Prevalence and risk factors for repetition of non-fatal self-harm in Hong Kong, 2002-2016: A population-based cohort study.
Prevalence and risk factors for repetition of non-fatal self-harm in Hong Kong, 2002-2016: A population-based cohort study.
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2002 - 2016年，香港重复非致命自我伤害的患病率和危险因素：一项基于人群的队列研究。
DOI：
10.1016/j.lanwpc.2020.100027
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发表时间：
2020-09
期刊：
影响因子：
--
通讯作者：
Yip PSF
中科院分区：
文献类型：
--
作者：
Chai Y;Luo H;Yip PSF
自残史与未来的自残企图密切相关。目前缺乏大规模的亚洲队列研究来检验反复自残的危险因素。本文报告了有自残史的香港患者的年度患病率、累积风险、非致命性重复自残的年度风险以及风险因素。香港临床数据分析和报告系统（CDARS）提供了2002年1月1日至2016年12月31日期间所有急症室和住院患者的自残记录。提取了人口统计和临床特征。估计了非致命性自残重复的年度患病率、随时间推移的累积风险和年度风险，并使用用于重复事件分析的 Cox 模型的 Wei-Lin-Weissfeld (WLW) 推广来估计与重复相关的推定风险因素的调整后风险比 (HR; 加 95% CI)。共有 99,116 人发生了 127,801 次自残事件。在研究期间，所有自残中重复自残的年发生率在 7•36% 到 28•71% 之间。指标事件发生后一年内重复自残的风险为14•25%（95% CI，14•04%-14•46%）。曾有过四次或以上自残行为的人重复自残的风险最高（调整后的 HR 4•81 [95% CI 4•46–5•18]）。非致命性重复自残的显着风险因素包括男性（1•08 [1•05–1•11]）、年龄较大（65岁以上）（1•07 [1•01–1•13]）、社会福利支付（1•30 [1•27–1•34]）、精神病入院（1•60 [1•50–1•72]）、仅自残(1•19 [1•15–1•23])、自残合并自中毒(1•38 [1•24–1•53])、抑郁症和双相情感障碍(1•09 [1•04–1•14])、人格障碍(1•18 [1•06–1•32])、物质滥用(1•31 [1•27–1•36]) 和哮喘(1•18 [1•02–1•36])。香港发生非致命性自残事件的自残患者应根据其风险状况，获得有效、及时和持续的善后护理计划，以降低自残再次发生的风险。研究资助委员会，一般研究经费：17611619。
A history of self-harm is strongly associated with future self-harm attempts. Large-scale Asian cohort studies examining risk factors for repeated self-harm are lacking. This paper reports on annual prevalence, cumulative risk, annual risk of non-fatal self-harm repetition, and risk factors among Hong Kong patients with a history of self-harm. The Hong Kong Clinical Data Analysis and Reporting System (CDARS) provided all accident & emergency department and inpatient self-harm records between Jan 1, 2002 and Dec 31, 2016. Demographic and clinical characteristics were extracted. Annual prevalence, over-time cumulative and annual risks of non-fatal self-harm repetition were estimated, and the adjusted hazard ratios (HR; plus 95% CIs) of putative risk factors associated with repetition were estimated using Wei-Lin-Weissfeld (WLW) generalization of the Cox model for recurrent event analysis. There were 127,801 self-harm episodes by 99,116 individuals. Annual prevalence of repeated self-harm, of all self-harms, ranged from 7•36% to 28•71% during the study period. Risk of self-harm repetition within one year of the index event was 14•25% (95% CI, 14•04%-14•46%). People with four or more previous self-harm episodes carried the highest risk of self-harm repetition (adjusted HR 4•81 [95% CI 4•46–5•18]). Significant risk factors for non-fatal self-harm repetition included male gender (1•08 [1•05–1•11]), older age (65+ years) (1•07 [1•01–1•13]), social welfare for payment (1•30 [1•27–1•34]), psychiatric admission (1•60 [1•50–1•72]), self-injury only (1•19 [1•15–1•23]), self-injury combined with self-poisoning (1•38 [1•24–1•53]), depression and bipolar disorders (1•09 [1•04–1•14]), personality disorders (1•18 [1•06–1•32]), substance misuse (1•31 [1•27–1•36]), and asthma (1•18 [1•02–1•36]). Hong Kong self-harm patients with non-fatal self-harm events should be supported by effective, timely and ongoing aftercare plans based on their risk profiles, to reduce risk of self-harm reoccurrence. Research Grants Council, General Research Funding: 17611619.
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DOI：
10.1136/injuryprev-2015-041616
发表时间：
2016-02
期刊：
Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
影响因子：
--
作者：
Haagsma JA;Graetz N;Bolliger I;Naghavi M;Higashi H;Mullany EC;Abera SF;Abraham JP;Adofo K;Alsharif U;Ameh EA;Ammar W;Antonio CA;Barrero LH;Bekele T;Bose D;Brazinova A;Catalá-López F;Dandona L;Dandona R;Dargan PI;De Leo D;Degenhardt L;Derrett S;Dharmaratne SD;Driscoll TR;Duan L;Petrovich Ermakov S;Farzadfar F;Feigin VL;Franklin RC;Gabbe B;Gosselin RA;Hafezi-Nejad N;Hamadeh RR;Hijar M;Hu G;Jayaraman SP;Jiang G;Khader YS;Khan EA;Krishnaswami S;Kulkarni C;Lecky FE;Leung R;Lunevicius R;Lyons RA;Majdan M;Mason-Jones AJ;Matzopoulos R;Meaney PA;Mekonnen W;Miller TR;Mock CN;Norman RE;Orozco R;Polinder S;Pourmalek F;Rahimi-Movaghar V;Refaat A;Rojas-Rueda D;Roy N;Schwebel DC;Shaheen A;Shahraz S;Skirbekk V;Søreide K;Soshnikov S;Stein DJ;Sykes BL;Tabb KM;Temesgen AM;Tenkorang EY;Theadom AM;Tran BX;Vasankari TJ;Vavilala MS;Vlassov VV;Woldeyohannes SM;Yip P;Yonemoto N;Younis MZ;Yu C;Murray CJ;Vos T
通讯作者：
Vos T
影响因子：
3.7
作者：
Perry, Ivan J.;Corcoran, Paul;Arensman, Ella
通讯作者：
Arensman, Ella
影响因子：
64.3
作者：
Chai, Yi;Luo, Hao;Yip, Paul S. F.
通讯作者：
Yip, Paul S. F.
影响因子：
10.5
作者：
Chen, Vincent C. H.;Tan, Happy K. L.;Prince, Martin
通讯作者：
Prince, Martin
影响因子：
10.5
作者：
Lilley, Rachael;Owens, David;Kapur, Navneet
通讯作者：
Kapur, Navneet