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Repeated self-poisoning: increasing severity of self-harm as a predictor of subsequent suicide
Prediction of suicide risk is difficult in clinical practice. To identify changes in clinical presentation predictive of suicide in patients treated for repeated episodes of self-poisoning. A nested case-control study used the Hunter Area Toxicology Service database to identify exposure variables an...
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| Published in: | British journal of psychiatry 2005-03, Vol.186 (3), p.253-257 |
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| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c521t-6742840e03bdeb6eabf5f9fedcf94c21491d411c1bca6847665af87f97b606d73 |
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| cites | cdi_FETCH-LOGICAL-c521t-6742840e03bdeb6eabf5f9fedcf94c21491d411c1bca6847665af87f97b606d73 |
| container_end_page | 257 |
| container_issue | 3 |
| container_start_page | 253 |
| container_title | British journal of psychiatry |
| container_volume | 186 |
| creator | Carter, Greg Reith, David M. Whyte, Ian M. McPherson, Michelle |
| description | Prediction of suicide risk is difficult in clinical practice.
To identify changes in clinical presentation predictive of suicide in patients treated for repeated episodes of self-poisoning.
A nested case-control study used the Hunter Area Toxicology Service database to identify exposure variables and the National Death Index to identify suicide. Cases were patients who had hospital treatment on more than one occasion between 15 January 1987 and 31 December 2000.
There were 31 cases, for which 93 controls were selected. Study variables associated with an increased risk of subsequent suicide were an increase in the number of drugs ingested (odds ratio 2.59, 95% CI 1.48-4.51), an increase in the dose ingested (OR 1.33, 95% CI 1.01-1.76), an increase in coma score (OR 1.71, 95% CI 1.11-2.66), a decrease in Glasgow Coma Score (OR 1.21, 95% CI 1.03-1.43) and an increase in drug or alcohol misuse (OR 2.33, 95% CI 1.06-5.10).
Patients who have escalating severity of self-poisoning episodes are at high risk of completed suicide. |
| doi_str_mv | 10.1192/bjp.186.3.253 |
| format | article |
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To identify changes in clinical presentation predictive of suicide in patients treated for repeated episodes of self-poisoning.
A nested case-control study used the Hunter Area Toxicology Service database to identify exposure variables and the National Death Index to identify suicide. Cases were patients who had hospital treatment on more than one occasion between 15 January 1987 and 31 December 2000.
There were 31 cases, for which 93 controls were selected. Study variables associated with an increased risk of subsequent suicide were an increase in the number of drugs ingested (odds ratio 2.59, 95% CI 1.48-4.51), an increase in the dose ingested (OR 1.33, 95% CI 1.01-1.76), an increase in coma score (OR 1.71, 95% CI 1.11-2.66), a decrease in Glasgow Coma Score (OR 1.21, 95% CI 1.03-1.43) and an increase in drug or alcohol misuse (OR 2.33, 95% CI 1.06-5.10).
Patients who have escalating severity of self-poisoning episodes are at high risk of completed suicide.</description><identifier>ISSN: 0007-1250</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.186.3.253</identifier><identifier>PMID: 15738507</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Alcohol ; Alcohol abuse ; Child ; Clinical medicine ; Coma ; Confidence intervals ; Epidemiologic Methods ; Female ; Gender ; Glasgow Coma Scale ; High risk ; Hospitalization ; Hospitals ; Humans ; Intensive care ; Intervention ; Male ; Middle Aged ; New Zealand ; Patients ; Personality disorders ; Poisoning ; Poisoning - psychology ; Population ; Psychiatry ; Recurrence ; Risk factors ; Self destructive behavior ; Self injury ; Selfinjury ; Selfpoisoning ; Substance abuse ; Substance-Related Disorders - psychology ; Suicide ; Suicide - prevention & control ; Suicide - psychology ; Suicide, Attempted - psychology ; Suicides & suicide attempts ; Toxicology</subject><ispartof>British journal of psychiatry, 2005-03, Vol.186 (3), p.253-257</ispartof><rights>Copyright © 2005 The Royal College of Psychiatrists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c521t-6742840e03bdeb6eabf5f9fedcf94c21491d411c1bca6847665af87f97b606d73</citedby><cites>FETCH-LOGICAL-c521t-6742840e03bdeb6eabf5f9fedcf94c21491d411c1bca6847665af87f97b606d73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2315628830/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2315628830?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,12846,21394,21395,27924,27925,30999,31000,33611,33612,34530,34531,43733,44115,72960,74221,74639</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15738507$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carter, Greg</creatorcontrib><creatorcontrib>Reith, David M.</creatorcontrib><creatorcontrib>Whyte, Ian M.</creatorcontrib><creatorcontrib>McPherson, Michelle</creatorcontrib><title>Repeated self-poisoning: increasing severity of self-harm as a predictor of subsequent suicide</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><description>Prediction of suicide risk is difficult in clinical practice.
