TY  - JOUR
PY  - 2020//
TI  - Risk of first general hospital admissions for self-harm among people with personality disorder: a retrospective cohort study
JO  - Journal of personality disorders
A1  - Rush, Kelsey
A1  - Fok, Marcella
A1  - Moran, Paul
A1  - Dorrington, Sarah
A1  - Shetty, Hitesh
A1  - Stewart, Robert
A1  - Chang, Chin-Kuo
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0885-579X
UR  - http://dx.doi.org/10.1521/pedi_2020_34_489
ID  - ref1
ER  -