Death risk other than from suicide is raised in self harm

doi:10.1136/bmj.326.7387.499

BMJ 2003;326:499 ( 1 March )

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Death risk other than from suicide is raised in self harm

The first 150 words of the full text of this article appear below.

EDITOR $---$ Jenkins et al report on continuing suicide risk after deliberate self harm.¹ They use their findings to argue thatclinicians should pay close attention to continuing risk of suicidein people with a history of deliberate self harm. Their findings,in a cohort from the late 1970s, are similar to findings froma 1981 Scottish discharge cohort.²

Using the Scottish linked dataset we followed up a cohort of 8304 people discharged over a 13 year period from Scottish generalhospitals after deliberate self harm. We found that the greatestnumber of deaths from suicide or undetermined cause were in thefive years after discharge. In the third five year period, however,the ratio of observed self harm to expected self harm was 5.33(95% confidence interval 3.26 to 8.23) for men and 9.46 (5.61to 14.95) for women. Homicides and accidental deaths were alsoraised.

We endorse the advice by Jenkins et al . . . [Full text of this article]

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