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Article: Suicide and non-suicide mortality after self-harm in Taipei City, Taiwan

TitleSuicide and non-suicide mortality after self-harm in Taipei City, Taiwan
Authors
Issue Date2012
PublisherRoyal College of Psychiatrists. The Journal's web site is located at http://bjp.rcpsych.org/
Citation
British Journal Of Psychiatry, 2012, v. 200 n. 5, p. 405-411 How to Cite?
AbstractBackground: Most previous studies of long-term mortality risk following self-harm have been conducted in Western countries with few studies from Asia. Aims: To investigate suicide and non-suicide mortality after non-fatal self-harm in Taipei City, Taiwan. Method: Prospective 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. Results: Suicide 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. Conclusions: Patterns 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.
Persistent Identifierhttp://hdl.handle.net/10722/172296
ISSN
2015 Impact Factor: 7.06
2015 SCImago Journal Rankings: 2.674
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorKuo, CJen_US
dc.contributor.authorGunnell, Den_US
dc.contributor.authorChen, CCen_US
dc.contributor.authorYip, PSFen_US
dc.contributor.authorChen, YYen_US
dc.date.accessioned2012-10-30T06:21:13Z-
dc.date.available2012-10-30T06:21:13Z-
dc.date.issued2012en_US
dc.identifier.citationBritish Journal Of Psychiatry, 2012, v. 200 n. 5, p. 405-411en_US
dc.identifier.issn0007-1250en_US
dc.identifier.urihttp://hdl.handle.net/10722/172296-
dc.description.abstractBackground: Most previous studies of long-term mortality risk following self-harm have been conducted in Western countries with few studies from Asia. Aims: To investigate suicide and non-suicide mortality after non-fatal self-harm in Taipei City, Taiwan. Method: Prospective 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. Results: Suicide 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. Conclusions: Patterns 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.en_US
dc.languageengen_US
dc.publisherRoyal College of Psychiatrists. The Journal's web site is located at http://bjp.rcpsych.org/en_US
dc.relation.ispartofBritish Journal of Psychiatryen_US
dc.subject.meshAdulten_US
dc.subject.meshAsphyxia - Mortalityen_US
dc.subject.meshEpidemiologic Methodsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPoisoning - Mortalityen_US
dc.subject.meshSelf-Injurious Behavior - Mortalityen_US
dc.subject.meshSuicide - Statistics & Numerical Dataen_US
dc.subject.meshTaiwan - Epidemiologyen_US
dc.subject.meshYoung Adulten_US
dc.titleSuicide and non-suicide mortality after self-harm in Taipei City, Taiwanen_US
dc.typeArticleen_US
dc.identifier.emailYip, PSF: sfpyip@hku.hken_US
dc.identifier.authorityYip, PSF=rp00596en_US
dc.description.naturelink_to_OA_fulltexten_US
dc.identifier.doi10.1192/bjp.bp.111.099366en_US
dc.identifier.pmid22403088-
dc.identifier.scopuseid_2-s2.0-84860546932en_US
dc.identifier.hkuros221325-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84860546932&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume200en_US
dc.identifier.issue5en_US
dc.identifier.spage405en_US
dc.identifier.epage411en_US
dc.identifier.isiWOS:000304183600011-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridKuo, CJ=7404480871en_US
dc.identifier.scopusauthoridGunnell, D=55172281100en_US
dc.identifier.scopusauthoridChen, CC=35434656500en_US
dc.identifier.scopusauthoridYip, PSF=7102503720en_US
dc.identifier.scopusauthoridChen, YY=36071796500en_US

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