TY  - JOUR
PY  - 2012//
TI  - Risk factors for repetition and suicide following self-harm in older adults: multicentre cohort study
JO  - British journal of psychiatry
A1  - Murphy, Elizabeth
A1  - Kapur, Navneet
A1  - Webb, Roger
A1  - Purandare, Nitin
A1  - Hawton, Keith E.
A1  - Bergen, Helen A.
A1  - Waters, Keith
A1  - Cooper, Jayne
SP  - 399
EP  - 404
VL  - 200
IS  - 5
N2  - BACKGROUND: Older adults have elevated suicide rates. Self-harm is the most important risk factor for suicide. There are few population-based studies of self-harm in older adults. AIMS: To calculate self-harm rates, risk factors for repetition and rates of suicide following self-harm in adults aged 60 years and over. METHOD: We studied a prospective, population-based self-harm cohort presenting to six general hospitals in three cities in England during 2000 to 2007. RESULTS: In total 1177 older adults presented with self-harm and 12.8% repeated self-harm within 12 months. Independent risk factors for repetition were previous self-harm, previous psychiatric treatment and age 60-74 years. Following self-harm, 1.5% died by suicide within 12 months. The risk of suicide was 67 times that of older adults in the general population. Men aged 75 years and above had the highest suicide rates. CONCLUSIONS: Older adults presenting to hospital with self-harm are a high-risk group for subsequent suicide, particularly older men.<p />  <p>Language: en</p>
LA  - en
SN  - 0007-1250
UR  - http://dx.doi.org/10.1192/bjp.bp.111.094177
ID  - ref1
ER  -