Hospital-presenting self-harm and ideation: Comparison of incidence, profile and risk of repetition

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dc.check.date2020-10-25
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisher.en
dc.contributor.authorGriffin, Eve
dc.contributor.authorBonner, Brendan
dc.contributor.authorO'Hagan, Denise
dc.contributor.authorKavalidou, Katerina
dc.contributor.authorCorcoran, Paul
dc.contributor.funderPublic Health Agency, Belfast, Northern Irelanden
dc.date.accessioned2019-12-11T09:35:27Z
dc.date.available2019-12-11T09:35:27Z
dc.date.issued2019-10-25
dc.date.updated2019-12-11T09:21:14Z
dc.description.abstractObjective: The aim of this study was to describe presentations to hospital as a result of self-harm or suicidal ideation and to examine patterns of repetition. Method: Presentations made to hospital emergency departments in Northern Ireland following self-harm and ideation between April 2012 and March 2017 were recorded by the Northern Ireland Registry of Self-harm. Person-based rates per 100,000 were calculated using national population estimates. Risk of repeat attendance to hospital was examined using Kaplan-Meier analyses. Results: A total of 62,213 presentations to emergency departments following self-harm or with ideation were recorded. The rate of self-harm was more than twice the rate of hospital-presenting ideation. Rates of ideation were higher among men, and both self-harm and ideation rates peaked for girls aged 15–19 and men aged 20–24 years. The cumulative probability of repeat attendance to hospital was higher following ideation (52% after 12 months), primarily because 12% of ideation presentations were followed by a subsequent self-harm presentation, whereas 4% of self-harm presentations were followed by ideation. Conclusions: Our findings indicate that hospital presenters with ideation are at high risk of future self-harm. The transition from ideation to suicidal behaviour is important to consider and research could inform effective and early intervention measures.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationGriffin, E., Bonner, B., O'Hagan, D., Kavalidou, K. and Corcoran, P. (2019) 'Hospital-presenting self-harm and ideation: Comparison of incidence, profile and risk of repetition', General Hospital Psychiatry, 61, pp. 76-81. doi: 10.1016/j.genhosppsych.2019.10.009en
dc.identifier.doi10.1016/j.genhosppsych.2019.10.009en
dc.identifier.endpage81en
dc.identifier.issn0163-8343
dc.identifier.issn1873-7714
dc.identifier.journaltitleGeneral Hospital Psychiatryen
dc.identifier.startpage76en
dc.identifier.urihttps://hdl.handle.net/10468/9418
dc.identifier.volume61en
dc.language.isoenen
dc.publisherElsevier Inc.en
dc.relation.urihttp://www.sciencedirect.com/science/article/pii/S0163834319303718
dc.rights© 2019, Elsevier Inc. All rights reserved. This manuscript version is made available under the CC BY-NC-ND 4.0 license.en
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectSelf-harmen
dc.subjectSuicidal ideationen
dc.subjectHospitalen
dc.subjectEmergency departmenten
dc.subjectRepetitionen
dc.titleHospital-presenting self-harm and ideation: Comparison of incidence, profile and risk of repetitionen
dc.typeArticle (peer-reviewed)en
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