Journal article 237 views 44 downloads
Understanding Suicide Clusters Through Exploring Self-Harm Behaviors
,
Keith Hawton ,
Louise Cleobury,
Sarah Spencer ,
Keith Lloyd ,
David Gunnell ,
Jonathan Scourfield ,
Ann John
Crisis
Swansea University Authors:
Sze Chim Lee, Olivier Rouquette , Louise Cleobury, Keith Lloyd , Ann John
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DOI (Published version): 10.1027/0227-5910/a000930
Abstract
Background: There is little information about characteristics and long-term outcomes of individuals who self-harm during a suicide cluster. Aims: To compare characteristics of individuals who self-harmed during a suicide cluster in South Wales (~10 deaths between Dec 2007 and Mar 2008) with others w...
| Published in: | Crisis |
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| ISSN: | 0227-5910 2151-2396 |
| Published: |
Hogrefe Publishing Group
2023
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa64075 |
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| Abstract: |
Background: There is little information about characteristics and long-term outcomes of individuals who self-harm during a suicide cluster. Aims: To compare characteristics of individuals who self-harmed during a suicide cluster in South Wales (~10 deaths between Dec 2007 and Mar 2008) with others who self-harmed prior to the cluster, and to evaluate 10-year self-harm and mortality outcomes. Method: Using records from the hospital serving the catchment area of the suicide cluster, enhanced by national routinely collected linked data, we created two groups: individuals who self-harmed a) during the suicide cluster, and b) one year before. We compared individuals’ characteristics and performed logistic regression to compute odds ratios of 10-year self-harm and mortality outcomes. Results: Individuals who self-harmed during the cluster were less likely to be hospitalized or have a mental health history than those who self-harmed prior to the cluster. No significant group differences were found for 10-year self-harm outcomes, but all-cause mortality was higher for males. Limitations: Sample size was small, and data were lacking on psychological and social proximity to individuals who died during the suicide cluster. Conclusion: Our findings highlight the importance of long-term healthcare follow-up of those who self-harm during a suicide cluster, particularly males. |
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| Keywords: |
Self-harm, suicide, suicide cluster, data linkage, mortality |
| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
This work was funded by Health and Care Research Wales (Grant Number SCS-12-14) and by the Welsh Government through Health and Care Research Wales (grant awarded to The National Centre for Mental Health, No. CA04). The funders had no role in study design, collection, analysis or interpretation of data, writing of the report, or decision to submit the paper for publication. KH and DG are funded by National Institute for Health Research Senior Investigators (KH Emeritus). DG is supported by the NIHR Biomedical Research Centre at University Hospitals Bristol and Weston NHS Foundation Trust and the University of Bristol. JS is a Health and Care Research Wales Senior Research Leader. The CASCADE partnership receives infrastructure funding from Health and Care Research Wales. |