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DC Field | Value | Language |
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dc.contributor.author | Hawton, Keith | - |
dc.date.accessioned | 2022-07-14T20:31:23Z | - |
dc.date.available | 2022-07-14T20:31:23Z | - |
dc.date.issued | 2022-03 | - |
dc.identifier.citation | Jollant F, Goueslard K, Hawton K, Catherine Quantin. Self-harm, somatic disorders and mortality in the 3 years following a hospitalisation in psychiatry in adolescents and young adultsEvidence-Based Mental Health Published Online First: 28 March 2022 | en |
dc.identifier.uri | https://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/1099 | - |
dc.description | open access | en |
dc.description.abstract | Background There is limited recent information regarding the risk of self-harm, somatic disorders and premature mortality following discharge from psychiatric hospital in young people. Objective To measure these risks in young people discharged from a psychiatric hospital as compared with both non-affected controls and non-hospitalised affected controls. Methods Data were extracted from the French national health records. Cases were compared with two control groups. Cases: all individuals aged 12–24 years, hospitalised in psychiatry in France in 2013–2014. Non-affected controls: matched for age and sex with cases, not hospitalised in psychiatry and no identification of a mental disorder in 2008–2014. Affected controls: unmatched youths identified with a mental disorder between 2008 and 2014, never hospitalised in psychiatry. Follow-up of 3 years. Logistic regression analyses were conducted with these confounding variables: age, sex, past hospitalisation for self-harm, past somatic disorder diagnosis. Findings The studied population comprised 73 300 hospitalised patients (53.6% males), 219 900 non-affected controls and 9 683 affected controls. All rates and adjusted risks were increased in hospitalised patients versus both non-affected and affected controls regarding a subsequent hospitalisation for self-harm (HR=105.5, 95% CIs (89.5 to 124.4) and HR=1.5, 95% CI (1.4 to 1.6)), a somatic disorder diagnosis (HR=4.1, 95% CI (3.9–4.1) and HR=1.4, 95% CI (1.3–1.5)), all-cause mortality (HR=13.3, 95% CI (10.6–16.7) and HR=2.2, 95% CI (1.5–3.0)) and suicide (HR=9.2, 95% CI (4.3–19.8) and HR=1.7, 95% CI (1.0–2.9)). Conclusions The first 3 years following psychiatric hospital admission of young people is a period of high risk for self-harm, somatic disorders and premature mortality. Clinical implications Attention to these negative outcomes urgently needs to be incorporated in aftercare policies. | en |
dc.description.uri | http://dx.doi.org/10.1136/ebmental-2021-300409 | en |
dc.language.iso | en | en |
dc.subject | Self Harm | en |
dc.subject | Adolescents and Young Adults | en |
dc.title | Self-harm, somatic disorders and mortality in the 3 years following a hospitalisation in psychiatry in adolescents and young adults | en |
dc.type | Article | en |
Appears in Collections: | Self Harm and Suicide |
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File | Description | Size | Format | |
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ebmental-2021-300409.full.pdf | Main article | 449.65 kB | Adobe PDF | ![]() View/Open |
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