28
Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

Embed Size (px)

Citation preview

Page 1: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

Hepatology 2000; 31: 756-762

Jean-François Boivin

September 29th, 20101

Page 2: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

2

Page 3: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

3

Page 4: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

CASES CONTROLS

4

Page 5: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

CASES CONTROLS

5

Page 6: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

CASES CONTROLS

INHALED YES

ON

758 1,039

63% x 21% x 758 = 1,039 = 478 218

280 821

ODDS RATIO =

478 x 821 = 6.4 218 x 280

6

Page 7: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

7

Page 8: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

8

Page 9: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

Globe and Mail 10 September 2010

9

Page 10: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

New England Journal of Medicine 1999; 340: 603-608

10

Page 11: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

11

Page 12: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

12

Page 13: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

13

Page 14: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

14

Page 15: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

Archives of General Psychiatry 2010; 67: 889-894

15

Page 16: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

16

Page 17: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

17

Page 18: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

18

Page 19: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

19

Page 20: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

20

Page 21: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

21

Page 22: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

Robert H. Friss. Epidemiology for Public Heath Practice (2009); 368-36922

Page 23: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

Personality Disorders and Suicide

Personality disorders are estimated to have been present in 30% of completed suicides and 40% of attempted suicides. Suicide occurs disproportionately in cluster B personality disorders. The rates of completed suicide in patients with borderline and antisocial personality disorders are 8% to 10% and 5%, respectively. Patients with borderline personality disorder have very high rates of suicide attempts (60%-75%).

Self-injurious and self-mutilating behaviors are common in borderline personality disorder (e.g., cutting oneself) but much of the time do not represent suicide attempts. Cluster C personality disorders account for about 10% of completed suicides, and cluster A personality disorders account for less than 1% of completed suicides.

23

Page 24: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

Personality Disorders and Suicide

Personality disorders are estimated to have been present in 30% of completed suicides and 40% of attempted suicides. Suicide occurs disproportionately in cluster B personality disorders. The rates of completed suicide in patients with borderline and antisocial personality disorders are 8% to 10% and 5%, respectively. Patients with borderline personality disorder have very high rates of suicide attempts (60%-75%).

Self-injurious and self-mutilating behaviors are common in borderline personality disorder (e.g., cutting oneself) but much of the time do not represent suicide attempts. Cluster C personality disorders account for about 10% of completed suicides, and cluster A personality disorders account for less than 1% of completed suicides.

24

Page 25: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

25

X 1% =

X 1/1000 =

Page 26: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

26

16%

4%

Risk in population = 100,000 = 9% 1,000,000

Relative risk = 16% ÷ 4% = 4

Population risk difference = 9% - 4% = 5%

Risk difference = 16% - 4% = 12%

Etiologic fraction

(16% - 4%) ÷ 16% = 0.75

note:

(relative risk -1) ÷ relative risk =(4 -1) ÷ 4 = 0.75

Population etiologic fraction

(9% - 4%) ÷ 9% = 0.56

note:

(relative risk -1) x % smokers in cases relative risk

= 4 - 1 x 75,000 = 0.56 4 100,000

Page 27: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

27

Page 28: Hepatology 2000; 31: 756-762 Jean-François Boivin September 29th, 2010 1

28