Background We describe a national cohort of individuals surviving an episode of deliberate self-harm (DSH).
Subsequent admissions for DSH and mortality over the following 13 years were studied.
Method In 1981,8304 individuals were discharged from Scottish general hospitals with a diagnosis of attempted suicide (E950-959).
They were followed-up to the end of 1994 using the Scottish Linked Data Set.
Mortality was compared to the Scottish population using person-years analysis.
Results 2624 people (31.6%) were readmitted with further episodes of DSH.
The median number of readmissions was I, range I-137.
The observed : expected ratio for all-cause mortality was 2.26 (95% Cl 2.13-2.26).
One hundred and sixty-eight people (2%) died from suicide, and 46 (0.6%) from undetermined causes.
The observed : expected ratio for suicide plus undetermined deaths was 12.17 (95% Cl 10.64-13.91).
Accidental deaths in men and homicide deaths in men and women were elevated.
The pattern ofdeaths from other causes suggested that alcohol misuse was a contributory factor.
Conclusions People admitted to general hospitals in Scotland after attempted suicide are at high risk of readmission for further episodes of DSH.
Long-term follow-up ofsuch large cohorts is impractical, but services should review the scope for intervention in alcohol misuse following DSH.
Mots-clés Pascal : Tentative suicide, Suicide, Facteur risque, Récidive, Etude longitudinale, Etude cohorte, Ecosse, Grande Bretagne, Royaume Uni, Europe, Mortalité, Epidémiologie, Santé mentale, Homme
Mots-clés Pascal anglais : Suicide attempt, Suicide, Risk factor, Relapse, Follow up study, Cohort study, Scotland, Great Britain, United Kingdom, Europe, Mortality, Epidemiology, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0211726
Code Inist : 002B18C11. Création : 11/09/1998.