@article{ref1,
title="Risk and predictors of suicide and non-suicide mortality following non-fatal self-harm in Northern Taiwan",
journal="Social psychiatry and psychiatric epidemiology",
year="2013",
author="Chen, Vincent C. H. and Chou, Jen-Yu and Hsieh, Ti-Chen and Chang, Hung-Jung and Lee, Charles T. C. and Dewey, Michael and Stewart, Robert and Tan, Happy K. L.",
volume="48",
number="10",
pages="1621-1627",
abstract="OBJECTIVE: To investigate the risk and predictors of suicide and non-suicide mortality after self-harm in a Taiwanese population. METHOD: Between July 2006 and June 2008, 3,299 individuals who harmed themselves were recruited to a population-based self-harm register in Taoyuan County, Taiwan. They were followed until December 2008, with record linkage for date and cause of death in a national mortality database. RESULTS: In total, 115 individuals died, 52 through suicide. The risks of suicide and non-suicide mortality in the first year were 1.5 and 2.2 %, respectively, representing an approximately 75-fold and 5-fold age- and gender-standardized increase compared with the general population in Taiwan. Male gender, rural residence, more lethal methods of self-harm and self-cited stressors for the index self-harm episode (unemployment, and chronic somatic illness) were independent risk factors for suicide mortality. Male gender, older age, rural residence and more lethal methods of self-harm were also independent risk factors for non-suicide mortality. The association between of unemployment as a cited reason for self-harm and later suicide was strongest in men and in those aged more than 45 years. CONCLUSIONS: Relatively high rates of suicide and non-suicide mortality were found following self-harm. Suicide prevention needs to take into account of risk factors for fatal repetition of self-harm.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-013-0680-4",
url="http://dx.doi.org/10.1007/s00127-013-0680-4"
}