BACKGROUND: Little is known about outcomes after self-harm in East Asia. AIMS: To investigate mortality after self-harm in a Taiwanese population. METHOD: Between 2000 and 2003, 1083 individuals who self-harmed were identified through a population self-harm register in Nantou County, Taiwan, and followed until 2007 for date and cause of death on a national mortality database. RESULTS: In total, 145 individuals died, 48 through suicide. The risks of all-cause and suicide mortality in the first year were 4.7% and 2.1% respectively, representing 8- and 131-fold age- and gender-standardised increases. Male gender and older age were independent risk factors for both suicide and non-suicide mortality. Use of more lethal methods in the index episode was associated with higher mortality but this was accounted for by gender. CONCLUSIONS: Results in this sample support the recommendation that people with a history of recent self-harm should be a major target for suicide prevention programmes.
BACKGROUND: Little is known about outcomes after self-harm in East Asia. AIMS: To investigate mortality after self-harm in a Taiwanese population. METHOD: Between 2000 and 2003, 1083 individuals who self-harmed were identified through a population self-harm register in Nantou County, Taiwan, and followed until 2007 for date and cause of death on a national mortality database. RESULTS: In total, 145 individuals died, 48 through suicide. The risks of all-cause and suicide mortality in the first year were 4.7% and 2.1% respectively, representing 8- and 131-fold age- and gender-standardised increases. Male gender and older age were independent risk factors for both suicide and non-suicide mortality. Use of more lethal methods in the index episode was associated with higher mortality but this was accounted for by gender. CONCLUSIONS: Results in this sample support the recommendation that people with a history of recent self-harm should be a major target for suicide prevention programmes.
Authors: Vincent C H Chen; Jen-Yu Chou; Ti-Chen Hsieh; Hung-Jung Chang; Charles T C Lee; Michael Dewey; Robert Stewart; Happy K L Tan Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2013-04-06 Impact factor: 4.328
Authors: Matthew J Carr; Darren M Ashcroft; Evangelos Kontopantelis; David While; Yvonne Awenat; Jayne Cooper; Carolyn Chew-Graham; Nav Kapur; Roger T Webb Journal: Ann Fam Med Date: 2017-05 Impact factor: 5.166
Authors: Mark Olfson; Carlos Blanco; Melanie Wall; Shang-Min Liu; Tulshi D Saha; Roger P Pickering; Bridget F Grant Journal: JAMA Psychiatry Date: 2017-11-01 Impact factor: 21.596
Authors: Matthew Miller; Katherine Hempstead; Tuan Nguyen; Catherine Barber; Sarah Rosenberg-Wohl; Deborah Azrael Journal: Am J Public Health Date: 2013-04-18 Impact factor: 9.308