Literature DB >> 12059849

Life dissatisfaction as a predictor of fatal injury in a 20-year follow-up.

H Koivumaa-Honkanen1, R Honkanen, M Koskenvuo, H Viinamäki, J Kaprio.   

Abstract

OBJECTIVE: To investigate the role of life satisfaction (LS) in fatal injuries with special references to unintentional injuries and whether health status modifies this relationship.
METHOD: A sample of adult Finns unselected for health status (n=29 173) responded in 1975 to a LS scale. Nationwide registry for deaths was used. The dissatisfied were compared with the satisfied by Cox regression.
RESULTS: During 1976-1995, 469 fatal injuries occurred, of which 235 were unintentional. Dissatisfaction predicted fatal unintentional [hazard ratio (HR)=2.83; 95% confidence interval (CI) 1.77-4.51] and intentional injury (HR=3.26; 2.01-5.30). The risk of fatal unintentional injury was 7.8-fold (women) and 4.0-fold (men) increased in the sick and dissatisfied compared with the healthy and satisfied. A repeatedly reported dissatisfaction (1975, 1981) provided a HR of 5.17 (1.48-18.0) for unintentional injury death during 1981-1995. The found effect was partly mediated through health behavior and social situation.
CONCLUSION: Life dissatisfaction predicts both unintentional and intentional injury death.

Entities:  

Mesh:

Year:  2002        PMID: 12059849     DOI: 10.1034/j.1600-0447.2002.01287.x

Source DB:  PubMed          Journal:  Acta Psychiatr Scand        ISSN: 0001-690X            Impact factor:   6.392


  22 in total

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