Patients with first versus multiple episodes of self-harm: how do their profiles differ?

Annals of General Psychiatry

Stéphane Saillant¹  Philippe Golay²  Alessandra Costanza³  Laurent Michaud⁴  Louise Ostertag⁴  Yves Dorogi⁴  Bénédicte Van der Vaeren⁵ 

[1] Center for Psychiatric Emergencies and Liaison Psychiatry, Department of General and Liaison Psychiatry, Neuchâtel Psychiatry Center, Neuchâtel, Switzerland;Community Psychiatry Service, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland;General Psychiatry Service, Treatment and Early Intervention in Psychosis Program (TIPP–Lausanne), Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland;Institute of Psychology, Faculty of Social and Political Science, University of Lausanne, Lausanne, Switzerland;Department of Psychiatry, Faculty of Medicine, University of Geneva (UNIGE), Geneva, Switzerland;Liaison Psychiatry Service, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland;Pole of Psychiatry and Psychotherapy, Liaison Psychiatry Service, Hospital Centre of Valais Romand, Sion, Switzerland;

关键词: Suicide;    Self-harm;    Multiple episodes;    Risk factors;    Repeaters;   

DOI  :  10.1186/s12991-021-00351-5

来源: Springer

【 摘 要 】

BackgroundSelf-harm (SH) is among the strongest predictors of further episodes of SH, suicide attempt, and death by suicide. People who repeteadly harm themselves are at even higher risk for suicide. Factors influencing the repetition are important to identify when assessing suicidal risk and thereafter to offer specific interventions. Therefore, this study aimed to compare first versus multiple episodes characteristics in a large sample of patients in french-speaking Switzerland.MethodWe used the database from the French-speaking Swiss program for monitoring SH. Data of the psychiatric assessment of all adults admitted for SH were collected in the emergency department of four Swiss city hospitals between December 2016 and October 2019.Results1730 episodes of SH were included. Several variables were significantly associated with multiple episodes, including diagnosis (over representation of personality disorders and under representation of anxiety disorders), professional activity (Invalidity insurance more frequent) and prior psychiatry care.ConclusionsPatients suffering from a personality disorder and those with invalidity insurance are at risk for multiple episodes of SH and should be targeted with specific interventions.

【 授权许可】

CC BY