Prevention & lipids

Risk of suicide in individuals with atherosclerotic cardiovascular disease: a nationwide population-based study

Eur J Prev CardiolPublished Population-based cohort study

Main finding · SuicideResult — go to the resultHazard ratio 1.43 95% CI 1.24–1.65

Authors' conclusion

Individuals with ASCVD have increased risks of suicide.

Study context

Population
Korean National Health Insurance Service data; patients diagnosed with atherosclerotic cardiovascular disease (ASCVD) 2004–2008, followed until 20211,250 suicides
Participants
37,912 vs 189,560
Exposure
ASCVD vs matched controls without ASCVD
  • ASCVDn = 37,912
  • Matched controlsn = 189,560reference
Outcome
Suicide
Follow-up
Median 11.3 years
Methodological detailsnationwide, age- and sex-matched controls
  • Nationwide
  • Age- and sex-matched controls

Main finding

As reported in the abstract

Hazard ratio

1.43

95% CI 1.24–1.65

By group

ASCVDvs Matched controls
HR 1.43 (95% CI 1.24–1.65)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Suicide, by ASCVD typeMIvs Matched controls1.42 (1.14–1.78)
Suicide, by ASCVD typeStrokevs Matched controls1.47 (1.23–1.76)
Suicide, by ASCVD typeBoth MI and strokevs Matched controls1.85 (1.07–3.21)

Suicide, by age, sex and history of depressive disorder (subgroups)

Association consistent across age, sex, and history of depressive disorder

Original publication

Risk of suicide in individuals with atherosclerotic cardiovascular disease: a nationwide population-based study. Eur J Prev Cardiol. Published 6 January 2026. doi:10.1093/eurjpc/zwag013

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