Mortality and suicide after non-fatal self-poisoning: 16-year outcome study.

نویسندگان

  • David Owens
  • Christopher Wood
  • Darren C Greenwood
  • Tom Hughes
  • Michael Dennis
چکیده

BACKGROUND Suicide reduction is government strategy in many countries. We need to quantify the connection between non-fatal self-poisoning and eventual suicide. AIMS To determine mortality after an episode of self-poisoning and to identify predictors of death by any cause or by suicide. METHOD A retrospective single-group cohort study was undertaken with 976 consecutive patients attending a large accident and emergency unit in 1985-1986 after non-fatal self-poisoning. Information about deaths was determined from the Office for National Statistics. RESULTS Of the original patients, 94% were traced 16 years later; 17% had died, 3.5% by probable suicide. Subsequent suicide was related to numerous factors evident at the time of the episode of self-poisoning but, when examined for their independent effects, only the severity of the self-poisoning episode and relevant previous history seemed important. CONCLUSIONS Patients attending a general hospital after self-poisoning all require good basic assessment and care responsive to their needs. Attempts to reduce the huge excess of suicide subsequent to self-harm are not likely to achieve much if they are based on the identification of subgroups through'risk assessment'.

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منابع مشابه

Mortality and suicide after non-fatal self-poisoning: 16-year

References http://bjp.rcpsych.org/content/187/5/470#BIBL This article cites 0 articles, 0 of which you can access for free at: permissions Reprints/ [email protected] write to To obtain reprints or permission to reproduce material from this paper, please to this article at You can respond http://bjp.rcpsych.org/letters/submit/bjprcpsych;187/5/470 from Downloaded The Royal College of Psy...

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عنوان ژورنال:
  • The British journal of psychiatry : the journal of mental science

دوره 187  شماره 

صفحات  -

تاریخ انتشار 2005