ArticleBMJ (Clinical research ed.)2008
Hospital admissions for self harm after discharge from psychiatric inpatient care: cohort study.
Article in BMJ (Clinical research ed.), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Machine learning algorithms and their predictive accuracy for suicide and self-harm: Systematic review and meta-analysis.PLoS medicine · 2025Pooled it
- Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021Pooled it
- Pre-discharge factors predicting readmissions of psychiatric patients: a systematic review of the literature.BMC psychiatry · 2016Pooled it
- Relative risk and risk factors of all-cause, natural-cause and external-cause mortality after psychiatric hospitalisation: a population-based electronic health-record study in Hong Kong.EClinicalMedicine · 2026Article
- Relationship Between the Duration of Hospitalization and Readmission Status in Patients With Schizophrenia: A Saudi Arabian Cohort Study.Brain and behavior · 2025Article
- Hospital admissions in adolescents with mental disorders in Spain over the last two decades: a mental health crisis?European child & adolescent psychiatry · 2025Article
- Article
- Absolute risks of self-harm and interpersonal violence by diagnostic category following first discharge from inpatient psychiatric care.European psychiatry : the journal of the Association of European Psychiatrists · 2023Article
- Self-harm, somatic disorders and mortality in the 3 years following a hospitalisation in psychiatry in adolescents and young adults.Evidence-based mental health · 2022Article
- Readmission of Patients to Acute Psychiatric Hospitals: Influential Factors and Interventions to Reduce Psychiatric Readmission Rates.Healthcare (Basel, Switzerland) · 2022Review
- Suicide attempt-related emergency department visits among adolescents: a nationwide population-based study in Korea, 2016-2019.BMC psychiatry · 2022Article
- Discharge interventions from inpatient child and adolescent mental health care: a scoping review.European child & adolescent psychiatry · 2022Article
- Predictors of nonfatal suicide attempts within 30 days of discharge from psychiatric hospitalization: Sex-specific models developed using population-based registries.Journal of affective disorders · 2022Article
- Trends in Primary Mental Health Care Service Use and Subsequent Self-Harm in Western Sydney Australia: Policy and Workforce Implications.International journal of environmental research and public health · 2022Article
- Actigraphic recording of motor activity in depressed inpatients: a novel computational approach to prediction of clinical course and hospital discharge.Scientific reports · 2020Article
- Variation in clinical care associated with weekend admission and discharge in psychiatric in-patient units: retrospective case-note review.BJPsych open · 2020Article
- Methylome profiling of young adults with depression supports a link with immune response and psoriasis.Clinical epigenetics · 2020Observational
- Readmissions after Pediatric Hospitalization for Suicide Ideation and Suicide Attempt.Journal of hospital medicine · 2018Article
- Routine hospital data - is it good enough for trials? An example using England's Hospital Episode Statistics in the SHIFT trial of Family Therapy vs. Treatment as Usual in adolescents following self-harm.Clinical trials (London, England) · 2018Article
- Recommended next care following hospital-treated self-harm: Patterns and trends over time.PloS one · 2018Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the risk of non-fatal self harm in the 12 months after discharge from psychiatric inpatient care.
designCohort study based on national hospital episode statistics.
settingEngland. Population Patients aged 16-64 years discharged from psychiatric inpatient care between 1 April 2004 and 31 March 2005 and followed up for one year.
results75 401 people were discharged from psychiatric inpatient care over the study period, 4935 (6.5%) of whom were admitted at least once for self harm in the following 12 months. Risk of self harm was greatest in the four weeks after discharge; one third (32%, n=1578) of admissions for self harm occurred in this period. The strongest risk factor for self harm after discharge was admission for self harm in the previous 12 months (hazard ratio 4.9, 95% confidence interval 4.6 to 5.2). The risk of self harm was also higher in females, younger people, those with diagnoses of depression, personality disorders, and substance misuse, and those with short lengths of stay.
conclusionMore than 6% of patients discharged from psychiatric inpatient care are readmitted for an episode of self harm within 12 months, with one third of these episodes occurring in the month after discharge. Self harm after discharge from hospital shares many of the features of suicide after discharge. Interventions should be developed to reduce risk in this period.
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