All-cause mortality after non-fatal self-poisoning : a cohort study
Karasouli, Eleni, Owens, David, Abbott, Rachel L., Hurst, Keith and Dennis, Michael S.. (2011) All-cause mortality after non-fatal self-poisoning : a cohort study. Social Psychiatry and Psychiatric Epidemiology, Volume 46 (Number 6). pp. 455-462. ISSN 0933-7954
WRAP_Karasouli_SPPE-D-09-00261.pdf - Accepted Version
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Official URL: http://dx.doi.org/10.1007/s00127-010-0213-3
Background: Suicide has been repeatedly shown to have greatly increased incidence after
non-fatal self-harm but far less is known about early death from other causes. The present study's aim
was to describe mortality and risk factors concerning all causes of death after non-fatal self-poisoning.
Methods: A prospective cohort study of 976 patients who attended the Emergency Department in
Nottingham, UK during a nine-month period in 1985-86. Information on deaths was obtained for 16
years following an episode of self-poisoning, from the records of the Office for National Statistics.
Results: The observed:expected ratio for all-cause mortality was 2.2. Deaths due to diseases of the
digestive and respiratory systems were respectively 4.4 and 2.9 times more frequent than expected.
The risk for accidents was 6-fold and for probable suicides 17-fold compared to the risk in the general
population. The main risk factor for subsequent deaths from natural causes was increasing age.
Conclusions: The findings of this study suggest that patients who survive self-poisoning have an
increased risk of death from natural and unnatural causes. The findings point towards the need for
more effective clinical management and preventive initiatives.
|Item Type:||Journal Article|
|Subjects:||R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
|Divisions:||Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
|Library of Congress Subject Headings (LCSH):||Self-poisoning, Suicide -- Sociological aspects, Suicide -- Risk factors, Mortality, Parasuicide, Suicidal behavior, Death -- Causes , Suicide|
|Journal or Publication Title:||Social Psychiatry and Psychiatric Epidemiology|
|Publisher:||Dr. Dietrich Steinkopff Verlag|
|Official Date:||June 2011|
|Page Range:||pp. 455-462|
|Access rights to Published version:||Restricted or Subscription Access|
|Funder:||NHS Yorkshire and the Humber|
1. Antretter E, Dunkel D, Haring C (2009) Cause-specific excess mortality in
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