ArticleEClinicalMedicine2020
Risk of repetition and subsequent self-harm following presentation to hospital with suicidal ideation: A longitudinal registry study.
Article in EClinicalMedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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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
12 citing papers in PubMed.
- Trial
- A culturally adapted manual-assisted problem-solving intervention (CMAP) for adults with a history of self-harm: a multi-centre randomised controlled trial.BMC medicine · 2023Trial
- A real-time examination and comparison of differentiation among suicidal thinking and affect items in an adolescent sample.Psychological assessment · 2026Article
- Factors affecting implementation of a National Clinical Programme for self-harm in hospital emergency departments: a qualitative study.BMJ quality & safety · 2025Article
- Mental health, risk behaviors, and social life factors in relation to adolescents' suicide ideation, plans and attempt.European child & adolescent psychiatry · 2025Article
- Transition to suicide ideation and attempt among emergency room patients.BJPsych open · 2024Article
- Proximity of alcohol outlets and presentation to hospital by young people after self-harm: A retrospective geospatial study using the integrated data infrastructure.The Australian and New Zealand journal of psychiatry · 2024Article
- Emergency department presentations with suicide and self-harm ideation: a missed opportunity for intervention?Epidemiology and psychiatric sciences · 2023Article
- Physical and mental illness comorbidity among individuals with frequent self-harm episodes: A mixed-methods study.Frontiers in psychiatry · 2023Article
- Predicting risk along the suicidality continuum: A longitudinal, nationally representative study of the Irish population during the COVID-19 pandemic.Suicide & life-threatening behavior · 2022Article
- They Told Me "This Isn't a Hotel": Young People's Experiences and Perceptions of Care When Presenting to the Emergency Department with Suicide-Related Behaviour.International journal of environmental research and public health · 2022Article
- Suicidal thinking as a valuable clinical endpoint.EClinicalMedicine · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew studies have focused on those who present to hospital with suicidal thoughts (suicidal ideation). The aim of this study was to establish the risk of repeat presentation to hospital following suicidal ideation and to identify factors which were associated with further ideation or subsequent self-harm.
methodsData were obtained from the Northern Ireland Registry of Self-harm. Risk of repeat presentation following hospital-presenting ideation was analysed using Kaplan Meier analyses, specifically cox proportional hazard models.
findingsDuring the period April 2014 to March 2019, a total of 14,695 presentations to hospital due to suicidal ideation were made in Northern Ireland. The cumulative incidence of repeat presentation to hospital was 40·5% within five years, with an 18·3% risk of subsequent self-harm. Previous ideation had the strongest association with repeat presentation. There was evidence of recidivism considering further ideation, with an increased risk according to number of previous presentations. In contrast, risk of subsequent self-harm was highest after the first or second presentation. Male gender and alcohol were associated with further ideation, while females and young people were more likely to re-present with self-harm.
interpretationThe findings indicate that individuals who present to hospital with suicidal ideation are at risk of repeat presentation and future self-harm, however clinical guidelines do not specifically address hospital-presenting ideation. The transition from ideation to suicidal behaviour is important to consider and research could inform effective screening and early intervention measures. ROLE OF
fundingThe Northern Ireland Registry of Self-harm is funded by the Public Health Agency, Northern Ireland.
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