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Prognosis
The risk of suicide after deliberate self harm was significant and persistent over the long term

https://doi.org/10.1136/ebm.9.2.59

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    Hawton K, Zahl D, Weatherall R. Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital. Br J Psychiatry 2003;182:537–42.
    OpenUrlAbstract/FREE Full Text

    
 
 Q In patients who presented to a general hospital after deliberate self harm, what is the short term and long term risk of suicide?

    Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Mental health ★★★★★☆☆

    METHODS

    Embedded ImageDesign:

    Inception cohort with median follow up of 10.8 years (follow up range 1 d to 23 y).

    Embedded ImageSetting:

    Accident and emergency departments in general hospitals in Oxford, UK.

    Embedded ImagePatients:

    11 583 patients (47% aged 10–24 y) who presented to a general hospital after deliberate self harm during the 20 year period between 1978 and 1997. 10 353 (89%) patients used self poisoning as the method of self harm.

    Embedded ImageAssessment of prognostic factors:

    A register was used to collect data on all deliberate self harm presentations to the general hospital in Oxford (including …

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    Footnotes

    • For correspondence: Professor K Hawton, Warneford Hospital, Oxford, UK. keith.hawtonpsych.ox.ac.uk

    • Source of funding: National Health Service Executive for England.