https://scholars.lib.ntu.edu.tw/handle/123456789/590972
標題: | Risk of first general hospital admissions for self-harm among people with personality disorder: A retrospective cohort study | 作者: | Rush, K Fok, M Moran, P Dorrington, S Shetty, H Stewart, R CHIN-KUO CHANG |
關鍵字: | self-harm; hospital admission; psychiatric comorbidity; retrospective cohort study; case register; personality disorder; Hospital Episodes Statistics; secondary mental health care; NATIONAL EPIDEMIOLOGIC SURVEY; SUICIDE ATTEMPTS; MENTAL-HEALTH; PROSPECTIVE PREDICTORS; PREVALENCE; IMPACT; METAANALYSIS; INDIVIDUALS; COMORBIDITY; DEPRESSION | 公開日期: | 2021 | 出版社: | Guilford Publications | 卷: | 35 | 期: | 5 | 起(迄)頁: | 657 | 來源出版物: | Journal of Personality Disorders | 摘要: | For individuals with a personality disorder (PD), it is unknown whether additional psychiatric conditions increase their risk of self-harm. The authors therefore conducted a retrospective cohort study, using data from secondary mental health care, to identify self-harm admissions. Adults with diagnosed PD, followed up over a 6-year period, were involved (N = 7,475). Cox regression was used to model the risk of self-harm admissions, with comorbid depression, substance use disorders (SUD), severe mental illness (SMI), anorexia nervosa (AN), and bulimia nervosa (BN) as primary exposures; sociodemographics were considered as confounders. In multivariable analyses, comorbid SUD (adjusted HR = 1.66; 95% CI [1.45, 1.90]), depressive disorder (1.25; [1.09, 1.44]), AN (1.63; [1.10, 2.39]), and BN (1.65; [1.09, 2.51]) were positively associated with increased risks of hospitalization due to self-harm. However, a negative association was found for comorbid SMI. The findings highlight the importance of assessing and treating comorbid psychiatric disorders in PD. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/590972 | ISSN: | 0885-579X | DOI: | 10.1521/pedi_2020_34_489 | SDG/關鍵字: | adult; automutilation; general hospital; hospitalization; human; personality disorder; retrospective study; Adult; Hospitalization; Hospitals, General; Humans; Personality Disorders; Retrospective Studies; Self-Injurious Behavior |
顯示於: | 流行病學與預防醫學研究所 |
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