Suicide following self-harm: Findings from the Multicentre Study of self-harm in England, 2000-2012
Suicide following self-harm: Findings from the Multicentre Study of self-harm in England, 2000-2012
复制标题
DOI：
10.1016/j.jad.2014.12.062
复制
发表时间：
2015-04-01
影响因子：
6.6
通讯作者：
Kapur, Nav
中科院分区：
文献类型：
--
作者：
Hawton, Keith;Bergen, Helen;Kapur, Nav
背景资料：自我伤害是自杀的一个关键风险因素，重要的是要有当代信息的风险程度。方法：死亡率随访到2012年的40,346自我伤害患者确定在三个中心的自我伤害研究在英格兰2000年和2010年之间。研究期间19%的死亡（N=2704）是自杀，发生在1.6%的患者中（2.6%的男性和0.9%的女性），在此期间，风险是一般人群风险的49倍。总的来说，0.5%的人在第一年死于自杀，其中包括0.82%的男性和0.27%的女性。虽然男性自杀的绝对风险较大，但女性的风险相对于一般人群较高。自杀的风险随着年龄的增长而增加。虽然自我中毒是最常见的自残方法，但上吊是随后自杀的最常见方法，特别是在男性中。自杀的人数可能被大大低估了，因为也有大量的死亡记录为意外事故，其中大多数是中毒，这些往往涉及精神药物。局限性：该研究完全集中在医院自我伤害。结论：研究结果强调了预防措施的重要性，重点是自残人群，尤其是在自我伤害后的最初几个月。使用自杀和公开判决的估计可能会低估自我伤害后自杀的真实风险;在未来的风险估计中可能需要包括意外中毒。(C)2015 Elsevier B. V.保留所有紧身衣。
Background: Sell harm is a key risk factor for suicide and it is important to have contemporary information on the extent of risk.Methods: Mortality follow-up to 2012 of 40,346 self harm patients identified in the three centres of the Multicentre Study of Self harm in England between 2000 and 2010.Results: Nineteen per cent of deaths during the study period (N=2704) were by suicide, which occurred in 1.6% of patients (2.6% of males and 0.9% of females), during which time the risk was 49 times greater than the general population risk. Overall, 0.5% of individuals died by suicide in the first year, including 0.82% of males and 0.27% of females. While the absolute risk of suicide was greater in males, the risk relative to that in the general population was higher in females. Risk of suicide increased with age. While self poisoning had been the most frequent method of self harm, hanging was the most common method of subsequent suicide, particularly in males. The number of suicides was probably a considerable underestimate as there were also a large number of deaths recorded as accidents, the majority of which were poisonings, these often involving psychotropic drugs.Limitations: The study was focussed entirely on hospital-presenting self-harm.Conclusions: The findings underline the importance of prevention initiatives focused On the self-harm population, especially during the initial months following an episode of self-harm. Estimates using suicide and open verdicts may underestimate the true risk of suicide following self-harm; inclusion of accidental poisonings may be warranted in future risk estimates. (C) 2015 Elsevier B.V. All tights reserved.