Direct costs of hospital care of self‐harm: A national register‐based cohort study

2021 ◽  
Author(s):  
Susanne Mahmood Dyvesether ◽  
Lene Halling Hastrup ◽  
Keith Hawton ◽  
Merete Nordentoft ◽  
Annette Erlangsen
Keyword(s):  
Cohort Study ◽  
Hospital Care ◽  
Direct Costs ◽  
National Register ◽  
Self Harm ◽  
Care Of Self

scholarly journals Hospital care and repetition following self-harm: Multicentre comparison of self-poisoning and self-injury

2008 ◽  
Vol 192 (6) ◽  
pp. 440-445 ◽  
Author(s):  
Rachael Lilley ◽  
David Owens ◽  
Judith Horrocks ◽  
Allan House ◽  
Rachael Noble ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Hospital Care ◽  
Quantitative Research ◽  
Psychosocial Assessment ◽  
Teaching Hospitals ◽  
Hospital Services ◽  
Self Injury ◽  
High Incidence ◽  
Self Harm

BackgroundQuantitative research about self-harm largely deals with self-poisoning, despite the high incidence of self-injury.AimsWe compared patterns of hospital care and repetition associated with self-poisoning and self-injury.MethodDemographic and clinical data were collected in a multicentre, prospective cohort study, involving 10 498 consecutive episodes of self-harm at six English teaching hospitals.ResultsCompared with those who self-poisoned, people who cut themselves were more likely to have self-harmed previously and to have received support from mental health services, but they were far less likely to be admitted to the general hospital or receive a psychosocial assessment. Although only 17% of people repeated self-harm during the 18 months of study, survival analysis that takes account of all episodes revealed a repetition rate of 33% in the year following an episode: 47% after episodes of self-cutting and 31% after self-poisoning (P<0.001). Of those who repeated, a third switched method of self-harm.ConclusionsHospital services offer less to people who have cut themselves, although they are far more likely to repeat, than to those who have self-poisoned. Attendance at hospital should result in psychosocial assessment of needs regardless of method of self-harm.

scholarly journals Associations between self-harm and chronic disease among adolescents: Cohort study using statewide emergency department data

2019 ◽  
Vol 72 ◽  
pp. 132-140 ◽  
Author(s):  
Cristina Lidón-Moyano ◽  
Deborah Wiebe ◽  
Paul Gruenewald ◽  
Magdalena Cerdá ◽  
Paul Brown ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Chronic Disease ◽  
Emergency Department Data ◽  
Self Harm

scholarly journals How does a history of psychiatric hospital care influence access to coronary care: a cohort study

BMJ Open ◽  
2012 ◽  
Vol 2 (2) ◽  
pp. e000831 ◽  
Author(s):  
Kristiina Manderbacka ◽  
Martti Arffman ◽  
Reijo Sund ◽  
Jari Haukka ◽  
Ilmo Keskimäki ◽  
...  
Keyword(s):  
Cohort Study ◽  
Psychiatric Hospital ◽  
Hospital Care ◽  
History Of ◽  
Coronary Care

Risk of future harm in adolescents admitted to hospitals in England for injury related to victimisation, self-harm, or drug or alcohol misuse: a retrospective cohort study

The Lancet ◽  
2014 ◽  
Vol 384 ◽  
pp. S36
Author(s):  
Annie Herbert ◽  
Leah Li ◽  
Arturo Gonzalez-Izquierdo ◽  
Ruth Gilbert
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Alcohol Misuse ◽  
Self Harm ◽  
Future Harm

scholarly journals Antidepressant dose and the risk of deliberate self-harm

2014 ◽  
Vol 23 (4) ◽  
pp. 329-331 ◽  
Author(s):  
C. Barbui ◽  
S.B. Patten
Keyword(s):  
Cohort Study ◽  
Clinical Practice ◽  
Propensity Score ◽  
Adverse Effects ◽  
Suicidal Behaviour ◽  
Research Question ◽  
Observational Cohort Study ◽  
Panic Attacks ◽  
Observational Cohort ◽  
Self Harm

Although the mechanism by which antidepressants (ADs) may increase the risk of suicide-related outcomes is unknown, it has been hypothesised that some adverse effects, including akathisia, insomnia and panic attacks, as well as an early energising effect that might allow patients with depression to act on suicidal impulses, may have a key role. Considering that these adverse effects are dose-related, it might be hypothesised that the risk of suicidal behaviour is similarly related to the AD dose. This research question has recently been addressed by a propensity score-matched observational cohort study that involved 162 625 patients aged 10–64 years with a depression diagnosis who initiated therapy with citalopram, sertraline or fluoxetine. In this commentary, we discuss the main findings of this study in view of its methodological strengths and limitations, and we suggest possible implications for day-to-day clinical practice.

SSRI Use During Pregnancy and Risk for Postpartum Hemorrhage: A National Register-based Cohort Study in Sweden

2021 ◽  
Vol 41 (3) ◽  
pp. 117-118
Author(s):  
A. Skalkidou ◽  
I. Sundstrom-Poromaa ◽  
A. Wikman ◽  
S. Hesselman ◽  
A.K. Wikstrom ◽  
...  
Keyword(s):  
Cohort Study ◽  
Postpartum Hemorrhage ◽  
National Register

Adolescent Police Stops, Self-Harm, and Attempted Suicide: Findings From the UK Millennium Cohort Study, 2012‒2019

2021 ◽  
pp. e1-e9
Author(s):  
Dylan B. Jackson ◽  
Alexander Testa ◽  
Rebecca L. Fix ◽  
Tamar Mendelson
Keyword(s):  
Cohort Study ◽  
United Kingdom ◽  
School Counselors ◽  
Attempted Suicide ◽  
Sociodemographic Factors ◽  
Millennium Cohort Study ◽  
The United Kingdom ◽  
Self Harm ◽  
Uk Millennium Cohort Study ◽  
The Uk

Objectives. To explore associations between police stops, self-harm, and attempted suicide among a large, representative sample of adolescents in the United Kingdom. Methods. Data were drawn from the 3 most recent sweeps of the UK Millennium Cohort Study (MCS), from 2012 to 2019. The MCS is an ongoing nationally representative contemporary birth cohort of children born in the United Kingdom between September 2000 and January 2002 (n = 10 345). Weights were used to account for sample design and multiple imputation for missing data. Results. Youths experiencing police stops by the age of 14 years (14.77%) reported significantly higher rates of self-harm (incidence rate ratio = 1.52; 95% confidence interval [CI] = 1.35, 1.69) at age 17 years and significantly higher odds of attempted suicide (odds ratio = 2.25; 95% CI = 1.84, 2.76) by age 17 years. These patterns were largely consistent across examined features of police stops and generally did not vary by sociodemographic factors. In addition, 17.73% to 40.18% of associations between police stops and outcomes were explained by mental distress. Conclusions. Police-initiated encounters are associated with youth self-harm and attempted suicide. Youths may benefit when school counselors or social workers provide mental health screenings and offer counseling care following these events. (Am J Public Health. Published online ahead of print September 23, 2021: e1–e9. https://doi.org/10.2105/AJPH.2021.306434 )

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