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Risk factors for diagnosed intentional self-injury: A total population-based study.

Modén, Birgit LU ; Ohlsson, Henrik LU ; Merlo, Juan LU and Rosvall, Maria LU (2014) In European Journal of Public Health 24(2). p.286-291
Abstract
BACKGROUND: Few studies investigate predictors of intentional self-injury over time in non-clinical samples. By using longitudinal data from the whole population of the county of Scania, Sweden, aged 18 years and over (N = 936 449), we aim to identify risk factors for non-fatal diagnosed intentional self-injury. Groups at risk of repeat episodes of self-injury will be identified. METHODS: Information on hospital stays and outpatient specialized care visits registered as intentional self-injury was collected from the Region Skåne Healthcare database in 2007. These injuries were studied in relation to sociodemographic factors, previous disease, substance abuse and psychotropic drug treatment at baseline. RESULTS: There were increased odds of... (More)
BACKGROUND: Few studies investigate predictors of intentional self-injury over time in non-clinical samples. By using longitudinal data from the whole population of the county of Scania, Sweden, aged 18 years and over (N = 936 449), we aim to identify risk factors for non-fatal diagnosed intentional self-injury. Groups at risk of repeat episodes of self-injury will be identified. METHODS: Information on hospital stays and outpatient specialized care visits registered as intentional self-injury was collected from the Region Skåne Healthcare database in 2007. These injuries were studied in relation to sociodemographic factors, previous disease, substance abuse and psychotropic drug treatment at baseline. RESULTS: There were increased odds of diagnosed intentional self-injury during follow-up in association with being single, of young or middle age, having low income and being born in the Nordic countries. Presence of neurological or psychiatric disease, substance abuse and previous assault-related injury were also strongly associated with future intentional self-injury. The use of psychotropic drugs showed a clear dose-response relationship with intentional self-injury during follow-up. Those diagnosed with self-injury in the 3-year period before baseline had more than 10 times increased odds of a new episode of intentional self-injury. The odds of repeated episodes of self-injury among subjects born in Europe, but outside Sweden, were less than half those seen for subjects born in Sweden. CONCLUSIONS: The present study, based on a total general population, expands the knowledge base regarding intentional self-injury in adults, repeat behaviour and its associations with sociodemographic variables, substance use and disease in both men and women. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Journal of Public Health
volume
24
issue
2
pages
286 - 291
publisher
Oxford University Press
external identifiers
  • pmid:23748850
  • wos:000334101000025
  • scopus:84897471339
ISSN
1101-1262
DOI
10.1093/eurpub/ckt066
language
English
LU publication?
yes
id
c0c445c2-8e70-43e0-9a8f-0f30a6719642 (old id 3913572)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/23748850?dopt=Abstract
date added to LUP
2013-07-01 12:05:12
date last changed
2017-06-18 03:05:39
@article{c0c445c2-8e70-43e0-9a8f-0f30a6719642,
  abstract     = {BACKGROUND: Few studies investigate predictors of intentional self-injury over time in non-clinical samples. By using longitudinal data from the whole population of the county of Scania, Sweden, aged 18 years and over (N = 936 449), we aim to identify risk factors for non-fatal diagnosed intentional self-injury. Groups at risk of repeat episodes of self-injury will be identified. METHODS: Information on hospital stays and outpatient specialized care visits registered as intentional self-injury was collected from the Region Skåne Healthcare database in 2007. These injuries were studied in relation to sociodemographic factors, previous disease, substance abuse and psychotropic drug treatment at baseline. RESULTS: There were increased odds of diagnosed intentional self-injury during follow-up in association with being single, of young or middle age, having low income and being born in the Nordic countries. Presence of neurological or psychiatric disease, substance abuse and previous assault-related injury were also strongly associated with future intentional self-injury. The use of psychotropic drugs showed a clear dose-response relationship with intentional self-injury during follow-up. Those diagnosed with self-injury in the 3-year period before baseline had more than 10 times increased odds of a new episode of intentional self-injury. The odds of repeated episodes of self-injury among subjects born in Europe, but outside Sweden, were less than half those seen for subjects born in Sweden. CONCLUSIONS: The present study, based on a total general population, expands the knowledge base regarding intentional self-injury in adults, repeat behaviour and its associations with sociodemographic variables, substance use and disease in both men and women.},
  author       = {Modén, Birgit and Ohlsson, Henrik and Merlo, Juan and Rosvall, Maria},
  issn         = {1101-1262},
  language     = {eng},
  number       = {2},
  pages        = {286--291},
  publisher    = {Oxford University Press},
  series       = {European Journal of Public Health},
  title        = {Risk factors for diagnosed intentional self-injury: A total population-based study.},
  url          = {http://dx.doi.org/10.1093/eurpub/ckt066},
  volume       = {24},
  year         = {2014},
}