@article{ref1,
title="Risk of first general hospital admissions for self-harm among people with personality disorder: a retrospective cohort study",
journal="Journal of personality disorders",
year="2020",
author="Rush, Kelsey and Fok, Marcella and Moran, Paul and Dorrington, Sarah and Shetty, Hitesh and Stewart, Robert and Chang, Chin-Kuo",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="For individuals with a personality disorder (PD), it is unknown whether additional psychiatric conditions increase their risk of self-harm. The authors therefore conducted a retrospective cohort study, using data from secondary mental health care, to identify self-harm admissions. Adults with diagnosed PD, followed up over a 6-year period, were involved (N = 7,475). Cox regression was used to model the risk of self-harm admissions, with comorbid depression, substance use disorders (SUD), severe mental illness (SMI), anorexia nervosa (AN), and bulimia nervosa (BN) as primary exposures; sociodemographics were considered as confounders. In multivariable analyses, comorbid SUD (adjusted HR = 1.66; 95% CI [1.45, 1.90]), depressive disorder (1.25; [1.09, 1.44]), AN (1.63; [1.10, 2.39]), and BN (1.65; [1.09, 2.51]) were positively associated with increased risks of hospitalization due to self-harm. However, a negative association was found for comorbid SMI. The findings highlight the importance of assessing and treating comorbid psychiatric disorders in PD.<p /> <p>Language: en</p>",
language="en",
issn="0885-579X",
doi="10.1521/pedi_2020_34_489",
url="http://dx.doi.org/10.1521/pedi_2020_34_489"
}