Patients with first versus multiple episodes of self-harm: how do their profiles differ?

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_4C302364882F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Patients with first versus multiple episodes of self-harm: how do their profiles differ?
Journal
Annals of general psychiatry
Author(s)
Golay P., Ostertag L., Costanza A., Van der Vaeren B., Dorogi Y., Saillant S., Michaud L.
ISSN
1744-859X (Print)
ISSN-L
1744-859X
Publication state
Published
Issued date
13/05/2021
Peer-reviewed
Oui
Volume
20
Number
1
Pages
30
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Self-harm (SH) is among the strongest predictors of further episodes of SH, suicide attempt, and death by suicide. People who repeteadly harm themselves are at even higher risk for suicide. Factors influencing the repetition are important to identify when assessing suicidal risk and thereafter to offer specific interventions. Therefore, this study aimed to compare first versus multiple episodes characteristics in a large sample of patients in french-speaking Switzerland.
We used the database from the French-speaking Swiss program for monitoring SH. Data of the psychiatric assessment of all adults admitted for SH were collected in the emergency department of four Swiss city hospitals between December 2016 and October 2019.
1730 episodes of SH were included. Several variables were significantly associated with multiple episodes, including diagnosis (over representation of personality disorders and under representation of anxiety disorders), professional activity (Invalidity insurance more frequent) and prior psychiatry care.
Patients suffering from a personality disorder and those with invalidity insurance are at risk for multiple episodes of SH and should be targeted with specific interventions.
Keywords
Psychiatry and Mental health, Multiple episodes, Repeaters, Risk factors, Self-harm, Suicide
Pubmed
Web of science
Open Access
Yes
Create date
03/05/2021 19:55
Last modification date
29/05/2021 6:31
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