Self-harm in a primary care cohort of older people: incidence, clinical management, and risk of suicide and other causes of death

The Lancet Psychiatry

Volumn 5, Issue 11, 2018, Pages 905-912

  Morgan, Catharine ^a   Webb, Roger T ^a   Carr, Matthew J ^a   Kontopantelis, Evangelos ^a   Chew Graham, Carolyn A ^c   Kapur, Nav ^a,b,d   Ashcroft, Darren M ^a  

^a UNIVERSITY OF MANCHESTER   (United Kingdom)

^b UNIVERSITY OF MANCHESTER   (United Kingdom)

^c KEELE UNIVERSITY   (United Kingdom)

^d GREATER MANCHESTER MENTAL HEALTH NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIDEPRESSANT AGENT; ANXIOLYTIC AGENT; HYPNOTIC AGENT; NEUROLEPTIC AGENT; PSYCHOTROPIC AGENT; SEROTONIN UPTAKE INHIBITOR; TRICYCLIC ANTIDEPRESSANT AGENT;

AGED; AGING; ANXIETY DISORDER; ARTICLE; AUTOMUTILATION; BIPOLAR DISORDER; CAUSE OF DEATH; CLINICAL PRACTICE; COHORT ANALYSIS; COMPARATIVE STUDY; CONTROLLED STUDY; DEMENTIA; DEPRESSION; FEMALE; FOLLOW UP; HEALTH STATUS; HUMAN; INCIDENCE; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; MENTAL HEALTH SERVICE; MORTALITY RISK; PATIENT REFERRAL; PERSONALITY DISORDER; PRESCRIPTION; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; PSYCHOPHARMACOTHERAPY; READ CODE; SCHIZOPHRENIA SPECTRUM DISORDER; SEX DIFFERENCE; SUICIDE; VERY ELDERLY; PREVALENCE; PRIMARY HEALTH CARE; PSYCHOLOGY; UNITED KINGDOM;

AGED; AGED, 80 AND OVER; ANTIDEPRESSIVE AGENTS, TRICYCLIC; CAUSE OF DEATH; COHORT STUDIES; FEMALE; HUMANS; INCIDENCE; MALE; MENTAL DISORDERS; PREVALENCE; PRIMARY HEALTH CARE; SELF-INJURIOUS BEHAVIOR; SUICIDE; UNITED KINGDOM;

EID: 85056249120     PISSN: 22150366     EISSN: 22150374     Source Type: Journal    
DOI: 10.1016/S2215-0366(18)30348-1     Document Type: Article

References (35)

