Document Detail


Fatal and non-fatal repetition of self-harm. Systematic review.
MedLine Citation:
PMID:  12204922     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Non-fatal self-harm frequently leads to non-fatal repetition and sometimes to suicide. We need to quantify these two outcomes of self-harm to help us to develop and test effective interventions. AIMS: To estimate rates of fatal and non-fatal repetition of self-harm. METHOD: A systematic review of published follow-up data, from observational and experimental studies. Four electronic databases were searched and 90 studies met the inclusion criteria. RESULTS: Eighty per cent of studies found were undertaken in Europe, over one-third in the UK. Median proportions for repetition 1 year later were: 16% non-fatal and 2% fatal; after more than 9 years, around 7% of patients had died by suicide. The UK studies found particularly low rates of subsequent suicide. CONCLUSIONS: After 1 year, non-fatal repetition rates are around 15%. The strong connection between self-harm and later suicide lies somewhere between 0.5% and 2% after 1 year and above 5% after 9 years. Suicide risk among self-harm patients is hundreds of times higher than in the general population.
Authors:
David Owens; Judith Horrocks; Allan House
Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  The British journal of psychiatry : the journal of mental science     Volume:  181     ISSN:  0007-1250     ISO Abbreviation:  Br J Psychiatry     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-09-02     Completed Date:  2002-10-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0342367     Medline TA:  Br J Psychiatry     Country:  England    
Other Details:
Languages:  eng     Pagination:  193-9     Citation Subset:  IM    
Affiliation:
Academic Unit of Psychiatry and Behavioural Sciences, University of Leeds, 15 Hyde Terrace, Leeds LS2 9LT, UK.
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MeSH Terms
Descriptor/Qualifier:
Great Britain
Humans
Recurrence
Risk Factors
Self-Injurious Behavior / complications*
Suicide*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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