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Alcohol-related mortality following self-harm: a multicentre cohort study

Bergen, Helen; Hawton, Keith; Webb, Roger; Cooper, Jayne; Steeg, Sarah; Haigh, Matthew; Ness, Jennifer; Waters, Keith; Kapur, Navneet

JRSM Open. 2014;5(8).

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Abstract

Objectives To assess alcohol-related premature death in people who self-harm compared to the general population, including variation by socioeconomic deprivation.Design A retrospective longitudinal cohort analysis from the Multicentre Study of self-harm in England, 1 January 2000 to 31 December 2010, with cause-specific mortality follow-up through to 31 December 2012.Setting Six emergency departments in Oxford, Manchester and Derby.Participants All individuals aged 15 years or more who presented with self-harm (n = 39,014) to general hospital emergency departments, together with follow-up mortality information from the Data Linkage Service of the Health and Social Care Information Centre.Main outcome measures Standardised mortality ratios (observed/expected number of deaths: SMRs) and mean number of years of life lost (YLL) were estimated for alcohol-related mortality. Patients’ characteristics and clinical management following self-harm were also examined.Results After 7.5 years’ (median) follow-up, 2695 individuals (6.9%) had died, significantly more males (9.5%) than females (5.0%), including 307 (11.4%) from alcohol-related causes. Alcohol-related death was more frequent than expected in both males (SMR 8.5, 95% CI 7.3 to 9.8) and females (11.6, 9.8 to 13.7), equating to 33.7 YLL (95% CI 32.4 to 35.0) in males and 38.1 YLL (36.6 to 39.6) in females. It was not associated with area-level socioeconomic deprivation. Alcohol-related death was associated with unemployed/sick/disabled status, alcohol use during self-harm, referral to drug/alcohol services and lack of psychosocial assessment following self-harm.Conclusions Hospital-presenting self-harm patients should receive assessment following self-ham according to national guidance to enable early identification and treatment of alcohol problems.

Bibliographic metadata

Type of resource:
Content type:
Publication status:
Accepted
Published date:
Journal title:
Volume:
5
Issue:
8
Digital Object Identifier:
10.1177/2054270414533326
Related website(s):
  • Related website http://shr.sagepub.com/content/5/8/2054270414533326
Attached files embargo period:
Immediate release
Attached files release date:
1st October, 2014
Access state:
Active

Record metadata

Manchester eScholar ID:
uk-ac-man-scw:231210
Created by:
Donaldson, Iain
Created:
13th August, 2014, 15:23:46
Last modified by:
Donaldson, Iain
Last modified:
19th November, 2014, 21:29:07

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