To identify changes in clinical presentation predictive of suicide in patients treated for repeated episodes of self-poisoning.
A nested case-control study used the Hunter Area Toxicology Service database to identify exposure variables and the National Death Index to identify suicide. Cases were patients who had hospital treatment on more than one occasion between 15 January 1987 and 31 December 2000.
There were 31 cases, for which 93 controls were selected. Study variables associated with an increased risk of subsequent suicide were an increase in the number of drugs ingested (odds ratio 2.59, 95% CI 1.48-4.51), an increase in the dose ingested (OR 1.33, 95% CI 1.01-1.76), an increase in coma score (OR 1.71, 95% CI 1.11-2.66), a decrease in Glasgow Coma Score (OR 1.21, 95% CI 1.03-1.43) and an increase in drug or alcohol misuse (OR 2.33, 95% CI 1.06-5.10).
Patients who have escalating severity of self-poisoning episodes are at high risk of completed suicide.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alcohol</subject><subject>Alcohol abuse</subject><subject>Child</subject><subject>Clinical medicine</subject><subject>Coma</subject><subject>Confidence intervals</subject><subject>Epidemiologic Methods</subject><subject>Female</subject><subject>Gender</subject><subject>Glasgow Coma Scale</subject><subject>High risk</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Intervention</subject><subject>Male</subject><subject>Middle Aged</subject><subject>New Zealand</subject><subject>Patients</subject><subject>Personality disorders</subject><subject>Poisoning</subject><subject>Poisoning - psychology</subject><subject>Population</subject><subject>Psychiatry</subject><subject>Recurrence</subject><subject>Risk factors</subject><subject>Self destructive behavior</subject><subject>Self injury</subject><subject>Selfinjury</subject><subject>Selfpoisoning</subject><subject>Substance abuse</subject><subject>Substance-Related Disorders - psychology</subject><subject>Suicide</subject><subject>Suicide - prevention & control</subject><subject>Suicide - psychology</subject><subject>Suicide, Attempted - psychology</subject><subject>Suicides & suicide attempts</subject><subject>Toxicology</subject><issn>0007-1250</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><recordid>eNptkEtrGzEURkVJaZyky27LhEJ24-itme6CaZNCoFCabYQeV7aM51FpJsX_vmpsCA1d6Yp7-O7HQegDwUtCWnptt-OSNHLJllSwN2hBuKI14VKcoAXGWNWECnyKznLeli_jVL1Dp0Qo1gisFujxB4xgJvBVhl2oxyHmoY_9-nMVe5fA5DKX1ROkOO2rIRywjUldZXJlqjGBj24a0vNuthl-zdBPZYwuerhAb4PZZXh_fM_Rw9cvP1d39f3322-rm_vaCUqmWipOG44BM-vBSjA2iNAG8C603FHCW-I5IY5YZ2TDlZTChEaFVlmJpVfsHF0dcsc0lAJ50l3MDnY708MwZy0UoU1RU8BPr8DtMKe-dNOUESFp0zBcqPpAuTTknCDoMcXOpL0mWP_Vrot2XbRrpov2wn88ps62A_9CHz0X4PIAbOJ68zsm0MmNee82_4RcH4-azqbo1_DS7f9n_wDisZk9</recordid><startdate>200503</startdate><enddate>200503</enddate><creator>Carter, Greg</creator><creator>Reith, David M.</creator><creator>Whyte, Ian M.</creator><creator>McPherson, Michelle</creator><general>Cambridge University Press</general><general>RCP</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7TK</scope><scope>7XB</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>200503</creationdate><title>Repeated self-poisoning: increasing severity of self-harm as a predictor of subsequent suicide</title><author>Carter, Greg ; Reith, David M. ; Whyte, Ian M. ; McPherson, Michelle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c521t-6742840e03bdeb6eabf5f9fedcf94c21491d411c1bca6847665af87f97b606d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alcohol</topic><topic>Alcohol abuse</topic><topic>Child</topic><topic>Clinical medicine</topic><topic>Coma</topic><topic>Confidence intervals</topic><topic>Epidemiologic Methods</topic><topic>Female</topic><topic>Gender</topic><topic>Glasgow Coma Scale</topic><topic>High risk</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Intervention</topic><topic>Male</topic><topic>Middle