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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Journal ArticleDOI
Online interventions for people hospitalized for deliberate self-harm and problematic alcohol use: Lessons learned from the iiAIM trial.
Jacob J. Crouse,Kirsten C. Morley,Nicholas A. Buckley,Andrew H. Dawson,Andrew H. Dawson,Devanshi Seth,Devanshi Seth,Lauren A. Monds,Ashleigh M. Tickell,Frances Kay-Lambkin,Kate M. Chitty +10 more
TL;DR: In this article, the authors evaluated the feasibility and effectiveness of an Internet-based comorbidity intervention primarily aiming to reduce alcohol consumption, and secondarily to reduce readmission for deliberate selfharm and improve psychological outcomes among people hospitalized for self-harm who also engage in problematic alcohol use.
Evidence-based Ordering of MINI Suicidality Module’s Response Profiles: Application to SMPG Data
TL;DR: In this paper, a priori ordering of possible response profiles (n-tuples) that describe the presence/absence of five risk factors (yes/no) was used for suicidality assessment.
Effectiveness of a nationwide aftercare program for suicide attempters
Taiwan Suicide,Va Visn +1 more
TL;DR: The structured aftercare program of the NSSS appears to decrease suicides and to delay time to death for those who remained susceptible to suicide.
MethodChoiceinNonfatalSelf-HarmasaPredictor ofSubsequentEpisodesofSelf-HarmandSuicide: ImplicationsforClinicalPractice
Matthew Miller,Katherine Hempstead,Tuan Nguyen,Catherine Barber,Sarah Rosenberg-Wohl,Deborah R. Azrael +5 more
TL;DR: The findings suggest that preventing suicide among persons with a history of self-harm must account for the possibility that they will adopt methods with higher case-fatality ratios than they previously tried.
References
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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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