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All-cause mortality after non-fatal self-poisoning : a cohort study
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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. doi:10.1007/s00127-010-0213-3 ISSN 0933-7954.
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Official URL: http://dx.doi.org/10.1007/s00127-010-0213-3
Abstract
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 | ||||
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Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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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 | ||||
ISSN: | 0933-7954 | ||||
Official Date: | June 2011 | ||||
Dates: |
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Volume: | Volume 46 | ||||
Number: | Number 6 | ||||
Page Range: | pp. 455-462 | ||||
DOI: | 10.1007/s00127-010-0213-3 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access | ||||
Date of first compliant deposit: | 17 December 2015 | ||||
Date of first compliant Open Access: | 17 December 2015 | ||||
Funder: | NHS Yorkshire and the Humber |
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