ArticleJRSM open2014
Alcohol-related mortality following self-harm: a multicentre cohort study.
Article in JRSM open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 13 citations in OpenAlex.
- Mental and Behavioral Disorders, Comorbidity, and Self-Harm: Results From Korea National Hospital Discharge In-Depth Injury Survey.Psychiatry investigation · 2025Article
- Emergency department presentations with suicide and self-harm ideation: a missed opportunity for intervention?Epidemiology and psychiatric sciences · 2023Article
- Premature Death Among Primary Care Patients With a History of Self-Harm.Annals of family medicine · 2017Article
- Clinical management following self-harm in a UK-wide primary care cohort.Journal of affective disorders · 2016Article
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess alcohol-related premature death in people who self-harm compared to the general population, including variation by socioeconomic deprivation.
designA retrospective longitudinal cohort analysis from the Multicentre Study of self-harm in England, 1 January 2000 to 31 December 2010, with cause-specific mortality follow-up through to 31 December 2012.
settingSix emergency departments in Oxford, Manchester and Derby.
participantsAll individuals aged 15 years or more who presented with self-harm (n = 39,014) to general hospital emergency departments, together with follow-up mortality information from the Data Linkage Service of the Health and Social Care Information Centre.
main outcome measuresSTANDARDISED MORTALITY RATIOS (OBSERVED/EXPECTED NUMBER OF DEATHS: SMRs) and mean number of years of life lost (YLL) were estimated for alcohol-related mortality. Patients' characteristics and clinical management following self-harm were also examined.
resultsAfter 7.5 years' (median) follow-up, 2695 individuals (6.9%) had died, significantly more males (9.5%) than females (5.0%), including 307 (11.4%) from alcohol-related causes. Alcohol-related death was more frequent than expected in both males (SMR 8.5, 95% CI 7.3 to 9.8) and females (11.6, 9.8 to 13.7), equating to 33.7 YLL (95% CI 32.4 to 35.0) in males and 38.1 YLL (36.6 to 39.6) in females. It was not associated with area-level socioeconomic deprivation. Alcohol-related death was associated with unemployed/sick/disabled status, alcohol use during self-harm, referral to drug/alcohol services and lack of psychosocial assessment following self-harm.
conclusionsHospital-presenting self-harm patients should receive assessment following self-ham according to national guidance to enable early identification and treatment of alcohol problems.
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