1. WHO. Preventing suicide: a global imperative. 2014, World Health Organization, Geneva.
2. Shah, A, Bhat, R, Zarate-Escudero, S, DeLeo, D, Erlangsen, A, Suicide rates in five-year age-bands after the age of 60 years: the international landscape. Aging Ment Health 20 (2016), 131–138.
3. ONS. Statistical bulletin: suicides in the UK, 2015 registrations. 2016, Office of National Statistics, London.
4. Murphy, E, Kapur, N, Webb, R, et al. Risk factors for repetition and suicide following self-harm in older adults: multicentre cohort study. Br J Psychiatry, 200, 2012, 399.
5. Hawton, K, Harriss, L, Deliberate self-harm in people aged 60 years and over: characteristics and outcome of a 20-year cohort. Int J Geriatr Psychiatry 21 (2006), 572–581.
6. Oude Voshaar, RC, Cooper, J, Murphy, E, Steeg, S, Kapur, N, Purandare, NB, First episode of self-harm in older age: a report from the 10-year prospective Manchester Self-Harm project. J Clin Psychiatry 72 (2011), 737–743.
7. Hawton, K, Harriss, L, How often does deliberate self-harm occur relative to each suicide? A study of variations by gender and age. Suicide Life Threat Behav 38 (2008), 650–660.
8. Corcoran, P, Reulbach, U, Perry, IJ, Arensman, E, Suicide and deliberate self harm in older Irish adults. Int Psychogeriatr 22 (2010), 1327–1336.
9. Mitchell, R, Draper, B, Harvey, L, Brodaty, H, Close, J, The association of physical illness and self-harm resulting in hospitalisation among older people in a population-based study. Aging Ment Health 21 (2017), 279–288.
10. Law, CK, Kolves, K, De Leo, D, Influences of population-level factors on suicides in older adults: a national ecological study from Australia. Int J Geriatr Psychiatry 31 (2016), 384–391.
11. Erlangsen, A, Stenager, E, Conwell, Y, Physical diseases as predictors of suicide in older adults: a nationwide, register-based cohort study. Soc Psychiatry Psychiatr Epidemiol 50 (2015), 1427–1439.
12. UN DESA Population Division. World population prospects: the 2017 revision, volume 2: demographic profles. ST/ESA/SER.A/400. 2017, UN Department of Economic and Social Affairs Population Division, New York, NY.
13. ONS. Overview of the UK population: July 2017. 2017, Office of National Statistics, London.
14. Fassberg, MM, Cheung, G, Canetto, SS, et al. A systematic review of physical illness, functional disability, and suicidal behaviour among older adults. Aging Ment Health 20 (2016), 166–194.
15. WHO. Global health and aging. 2011, World Health Organization, Geneva.
16. WHO. Comprehensive mental health action plan 2013–2020. 2017, World Health Organization, Geneva.
17. NICE. Self-harm in over 8s: short-term management and prevention of recurrence. NICE Clinical Guideline CG16. 2004, National Institute for Health and Care Excellence, London.
18. Herrett, E, Gallagher, AM, Bhaskaran, K, et al. Data resource profile: Clinical Practice Research Datalink (CPRD). In J Epidemiol 44 (2015), 827–836.
19. NHS Digital. Read Codes. https://digital.nhs.uk/services/terminology-and-classifications/read-codes, 2018. (Accessed 9 February 2018)
20. Carr, MJ, Ashcroft, DM, Kontopantelis, E, et al. The epidemiology of self-harm in a UK-wide primary care patient cohort, 2012–2013. BMC Psychiatry, 16, 2015, 53.
21. The National Archives. Guidance and methodology. Super Output Area. 2017. http://webarchive.nationalarchives.gov.uk/20160106001702/ http://www.ons.gov.uk/ons/guide-method/geography/beginner-s-guide/census/super-output-areas-soas-/index.html (accessed Feb 9, 2018).
22. Ministry of Housing, Communities and Local Government. English indices of deprivation 2015. https://www.gov.uk/government/statistics/english-indices-of-deprivation-2015, Sept 30, 2015. (Accessed 17 September 2018)
23. Charlson, M, Szatrowski, TP, Peterson, J, Gold, J, Validation of a combined comorbidity index. J Clin Epidemiol 47 (1994), 1245–1251.
24. Schoenfeld, D, Partial residuals for the proportional hazards regression model. Biometrika 69 (1982), 239–241.
25. Andersen, PK, Geskus, RB, de Witte, T, Putter, H, Competing risks in epidemiology: possibilities and pitfalls. In J Epidemiol 41 (2012), 861–870.
26. NICE. NICE Guidelines CG133. https://www.nice.org.uk/guidance/CG133. (Accessed 1 October 2018)
27. NICE. Do Not Do Recommendation. https://www.nice.org.uk/donotdo/when-prescribing-drugs-for-associated-mental-health-conditions-to-people-whoselfharm-take-into-account-the-toxicity-of-the-prescribed-drugs-in-overdosefor-example-when-considering-antidepressants. (Accessed 1 October 2018)
28. Hawton, K, Bergen, H, Simkin, S, et al. Toxicity of antidepressants: rates of suicide relative to prescribing and non-fatal overdose. Br J Psychiatry, 196, 2010, 354.
29. Doak, MW, Nixon, AC, Lupton, DJ, Waring, WS, Self-poisoning in older adults: patterns of drug ingestion and clinical outcomes. Age Ageing 38 (2009), 407–411.
30. Singhal, A, Ross, J, Seminog, O, Hawton, K, Goldacre, MJ, Risk of self-harm and suicide in people with specific psychiatric and physical disorders: comparisons between disorders using English national record linkage. J R Soc Med 107 (2014), 194–204.
31. Okolie, CA, Dennis, M, Simon, TE, John, A, A systematic review of interventions to prevent suicidal behaviors and reduce suicidal ideation in older people. Int Psychogeriatr 29 (2017), 1801–1824.
32. Bruce, ML, Ten Have, TR, Reynolds, CF 3rd, et al. Reducing suicidal ideation and depressive symptoms in depressed older primary care patients: a randomized controlled trial. JAMA 291 (2004), 1081–1091.
33. Heisel, MJ, Talbot, NL, King, DA, Tu, XM, Duberstein, PR, Adapting interpersonal psychotherapy for older adults at risk for suicide. Am J Geriatr Psychiatry 23 (2015), 87–98.
34. Thomas, KH, Davies, N, Metcalfe, C, Windmeijer, F, Martin, RM, Gunnell, D, Validation of suicide and self-harm records in the Clinical Practice Research Datalink. Br J Clin Pharmacol 76 (2012), 145–157.
35. Linsley, KR, Schapira, K, Kelly, TP, Open verdict v. suicide—importance to research. Br J Psychiatry 178 (2001), 465–468.