Suicide following presentation to hospital for non-fatal self-harm in the Multicentre Study of Self-harm: a long-term follow-up study

Geulayov, Galit; Casey, Deborah; Bale, Liz; Brand, Fiona; Clements, Caroline; Farooq, Bushra; Kapur, Navneet; Ness, Jennifer; Waters, Keith; Tsiachristas, Apostolos; Hawton, Keith

doi:10.1016/s2215-0366(19)30402-x

Cited by 135 publications

(120 citation statements)

References 30 publications

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“…One of the most frequently utilized methods of estimating the incidence of non-fatal suicidal behavior is by noting such behavior on presentation to health facilities, most typically Emergency Departments (EDs), even if these account for only a subset of the actual community incidence [ 6 , 7 , 8 ]. Trends of presentations with non-fatal suicidal behavior to one Australian hospital (which represents a part of the health service investigated in the present paper) were recently analyzed by Kõlves et al [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Suicidal Presentations to Emergency Departments in a Large Australian Public Health Service over 10 Years

Stapelberg

Sveticic

Hughes

et al. 2020

IJERPH

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This paper presents trends and characteristics for 32,094 suicidal presentations to two Emergency Departments (EDs) in a large health service in Australia across a 10-year period (2009–2018). Prevalence of annual suicidal presentations and for selected groups of consumers (by sex, age groups, and ethnicity) was determined from a machine learning diagnostic algorithm developed for this purpose and a Bayesian estimation approach. A linear increase in the number of suicidal presentations over 10 years was observed, which was 2.8-times higher than the increase noted in all ED presentations and 6.1-times higher than the increase in the population size. Females had higher presentation rates than males, particularly among younger age groups. The highest rates of presentations were by persons aged 15–24. Overseas-born persons had around half the rates of suicidal presentations than Australian-born persons, and Indigenous persons had 2.9-times higher rates than non-Indigenous persons. Of all presenters, 70.6% presented once, but 5.7% had five or more presentations. Seasonal distribution of presentations showed a peak at the end of spring and a decline in winter months. These findings can inform the allocation of health resources and guide the development of suicide prevention strategies for people presenting to hospitals in suicidal crisis.

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Section: Introductionmentioning

confidence: 99%

Suicidal Presentations to Emergency Departments in a Large Australian Public Health Service over 10 Years

Stapelberg

Sveticic

Hughes

et al. 2020

IJERPH

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“…2 In The Lancet Psychiatry, Galit Geulayov and colleagues 3 compared the risk of suicide following hospital presentation for self-harm according to patient characteristics, method of self-harm, and variations in area-level socioeconomic deprivation, and estimated the incidence of suicide by time after hospital attendance. By following 90 614 self-harm presentations by 49 783 individuals to hospitals in five English cities, 3 the authors identified 703 people who died by suicide within the subsequent 16 years. The incidence of suicide in the first 12 months following the index presentation to hospital for self-harm was 55•5 times (95% CI 49•2-62•8) higher than the incidence in the general population in England (2000-13).…”

Section: Urgent Need For Better Care After Self-harmmentioning

confidence: 99%

Urgent need for better care after self-harm

Erlangsen

Nordentoft

2019

The Lancet Psychiatry

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“…After a suicide attempt there is a peak in risk of suicide which follows immediately after discharge from hospital. This underscores the need for provision of early and effective follow-up care [24].…”

Section: Introductionmentioning

confidence: 96%

Sociodemographic and Clinical Characteristics Associated with Suicidal Behaviour and the Relationship with a Nurse-Led Suicide Prevention Program.

Pons-Baños¹,

Ferrando²,

Riesco-Miranda³

et al. 2020

Preprint

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(1) Aims: To analyse the relationship between demographic and clinical characteristics and particular kinds of suicidal behaviour and its relationship with a nurse-led suicide prevention program. (2) Methods: A 5-year cross-sectional study design. Study performed in the region of Osona (Catalonia) during 2013-2017. Suicidal behaviour was classified as suicidal ideation, interrupted self-directed violence, suicide attempt and completed suicide. (3) Results: The sample included 753 patients ─ of whom 53 died by suicide─ and encompassed 931 suicidal behaviour episodes. Men represented 38.4% of the sample but 81.1% of deaths by suicide. Mental disorders were associated with suicidal behaviour in 75.4% of the sample. 66.4% of the individuals were engaged in the nurse-led Suicidal Behaviour Case Management Program, of which 0.8% (n=4) died by suicide. (4) Conclusion: The main risk factors were female sex for suicidal behaviour, and male sex and older age for suicide. Mental disorders, widowhood and retirement were also associated with suicide. A high proportion of patients was engaged to the nurse-led suicide prevention program with a low proportion of suicides.

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Suicide following presentation to hospital for non-fatal self-harm in the Multicentre Study of Self-harm: a long-term follow-up study

Cited by 135 publications

References 30 publications

Suicidal Presentations to Emergency Departments in a Large Australian Public Health Service over 10 Years

Suicidal Presentations to Emergency Departments in a Large Australian Public Health Service over 10 Years

Urgent need for better care after self-harm

Sociodemographic and Clinical Characteristics Associated with Suicidal Behaviour and the Relationship with a Nurse-Led Suicide Prevention Program.

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