University of Oulu

Bergström, T., Seikkula, J., Gaily-Luoma, S. et al. A 5-Year Suicide Rate of Adolescents Who Enrolled to an Open Dialogue-Based Services: A Nationwide Longitudinal Register-Based Comparison. Community Ment Health J 59, 1043–1050 (2023).

A 5‑year Suicide rate of adolescents who enrolled to an Open Dialogue‑based services : a nationwide longitudinal register‑based comparison

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Author: Bergström, Tomi1,2; Seikkula, Jaakko1,3; Gaily‑Luoma, Selma1;
Organizations: 1Department of Psychology, University of Jyväskylä, Jyvaskyla, Finland
2Department of Psychiatry, Wellbeing service county of Lapland, Kemi, Finland
3Faculty of Health and Sport, University of Agder, Kristiansand, Norway
4Center for Life Course Health Research, University of Oulu, Oulu, Finland
5Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
6Faculty of Social Sciences, University of Helsinki, Helsinki, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.5 MB)
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Language: English
Published: Springer Nature, 2023
Publish Date: 2023-09-04


In the Open Dialogue (OD) based psychiatric services adolescent patients receive less medication and are more often treated within an outpatient setting as compared to standard services. An evaluation of the possible risks of implementing OD are required. The aim of this longitudinal register-based study was to evaluate how treatment under OD is associated with the probability of suicide as compared standard psychiatric care. Study included all 13- to 20-year-old adolescents who enrolled to a psychiatric service in Finland in 2003–2013. The OD-group included adolescents whose treatment commenced in the Western Lapland area (n = 2107), this being the only region where OD covered all psychiatric services. The comparison group (CG) included rest of Finland (n = 121,658). Information was gathered from onset of treatment to the end of the 5-year follow-up or death. In a multivariate Cox regression there were no statistically significant differences in 5-year suicide hazard ratios between OD and CG.

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Series: Community mental health journal
ISSN: 0010-3853
ISSN-E: 1573-2789
ISSN-L: 0010-3853
Volume: 59
Issue: 6
Pages: 1043 - 1050
DOI: 10.1007/s10597-023-01106-0
Type of Publication: A1 Journal article – refereed
Field of Science: 3124 Neurology and psychiatry
Funding: Open Access funding provided by University of Jyväskylä (JYU). Work was partially supported by Finnish state research funding granted by the Ministry of Social health and Welfare Finland.
Dataset Reference: The Health and Social Data Permit Authority Findata supervise the secondary use of all Finnish health and social care data including all of the data used in this study. Data can be accessed based on justified purposes. For more information and data permit applications see
Copyright information: © The Author(s) 2023. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit