Author:
Kuo Chian-Jue,Gunnell David,Chen Chiao-Chicy,Yip Paul S. F.,Chen Ying-Yeh
Abstract
BackgroundMost previous studies of long-term mortality risk following self-harm
have been conducted in Western countries with few studies from Asia.AimsTo investigate suicide and non-suicide mortality after non-fatal
self-harm in Taipei City, Taiwan.MethodProspective cohort study (median follow-up 3.3 years) of 7601 individuals
presenting to hospital with self-harm (January 2004 to December 2006).
Standardised mortality ratios (SMRs) for suicide and non-suicide
mortality were calculated.ResultsSuicide risk in the year following self-harm was over 100 times higher
than in the general population (SMR = 119.6, 95% CI 99.6–142.5). Males
and middle-aged and older adults had the highest subsequent risk of
suicide. Compared with people who took an overdose, individuals who used
hanging or charcoal burning in their index episode had the highest risk
of suicide. For non-suicide mortality the SMRs were 6.7 (95% CI 5.7–7.8)
in the first year and 4.4 (95% CI 3.9–4.9) during the whole follow-up
period.ConclusionsPatterns of increased all-cause and suicide mortality following an
episode of self-harm are similar in Taipei City to those seen in Western
countries. Designing better aftercare following non-fatal self-harm,
particularly for those with underlying physical disorders or who have
used lethal self-harm methods, should be a priority for suicide
prevention programmes in Asia.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Cited by
51 articles.
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