L; Svedberg P
Article: PLOS ONE. 2016;11(3):e0151755

Childhood Household Dysfunction, Social Inequality and Alcohol Related Illness in Young Adulthood. A Swedish National Cohort Study.

Gauffin K; Hjern A; Vinnerljung B; Björkenstam E
Article: SOCIAL SCIENCE & MEDICINE. 2015;142:109-117

Cumulative exposure to childhood stressors and subsequent psychological distress. An analysis of US panel data.

Björkenstam E; Burström B; Brännström L; Vinnerljung B; Björkenstam C; Pebley AR
Article: BRITISH JOURNAL OF PSYCHIATRY. 2015;207(4):339-345

Excess cause-specific mortality in in-patient-treated individuals with personality disorder: 25-year nationwide population-based study.

Björkenstam E; Björkenstam C; Holm H; Gerdin B; Ekselius L
Article: BJPSYCH OPEN. 2015;1(1):54-55

Excess cause-specific mortality in out-patients with personality disorder.

Björkenstam C; Björkenstam E; Gerdin B; Ekselius L
Article: BMJ OPEN. 2015;5(1):e006033

Childbirth, hospitalisation and sickness absence: a study of female twins.

Björkenstam E; Alexanderson K; Narusyte J; Kjeldgård L; Ropponen A; Svedberg P
Article: BMC PUBLIC HEALTH. 2014;14:1247

Diagnosis-specific disability pension and risk of all-cause and cause-specific mortality--a cohort study of 4.9 million inhabitants in Sweden.

Björkenstam C; Alexanderson K; Björkenstam E; Lindholm C; Mittendorfer-Rutz E
Article: SCHIZOPHRENIA RESEARCH. 2014;157(1-3):1-7

Suicide in first episode psychosis: a nationwide cohort study.

Björkenstam C; Björkenstam E; Hjern A; Bodén R; Reutfors J
Article: BMC PUBLIC HEALTH. 2014;14:733

Associations between number of sick-leave days and future all-cause and cause-specific mortality: a population-based cohort study.

Björkenstam E; Weitoft GR; Lindholm C; Björkenstam C; Alexanderson K; Mittendorfer-Rutz E
Article: PLOS ONE. 2014;9(7):e101566

Associations between childbirth, hospitalization and disability pension: a cohort study of female twins.

Björkenstam E; Narusyte J; Alexanderson K; Ropponen A; Kjeldgård L; Svedberg P
Article: INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY. 2013;59(8):801-804

Risk of new psychiatric episodes in the year following divorce in midlife: cause or selection? A nationwide register-based study of 703,960 individuals.

Björkenstam E; Hallqvist J; Dalman C; Ljung R
Article: SCHIZOPHRENIA RESEARCH. 2013;150(1):205-210

A five year diagnostic follow-up of 1,840 patients after a first episode non-schizophrenia and non-affective psychosis.

Björkenstam E; Björkenstam C; Hjern A; Reutfors J; Bodén R
Article: EUROPEAN CHILD & ADOLESCENT PSYCHIATRY. 2013;22(6):349-355

Suicidal behavior among delinquent former child welfare clients.

Björkenstam C; Björkenstam E; Ljung R; Vinnerljung B; Tuvblad C
Article: PLOS ONE. 2013;8(1):e53551

Multi-exposure and clustering of adverse childhood experiences, socioeconomic differences and psychotropic medication in young adults.

Björkenstam E; Hjern A; Mittendorfer-Rutz E; Vinnerljung B; Hallqvist J; Ljung R
Article: BMJ OPEN. 2012;2(1):e000778

Quality of medical care and excess mortality in psychiatric patients--a nationwide register-based study in Sweden.

Björkenstam E; Ljung R; Burström B; Mittendorfer-Rutz E; Hallqvist J; Weitoft GR
Article: INTERNATIONAL JOURNAL OF EPIDEMIOLOGY. 2011;40(6):1585-1592

Juvenile delinquency, social background and suicide--a Swedish national cohort study of 992,881 young adults.

Björkenstam E; Björkenstam C; Vinnerljung B; Hallqvist J; Ljung R
Article: AGING & MENTAL HEALTH. 2011;15(2):259-266

Widowhood and the risk of psychiatric care, psychotropic medication and all-cause mortality: a cohort study of 658,022 elderly people in Sweden.

Möller J; Björkenstam E; Ljung R; Yngwe MA
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All other publications

Letter: LANCET PSYCHIATRY. 2021;8(2):e2

Associations between statin use and suicidality, depression, anxiety, and seizures.

Ljung R; Köster M; Björkenstam E; Salmi P
Corrigendum: JOURNAL OF AFFECTIVE DISORDERS. 2020;270:188

Common mental disorders among young refugees in Sweden: the role of education and duration of residency (vol 266C pg 563, 2020)

Bjorkenstam E; Helgesson M; Norredam M; Sijbrandij M; de Montgomery CJ; Mittendorfer-Rutz E
Corrigendum: JOURNAL OF AFFECTIVE DISORDERS. 2018;236:316

Corrigendum to "Impact of childhood adversities on depression in early adulthood: A longitudinal cohort study of 478,141 individuals in Sweden" [J. Affect. Disord. 223 (2017) 95-100].

Björkenstam E; Vinnerljung B; Hjern A
Thesis / dissertation: 2013

Adverse life events, psychiatric morbidity, and mortality : epidemiological studies of socioeconomic inequalities from a life course perspective

Björkenstam, Emma
Meeting abstract: SUCHTTHERAPIE. 2011;38

Applying the Swedish Performance Assessment Framework in practise: assessment of efficiency and quality of psychiatric care

Lindelius B; Bjorkenstam E; Dahlgren C; Ljung R; Stefansson C
Letter: PSYCHIATRIC SERVICES. 2008;59(1):116-117

Ethnic differences in antidepressant treatment preceding suicide in Sweden.

Ljung R; Björkenstam C; Björkenstam E

Employments

Affiliated to Research, Department of Clinical Neuroscience, Karolinska Institutet, 2022-2025

Degrees and Education

Degree Of Doctor Of Philosophy, Department of Global Public Health, Karolinska Institutet, 2013

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