Individual- and area-level predictors of self-harm repetition
Individual- and area-level predictors of self-harm repetition
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DOI：
10.1192/bjp.bp.105.018085
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发表时间：
2006-11-01
影响因子：
10.5
通讯作者：
Kapur, Navneet
中科院分区：
文献类型：
--
作者：
Johnston, Amy;Cooper, Jayne;Kapur, Navneet
背景没有生态学研究探讨了区域特征，个人特征和自我伤害repetition.Aims之间的关系，以调查区域水平的因素和发病率和自我伤害的重复之间的关联，并确定哪些区域水平的因素是独立相关的调整后，为个人factors.Method前瞻性队列研究使用曼彻斯特自我伤害数据库。成人谁是居民在曼彻斯特，并提交给急诊室后，自我伤害1997年至2002年期间（n=4743）。主要结果的措施是重复自我伤害6个月内的索引epission.Results四个个人因素（以前的自我伤害，以前的精神病治疗，就业状况，婚姻状况）和一个区域为基础的因素（比例的个人谁是白色ethricity）是独立与repetition.Conclusions重复自我伤害可能更强烈地与个人因素，而不是地区的特点。我们需要更好地了解潜在的生态与自杀行为的关联的过程，然后再着手进行基于地区的干预。
Background No ecological studies have examined the relationship between area characteristics, individual characteristics and self-harm repetition.Aims To investigate the association between area-level factors and incidence and repetition of self-harm, and to identify which area-level factors are independently associated with repetition after adjustment for individual factors.Method Prospective cohort study using the Manchester Self-Harm database. Adults who were resident in Manchester and presented to an emergency department following self-harm between 1997 and 2002 were included (n=4743). The main outcome measure was repeat self-harm within 6 months of the index episode.Results Four individual factors (previous self-harm, previous psychiatric treatment, employment status, marital status) and one area-based factor (proportion of individuals who were of White ethricity) were independently associated with repetition.Conclusions Repetition of self-harm may be more strongly related to individual factors than to area characteristics. We need to better understand the processes underlying ecological associations with suicidal behaviour before embarking on area-based interventions.