Suicide After Nonfatal Self-Harm: a population case-control study examining hospital care and patient characteristics.

dc.contributor.authorKarasouli, Eleni
dc.contributor.authorOwens, David
dc.contributor.authorLatchford, Gary
dc.contributor.authorKelley, Rachael
dc.date.accessioned2024-06-14T09:55:59Z
dc.date.available2024-06-14T09:55:59Z
dc.date.issued2015-01-01
dc.description.abstractBackground: 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.
dc.funderOther external funder (please detail below)
dc.funder.otherUniversity of Leeds
dc.identifier.citationKarasouli E, Owens D, Latchford G, Kelley R. (2015). Suicide after non-fatal self-harm: a population case-control study examining hospital care and patient characteristics. Crisis, 36 (1), pp. 65-70
dc.identifier.doihttps://doi.org/10.1027/0227-5910/a000285
dc.identifier.issn0227-5910
dc.identifier.issn2151-2396
dc.identifier.urihttps://hdl.handle.net/2086/23883
dc.peerreviewedYes
dc.publisherCrisis
dc.relation.ispartofCrisis
dc.subjectsuicide
dc.subjectself-harm
dc.subjectrisk factors
dc.subjecthospital care
dc.subjectpatient characteristics
dc.titleSuicide After Nonfatal Self-Harm: a population case-control study examining hospital care and patient characteristics.
dc.typeArticle
oaire.citation.issue1
oaire.citation.volume36

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