TY - JOUR PY - 2011// TI - Mortality and suicide after self-harm: community cohort study in Taiwan JO - British journal of psychiatry A1 - Chen, Vincent C. H. A1 - Tan, Happy K. L. A1 - Chen, Chung-Ying A1 - Chen, Tony H. H. A1 - Liao, Long-Ren A1 - Lee, Charles T. C. A1 - Dewey, Michael A1 - Stewart, Robert A1 - Prince, Martin A1 - Cheng, Andrew T. A. SP - 31 EP - 36 VL - 198 IS - 1 N2 - BACKGROUND: Little is known about outcomes after self-harm in East Asia. AIMS: To investigate mortality after self-harm in a Taiwanese population. METHOD: Between 2000 and 2003, 1083 individuals who self-harmed were identified through a population self-harm register in Nantou County, Taiwan, and followed until 2007 for date and cause of death on a national mortality database. RESULTS: In total, 145 individuals died, 48 through suicide. The risks of all-cause and suicide mortality in the first year were 4.7% and 2.1% respectively, representing 8- and 131-fold age- and gender-standardised increases. Male gender and older age were independent risk factors for both suicide and non-suicide mortality. Use of more lethal methods in the index episode was associated with higher mortality but this was accounted for by gender. CONCLUSIONS: Results in this sample support the recommendation that people with a history of recent self-harm should be a major target for suicide prevention programmes.

Language: en

LA - en SN - 0007-1250 UR - http://dx.doi.org/10.1192/bjp.bp.110.080952 ID - ref1 ER -