TY  - JOUR
PY  - 2019//
TI  - Hospital-presenting self-harm and ideation: comparison of incidence, profile and risk of repetition
JO  - General hospital psychiatry
A1  - Griffin, Eve
A1  - Bonner, Brendan
A1  - O'Hagan, Denise
A1  - Kavalidou, Katerina
A1  - Corcoran, Paul
SP  - 76
EP  - 81
VL  - 61
IS  - 
N2  - OBJECTIVE: The aim of this study was to describe presentations to hospital as a result of self-harm or suicidal ideation and to examine patterns of repetition. <br><br>METHOD: Presentations made to hospital emergency departments in Northern Ireland following self-harm and ideation between April 2012 and March 2017 were recorded by the Northern Ireland Registry of Self-harm. Person-based rates per 100,000 were calculated using national population estimates. Risk of repeat attendance to hospital was examined using Kaplan-Meier analyses. <br><br>RESULTS: A total of 62,213 presentations to emergency departments following self-harm or with ideation were recorded. The rate of self-harm was more than twice the rate of hospital-presenting ideation. Rates of ideation were higher among men, and both self-harm and ideation rates peaked for girls aged 15-19 and men aged 20-24 years. The cumulative probability of repeat attendance to hospital was higher following ideation (52% after 12 months), primarily because 12% of ideation presentations were followed by a subsequent self-harm presentation, whereas 4% of self-harm presentations were followed by ideation. <br><br>CONCLUSIONS: Our findings indicate that hospital presenters with ideation are at high risk of future self-harm. The transition from ideation to suicidal behaviour is important to consider and research could inform effective and early intervention measures.<br><br>Copyright © 2019 Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0163-8343
UR  - http://dx.doi.org/10.1016/j.genhosppsych.2019.10.009
ID  - ref1
ER  -