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Suicide after non-fatal self-harm : a population case-control study examining hospital care and patient characteristics
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Karasouli, Eleni, Owens, David, Latchford, Gary and Kelley, Rachael (2015) Suicide after non-fatal self-harm : a population case-control study examining hospital care and patient characteristics. Crisis : The Journal of Crisis Intervention and Suicide Prevention, 36 (1). pp. 65-70. doi:10.1027/0227-5910/a000285 ISSN 0227-5910.
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Official URL: http://dx.doi.org/10.1027/0227-5910/a000285
Abstract
Background: Nonfatal self-harm is the strongest predictor of suicide, with some of the risk factors for subsequent suicide after nonfatal self-harm being similar to those for suicide in general. However, we do not have sufficient information regarding the medical care provided to nonfatal self-harm episodes preceding suicide. Aims: Our study sought to explore hospital care and predictive characteristics of the risk of suicide after nonfatal self-harm. Method: Individuals with history of nonfatal self-harm who died by suicide were compared with those who had a nonfatal self-harm episode but did not later die by suicide. Cases were identified by cross-linking data collected through a self-harm monitoring project, 2000–2007, and comprehensive local data on suicides for the same period. Results: Dying by suicide after nonfatal self-harm was more common for male subjects than for female subjects (OR = 3.3, 95% CI = 1.7–6.6). Self-injury as the method of nonfatal self-harm was associated with higher risk of subsequent suicide than was self-poisoning (OR = 2.0, 95% CI = 1.04–3.9). More urgent care at the emergency department (OR = 2.7, 95% CI = 1.1–6.3) and admission to hospital (OR = 2.0, 95% CI = 1.0–4.0) at the index episode were related to a heightened risk of suicide. Conclusion: The findings of our study could help services to form assessment and aftercare policies.
Item Type: | Journal Article | ||||||
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Divisions: | Faculty of Science, Engineering and Medicine > Engineering > WMG (Formerly the Warwick Manufacturing Group) | ||||||
Journal or Publication Title: | Crisis : The Journal of Crisis Intervention and Suicide Prevention | ||||||
Publisher: | Hogrefe Publishing | ||||||
ISSN: | 0227-5910 | ||||||
Official Date: | January 2015 | ||||||
Dates: |
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Volume: | 36 | ||||||
Number: | 1 | ||||||
Page Range: | pp. 65-70 | ||||||
DOI: | 10.1027/0227-5910/a000285 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||
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