TY  - JOUR
PY  - 2013//
TI  - Deliberate self-harm before psychiatric admission and risk of suicide: survival in a Danish national cohort
JO  - Social psychiatry and psychiatric epidemiology
A1  - Madsen, Trine
A1  - Agerbo, Esben
A1  - Mortensen, Preben B.
A1  - Nordentoft, Merete
SP  - 1481
EP  - 1489
VL  - 48
IS  - 9
N2  - PURPOSE: Psychiatric illness and deliberate self-harm (DSH) are major risk factors of suicide. In largely 15 % of psychiatric admissions in Denmark, the patient had an episode of DSH within the last year before admission. This study examined the survival and predictors of suicide in a suicidal high-risk cohort consisting of hospitalized psychiatric patients with recent DSH. METHODS: This national prospective register-based study examined all hospitalized psychiatric patients who self-harmed within a year before admission. All admitted patients, in the time period 1998-2006, were followed and survival analyses techniques were used to identify predictors of suicide. RESULTS: The study population consisted of 17,257 patients; 520 (3 %) died by suicide during follow-up; 50 % of the suicides occurred within a year from the index admission. A rate of 1,645 suicides per 100,000 person-years in the first year after psychiatric admission was found. Adjusted analyses showed that a higher degree of education, having DSH within a month before psychiatric admission and contact with a private psychiatrist increased the risk of suicide. CONCLUSIONS: Psychiatric hospitalized patients with recent DSH revealed high suicide rates, even during hospitalization. When discharging psychiatric patients with recent DSH careful arrangement of follow-up treatment in the outpatient setting is recommendable.<p />  <p>Language: en</p>
LA  - en
SN  - 0933-7954
UR  - http://dx.doi.org/10.1007/s00127-013-0690-2
ID  - ref1
ER  -