Life dissatisfaction as a predictor of fatal injury in a 20-year follow-up
Article first published online: 22 SEP 2008
Acta Psychiatrica Scandinavica
Volume 105, Issue 6, pages 444–450, June 2002
How to Cite
Koivumaa-Honkanen, H. , Honkanen, R. , Koskenvuo, M. , Viinamäki, H. and Kaprio, J. (2002), Life dissatisfaction as a predictor of fatal injury in a 20-year follow-up. Acta Psychiatrica Scandinavica, 105: 444–450. doi: 10.1034/j.1600-0447.2002.01287.x
- Issue published online: 22 SEP 2008
- Article first published online: 22 SEP 2008
- personal satisfaction;
- cohort studies
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.