Risk Factors for Suicide and other Deaths Following Hospital Treated Self-Poisoning in Australia

David Martin Reith · Ian M. Whyte · Gregory Leigh Carter · Michelle McPherson · Natalia T. Carter

52 citations0/0 files storedAustralian & New Zealand Journal of Psychiatry

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Suicide and Self-Harm Studies Poisoning and overdose treatments Homicide, Infanticide, and Child Abuse

Abstract

OBJECTIVE: To analyze the risk factors for suicide, premature death and all-cause death in a representative population of hospital-treated deliberate self-poisoning patients. METHOD: A prospective cohort study using data-linkage between the Hunter Area Toxicology Service Database and the National Death Index of the Australian Institute of Health and Welfare, from January 1991 to December 2000. RESULTS: There were 4105 subjects, of whom 228 (5.6%) died, 122 (2.9%) by premature death and 58 (1.4%) by suicide. The probability of suicide after 10 years follow-up was 2%. The adjusted hazard ratios (95% CI) for suicide were: 'disorders usually diagnosed in infancy, childhood and adolescence', 5.28 (95% CI = 2.04-13.65): male gender, 4.25 (95% CI = 2.21-8.14); discharge to involuntary psychiatric hospital admission, 3.20 (95% CI = 1.78-5.76); and increasing age, 1.02 (95% CI = 1.01-1.04). Men and women showed different patterns of multivariate risks, although increased risk with increasing age and discharge to an involuntary psychiatric admission was true for both. The standardized all-cause mortality ratio (95% CI) was: for men, 6.42 (95% CI = 5.44-7.57), and for women 4.39 (95% CI = 3.56-5.41). The standardized suicide mortality ratio (95% CI) was: for men, 20.55 (95% CI = 15.24-27.73), and for women 22.95 (95% CI = 13.82-38.11). CONCLUSIONS: Men and women have different risk factors for subsequent suicide after self-poisoning. Hospital-treated self-poisoning patients have increased risk of subsequent suicide, premature and all-cause death. Psychiatric assessment, leading to discharge decisions, is worthwhile in identifying patients at long-term risk of suicide, premature and all-cause death.

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References

2003Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)2013Social Psychiatry and Psychiatric Epidemiology 2002Fatal and non-fatal repetition of self-harm 2003Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital 2011Suicide and Life-Threatening Behavior 1988Suicide, and Other Causes of Death, Following Attempted Suicide 2001Long‐term risk factors for suicide mortality after attempted suicide ‐ Findings of a 14‐year follow‐up study 1993High mortality by natural and unnatural causes: a 10 year follow up study of patients admitted to a poisoning treatment centre after suicide attempts.

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