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Thirteen-year follow-up of deliberate self-harm, using linked data

Published online by Cambridge University Press:  02 January 2018

David J. Hall ,
Fiona O'Brien ,
Cameron Stark ,
Antony Pelosi  and
Helen Smith
David J. Hall
Affiliation:
Crichton Royal Hospital, Dumfries
Fiona O'Brien
Affiliation:
Information and Statistics Division, NHS in Scotland
Cameron Stark*
Affiliation:
Highland Health Board, Inverness
Antony Pelosi
Affiliation:
Lanarkshire Healthcare NHS Trust
Helen Smith
Affiliation:
Argyll and Clyde Health Board
*
Cameron Stark, Consultant in Public Health Medicine, Highland Health Board. Beechwood Park, Inverness IV2 3HG
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Abstract

Background

We describe a national cohort of individuals surviving an episode of deliberate self-harm (DSH). Subsequent admissions for DSH and mortality over the following 13 years were studied.

Method

In 1981, 8304 individuals were discharged from Scottish general hospitals with a diagnosis of attempted suicide (E950–959). They were followed-up to the end of 1994 using the Scottish Linked Data Set. Mortality was compared to the Scottish population using person-years analysis.

Results

2624 people (31.6%) were readmitted with further episodes of DSH. The median number of readmissions was I, range 1–137. The observed: expected ratio for all-cause mortality was 2.26 (95% CI 2.13–2.26). One hundred and sixty-eight people (2%) died from suicide, and 46 (0.6%) from undetermined causes. The observed: expected ratio for suicide plus undetermined deaths was 12.17 (95% CI 10.64-13.91). Accidental deaths in men and homicide deaths in men and women were elevated. The pattern of deaths from other causes suggested that alcohol misuse was a contributory factor.

Conclusions

People admitted to general hospitals in Scotland after attempted suicide are at high risk of readmission for further episodes of DSH. Long-term follow-up of such large cohorts is impractical, but services should review the scope for intervention in alcohol misuse following DSH.

Information

Type
Papers
Information
The British Journal of Psychiatry , Volume 172 , Issue 3 , March 1998 , pp. 239 - 242
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

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References

Bluglass, D. & Horton, J. (1974) The repetition of parasuicide: a comparison of three cohorts, Bitish Journal of Psychiatry, 125. 168–174.CrossRefGoogle Scholar
Central Statistical Office (1992) Sociol Trends. London: HMSO.Google Scholar
Coleman, M., Douglas, A., Hermon, C, et al (1986) Cohort study analysis with a FORTRAN computer program. International Journal of Epidemiology, 15, 134–137.CrossRefGoogle ScholarPubMed
Dahlgren, K. G. (1977) Attempted suicides – 35 years afterwards. Suicide and Life Threatening Behaviour, 7. 75–79.Google Scholar
De Moore, G. M. & Robertson, A. R. (1996) Suicide in the 18 years after deliberate self-harm. A prospective study. British Journal of Psychiatry, 169, 489–494.Google Scholar
Gunneil, D. & Frankel, S. (1994) Prevention of suicide: aspirations and evidence. British Medical Journal, 308, 1227–1233.CrossRefGoogle Scholar
Gunneil, D., Brooks, J. & Peters, T. J. (1996) Epidemiology and patterns of hospital use after parasuicide in the south west of England. International Journal of Epidemiology and Community Health, 50, 24–29.Google Scholar
Harley, K. & Jones, C. (1996) Quality of Scottish Morbidity Record (SMR) data. Health Bulletin, 54, 410–417.Google Scholar
Hawton, K. & Catalan, J. (1987) Attempted Suicide: A Practical Guide to its Nature and Management (2nd edn). Oxford: Oxford University Press.Google Scholar
Hawton, K. & Fagg, J. (1988) Suicide, and other causes of death, following attempted suicide. British Journal of Psychiatry, 152, 359–366.Google Scholar
Kessel, N. & McCulloch, W. (1966) Repeated acts of self-poisoning and self-injury. Proceedings of the Royal Society of Medicine, 59, 89–92.CrossRefGoogle ScholarPubMed
Nordentoft, M., Breum, L., Munck, L. K., et al (1993) High mortality by natural and unnatural causes: a ten year follow up study of patients admitted to a poisoning treatment centre after suicide attempts. British Medical Journal, 306, 1637–1641.Google Scholar
Otto, U. (1972) Suicidal acts by children and adolescents. A follow-up study. Acta Psychiatrica Scandinavica Supplementum, 233, 7–123.Google Scholar
Pederson, A. M., Tefft, M. A., Babigian, H. M. (1975) Risk of mortality of suicide attempters compared with psychiatric and general populations. Suicide, 5, 145–157.Google Scholar
Schneider, P. B. (1954) La tentative de suicide. Etude statistique, clinique psychologique et catamenestique. Neuchâtel. Paris: Delachauz et Niestlé SA.Google Scholar
Seller, C., Goldacre, M. & Hawton, K. (1990) Reliability of routine hospital data on poisoning as measures of deliberate self-poisoning in adolescents. Journal of Epidemiology and Community Health, 44, 313–315.CrossRefGoogle Scholar
Suokas, J. & Lonnqvist, J. (1991) Outcome of attempted suicide and psychiatric consultation: risk factors and suicide mortality during a five-year follow-up. Acta Psychiatrica Scandinavica, 84, 545–549.Google Scholar
World Health Organization (1978) Mental Disorders. Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases. Geneva: WHO.Google Scholar

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