Aged</topic><topic>New Zealand</topic><topic>Patients</topic><topic>Personality disorders</topic><topic>Poisoning</topic><topic>Poisoning - psychology</topic><topic>Population</topic><topic>Psychiatry</topic><topic>Recurrence</topic><topic>Risk factors</topic><topic>Self destructive behavior</topic><topic>Self injury</topic><topic>Selfinjury</topic><topic>Selfpoisoning</topic><topic>Substance abuse</topic><topic>Substance-Related Disorders - psychology</topic><topic>Suicide</topic><topic>Suicide - prevention & control</topic><topic>Suicide - psychology</topic><topic>Suicide, Attempted - psychology</topic><topic>Suicides & suicide attempts</topic><topic>Toxicology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carter, Greg</creatorcontrib><creatorcontrib>Reith, David M.</creatorcontrib><creatorcontrib>Whyte, Ian M.</creatorcontrib><creatorcontrib>McPherson, Michelle</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>Psychology Database</collection><collection>ProQuest Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>British journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carter, Greg</au><au>Reith, David M.</au><au>Whyte, Ian M.</au><au>McPherson, Michelle</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Repeated self-poisoning: increasing severity of self-harm as a predictor of subsequent suicide</atitle><jtitle>British journal of psychiatry</jtitle><addtitle>Br J Psychiatry</addtitle><date>2005-03</date><risdate>2005</risdate><volume>186</volume><issue>3</issue><spage>253</spage><epage>257</epage><pages>253-257</pages><issn>0007-1250</issn><eissn>1472-1465</eissn><abstract>Prediction of suicide risk is difficult in clinical practice.
To identify changes in clinical presentation predictive of suicide in patients treated for repeated episodes of self-poisoning.
A nested case-control study used the Hunter Area Toxicology Service database to identify exposure variables and the National Death Index to identify suicide. Cases were patients who had hospital treatment on more than one occasion between 15 January 1987 and 31 December 2000.
There were 31 cases, for which 93 controls were selected. Study variables associated with an increased risk of subsequent suicide were an increase in the number of drugs ingested (odds ratio 2.59, 95% CI 1.48-4.51), an increase in the dose ingested (OR 1.33, 95% CI 1.01-1.76), an increase in coma score (OR 1.71, 95% CI 1.11-2.66), a decrease in Glasgow Coma Score (OR 1.21, 95% CI 1.03-1.43) and an increase in drug or alcohol misuse (OR 2.33, 95% CI 1.06-5.10).
Patients who have escalating severity of self-poisoning episodes are at high risk of completed suicide.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>15738507</pmid><doi>10.1192/bjp.186.3.253</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0007-1250 |
| ispartof | British journal of psychiatry, 2005-03, Vol.186 (3), p.253-257 |
| issn | 0007-1250 1472-1465 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_57128147 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Social Science Premium Collection; Sociology Collection; Cambridge University Press |
| subjects | Adolescent Adult Aged Aged, 80 and over Alcohol Alcohol abuse Child Clinical medicine Coma Confidence intervals Epidemiologic Methods Female Gender Glasgow Coma Scale High risk Hospitalization Hospitals Humans Intensive care Intervention Male Middle Aged New Zealand Patients Personality disorders Poisoning Poisoning - psychology Population Psychiatry Recurrence Risk factors Self destructive behavior Self injury Selfinjury Selfpoisoning Substance abuse Substance-Related Disorders - psychology Suicide Suicide - prevention & control Suicide - psychology Suicide, Attempted - psychology Suicides & suicide attempts Toxicology |
| title | Repeated self-poisoning: increasing severity of self-harm as a predictor of subsequent suicide |
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