Alcohol use and misuse, self-harm and subsequent mortality: an epidemiological and longitudinal study from the multicentre study of self-harm in EnglandCitation formats

  • External authors:
  • Jennifer Ness
  • Keith Hawton
  • Helen Bergen
  • Jayne Cooper
  • Martin Clarke
  • Keith Waters

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Alcohol use and misuse, self-harm and subsequent mortality: an epidemiological and longitudinal study from the multicentre study of self-harm in England. / Ness, Jennifer; Hawton, Keith; Bergen, Helen; Cooper, Jayne; Steeg, Sarah; Kapur, Navneet; Clarke, Martin; Waters, Keith.

In: Emergency Medicine Journal, 2015.

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Ness, Jennifer ; Hawton, Keith ; Bergen, Helen ; Cooper, Jayne ; Steeg, Sarah ; Kapur, Navneet ; Clarke, Martin ; Waters, Keith. / Alcohol use and misuse, self-harm and subsequent mortality: an epidemiological and longitudinal study from the multicentre study of self-harm in England. In: Emergency Medicine Journal. 2015.

Bibtex

@article{34b4091621ce46c18089bd2a3970184c,
title = "Alcohol use and misuse, self-harm and subsequent mortality: an epidemiological and longitudinal study from the multicentre study of self-harm in England",
abstract = "Objectives Alcohol use and misuse are strongly associated with self-harm and increased risk of future self-harm and suicide. The UK general population prevalence of alcohol use, misuse and alcohol-attributable harm has been rising. We have investigated the prevalence of and trends in alcohol use and misuse in self-harm patients and their associations with repeat self-harm and subsequent death.Methods We used patient data from the Multicentre Study of Self-Harm in England for 2000–2009 and UK mortality data for patients presenting from 2000 to 2007 who were followed up to the end of 2009.Results Alcohol involvement in acts of self-harm (58.4{\%}) and alcohol misuse (36.1{\%}) were somewhat higher than found previously in self-harm patients. Alcohol involvement and misuse were most frequent in men, those aged 35–54 years and those from white ethnicities. The frequency of alcohol misuse increased between 2000 and 2009, especially in women. Repetition of self-harm was associated with alcohol involvement in self-harm and particularly with alcohol misuse. Risk of suicide was increased significantly in women misusing alcohol.Conclusions Alcohol use and misuse in self-harm patients appears to have increased in recent years, particularly in women. The association of alcohol with greater risk of self-harm repetition and mortality highlights the need for clinicians to investigate alcohol use in self-harm patients. Ready availability of alcohol treatment staff in general hospitals could facilitate appropriate aftercare and the prevention of adverse outcomes.",
author = "Jennifer Ness and Keith Hawton and Helen Bergen and Jayne Cooper and Sarah Steeg and Navneet Kapur and Martin Clarke and Keith Waters",
year = "2015",
doi = "10.1136/emermed-2013-202753",
language = "English",
journal = "Emergency Medicine Journal",
issn = "1472-0205",
publisher = "BMJ",

}

RIS

TY - JOUR

T1 - Alcohol use and misuse, self-harm and subsequent mortality: an epidemiological and longitudinal study from the multicentre study of self-harm in England

AU - Ness, Jennifer

AU - Hawton, Keith

AU - Bergen, Helen

AU - Cooper, Jayne

AU - Steeg, Sarah

AU - Kapur, Navneet

AU - Clarke, Martin

AU - Waters, Keith

PY - 2015

Y1 - 2015

N2 - Objectives Alcohol use and misuse are strongly associated with self-harm and increased risk of future self-harm and suicide. The UK general population prevalence of alcohol use, misuse and alcohol-attributable harm has been rising. We have investigated the prevalence of and trends in alcohol use and misuse in self-harm patients and their associations with repeat self-harm and subsequent death.Methods We used patient data from the Multicentre Study of Self-Harm in England for 2000–2009 and UK mortality data for patients presenting from 2000 to 2007 who were followed up to the end of 2009.Results Alcohol involvement in acts of self-harm (58.4%) and alcohol misuse (36.1%) were somewhat higher than found previously in self-harm patients. Alcohol involvement and misuse were most frequent in men, those aged 35–54 years and those from white ethnicities. The frequency of alcohol misuse increased between 2000 and 2009, especially in women. Repetition of self-harm was associated with alcohol involvement in self-harm and particularly with alcohol misuse. Risk of suicide was increased significantly in women misusing alcohol.Conclusions Alcohol use and misuse in self-harm patients appears to have increased in recent years, particularly in women. The association of alcohol with greater risk of self-harm repetition and mortality highlights the need for clinicians to investigate alcohol use in self-harm patients. Ready availability of alcohol treatment staff in general hospitals could facilitate appropriate aftercare and the prevention of adverse outcomes.

AB - Objectives Alcohol use and misuse are strongly associated with self-harm and increased risk of future self-harm and suicide. The UK general population prevalence of alcohol use, misuse and alcohol-attributable harm has been rising. We have investigated the prevalence of and trends in alcohol use and misuse in self-harm patients and their associations with repeat self-harm and subsequent death.Methods We used patient data from the Multicentre Study of Self-Harm in England for 2000–2009 and UK mortality data for patients presenting from 2000 to 2007 who were followed up to the end of 2009.Results Alcohol involvement in acts of self-harm (58.4%) and alcohol misuse (36.1%) were somewhat higher than found previously in self-harm patients. Alcohol involvement and misuse were most frequent in men, those aged 35–54 years and those from white ethnicities. The frequency of alcohol misuse increased between 2000 and 2009, especially in women. Repetition of self-harm was associated with alcohol involvement in self-harm and particularly with alcohol misuse. Risk of suicide was increased significantly in women misusing alcohol.Conclusions Alcohol use and misuse in self-harm patients appears to have increased in recent years, particularly in women. The association of alcohol with greater risk of self-harm repetition and mortality highlights the need for clinicians to investigate alcohol use in self-harm patients. Ready availability of alcohol treatment staff in general hospitals could facilitate appropriate aftercare and the prevention of adverse outcomes.

U2 - 10.1136/emermed-2013-202753

DO - 10.1136/emermed-2013-202753

M3 - Article

JO - Emergency Medicine Journal

JF - Emergency Medicine Journal

SN - 1472-0205

ER -