Repetition of deliberate self-harm and subsequent suicide risk: long-term follow-up study of 11 583 patients
Daniel Louis Zahl,Keith Hawton +1 more
TLDR
Repetition of DSH is associated with an increased risk of suicide in males and females and may be a better indicator of risk in females, especially young females.Abstract:
Background Repetition of deliberate self-harm (DSH) is a risk factor
for suicide. Little information is available on the risk for specific groups
of people who deliberately harm themselves repeatedly. Aims To investigate the long-term risk of suicide associated with
repetition of DSH by gender, age and frequency of repetition. Method A mortality follow-up study to the year 2000 was conducted on
11 583 people who presented to the general hospital in Oxford between 1978 and
1997. Repetition of DSH was determined from reported episodes prior to the
index episode and episodes presenting to the same hospital during the
follow-up period. Deaths were identified through national registers. Results Thirty-nine per cent of patients repeated the DSH. They were
at greater relative risk of suicide than the single-episode DSH group (2.24;
95% CI 1.77–2.84). The relative risk of suicide in the repeated DSH
group compared with the single-episode DSH group was greater in females (3.5;
95% CI 1.3–2.4) than males (1.8; 95% CI 2.3–5.3) and was inversely
related to age (up to 54 years). Suicide risk increased further with multiple
repeat episodes of DSH in females. Conclusions Repetition of DSH is associated with an increased risk
of suicide in males and females. Repetition may be a better indicator of risk
in females, especially young females.read more
Citations
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Suicide Attempts and Social Worker Contact: Secondary Analysis of a General Population Study
TL;DR: Social work contact in the previous twelve months was significantly associated with lifetime suicide attempt; various risk and protective factors help to explain the relationship between suicide attempt and social work contact; and non-suicidal self-harm was found to be associated with suicide attempt, both with and without socialWork contact.
Dissertation
Self-cutting and prospective repetition of self-harm: studies of emergency department presentations in Ireland
TL;DR: This book discusses the association between self-Cutting and Repetition, and the lived experience of Emergency Department Self-Harm patients.
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Providing 24-hour child and adolescent mental health services: demand and outcomes
TL;DR: A model of 24-hour service provision is described and information on the demand for and outcome of assessments of a service in Dublin, Ireland, using a 6-year retrospective case study design is provided.
Automutilations chez l’adolescent victime d’inceste : d’une problématique individuelle à une lecture familiale
TL;DR: In this article, the authors discuss l'hypothese de l'automutilation comme moyen de defense du groupe familial face aux abus sexuels face aux non-dit, au conflit de loyaute and aux enjeux transgenerationnels.
Journal ArticleDOI
Demographic and clinical correlates of suicidality in adolescents attending a specialist community mental health service: a naturalistic study.
Sotirios Posporelis,Aspasia Paspali,Yoichiro Takayanagi,Akira Sawa,Partha Banerjea,Marinos Kyriakopoulos +5 more
TL;DR: Age, sex and use of psychotropic medication were identified to play a significant role in determining the risk of engaging in self-harming behavior, and the importance of NSSI as a distinct diagnostic category is highlighted.
References
More filters
Journal ArticleDOI
Fatal and non-fatal repetition of self-harm. Systematic review.
TL;DR: In this paper, a systematic review of published follow-up data from observational and experimental studies was conducted to estimate rates of fatal and non-fatal repetition of self-harm.
Book
The International Handbook of Suicide and Attempted Suicide
Keith Hawton,Kees van Heeringen +1 more
TL;DR: In this paper, Hawton and van Heeringen studied suicide in the Western world and found that suicidal ideation and behaviour is associated with depression and substance abuse, and the most common causes of suicide are depression and self-harm.
Journal ArticleDOI
Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital
TL;DR: Following DSH there is a significant and persistent risk of suicide, which varies markedly between genders and age groups, and reduction in the risk of Suicide must be a key element in national suicide prevention strategies.
Journal ArticleDOI
Suicide, and other causes of death, following attempted suicide.
Keith Hawton,Joan Fagg +1 more
TL;DR: The number of deaths in a large series of suicide attempters followed up after their attempts was 3.3 times greater than expected and factors identified at the time of the attempts which were associated with suicide risk included being male, advancing age, psychiatric disorder, long-term use of hypnotics, poor physical health, and repeat attempts.
Journal ArticleDOI
Survival plots of time-to-event outcomes in clinical trials: good practice and pitfalls.
TL;DR: Specific issues are: should plots go up or down, how far in time to extend the plot, showing the extent of follow-up, displaying statistical uncertainty by including SEs or CIS, and exercising caution when interpreting the shape of plots and the time-pattern of treatment difference.
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