Physical and mental illness comorbidity among individuals with frequent self-harm episodes: A mixed-methods study.
comorbidity
frequent self-harm
highly lethal self-harm
mental illness
physical illness
self-harm repetition
suicide intent
Journal
Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006
Informations de publication
Date de publication:
2023
2023
Historique:
received:
11
12
2022
accepted:
13
02
2023
entrez:
27
3
2023
pubmed:
28
3
2023
medline:
28
3
2023
Statut:
epublish
Résumé
Research has indicated an increased risk of self-harm repetition and suicide among individuals with frequent self-harm episodes. Co-occurring physical and mental illness further increases the risk of self-harm and suicide. However, the association between this co-occurrence and frequent self-harm episodes is not well understood. The objectives of the study were (a) to examine the sociodemographic and clinical profile of individuals with frequent self-harm (regardless of suicidal intent) episodes and, (b) the association between physical and mental illness comorbidity, self-harm repetition, highly lethal self-harm methods, and suicide intent. The study included consecutive patients with five or more self-harm presentations to Emergency Departments across three general hospitals in the Republic of Ireland. The study included file reviews ( The majority of individuals with frequent self-harm episodes were female (59.6%), single (56.1%), and unemployed (57.4%). The predominant current self-harm method was drug overdose (60%). Almost 90% of the participants had history of a mental or behavioral disorder, and 56.8% had recent physical illness. The most common psychiatric diagnoses were alcohol use disorders (51.1%), borderline personality disorder (44.0%), and major depressive disorder (37.8%). Male gender ( Physical and mental illness comorbidity was high among individuals with frequent self-harm episodes. Male gender and alcohol abuse were associated with highly lethal self-harm methods. The mental and physical illness comorbidity of individuals with frequent self-harm episodes should be addressed
Sections du résumé
Background
UNASSIGNED
Research has indicated an increased risk of self-harm repetition and suicide among individuals with frequent self-harm episodes. Co-occurring physical and mental illness further increases the risk of self-harm and suicide. However, the association between this co-occurrence and frequent self-harm episodes is not well understood. The objectives of the study were (a) to examine the sociodemographic and clinical profile of individuals with frequent self-harm (regardless of suicidal intent) episodes and, (b) the association between physical and mental illness comorbidity, self-harm repetition, highly lethal self-harm methods, and suicide intent.
Methods
UNASSIGNED
The study included consecutive patients with five or more self-harm presentations to Emergency Departments across three general hospitals in the Republic of Ireland. The study included file reviews (
Findings
UNASSIGNED
The majority of individuals with frequent self-harm episodes were female (59.6%), single (56.1%), and unemployed (57.4%). The predominant current self-harm method was drug overdose (60%). Almost 90% of the participants had history of a mental or behavioral disorder, and 56.8% had recent physical illness. The most common psychiatric diagnoses were alcohol use disorders (51.1%), borderline personality disorder (44.0%), and major depressive disorder (37.8%). Male gender (
Conclusion
UNASSIGNED
Physical and mental illness comorbidity was high among individuals with frequent self-harm episodes. Male gender and alcohol abuse were associated with highly lethal self-harm methods. The mental and physical illness comorbidity of individuals with frequent self-harm episodes should be addressed
Identifiants
pubmed: 36970268
doi: 10.3389/fpsyt.2023.1121313
pmc: PMC10033892
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1121313Informations de copyright
Copyright © 2023 Sadath, Troya, Nicholson, Cully, Leahy, Ramos Costa, Benson, Corcoran, Griffin, Phillip, Cassidy, Jeffers, Shiely, Alberdi-Páramo, Kavalidou and Arensman.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Br J Psychiatry. 2003 Jun;182:537-42
pubmed: 12777346
J Affect Disord. 2016 Mar 1;192:8-10
pubmed: 26707346
Crisis. 2008;29(4):209-12
pubmed: 19069613
CNS Neurosci Ther. 2012 Sep;18(9):711-21
pubmed: 22943140
Acta Psychiatr Scand. 2020 Sep;142(3):249-256
pubmed: 32716520
Clin J Pain. 2004 Mar-Apr;20(2):111-8
pubmed: 14770051
Crisis. 2016 Jul;37(4):299-309
pubmed: 27245812
Rev Psiquiatr Salud Ment (Engl Ed). 2018 Jan - Mar;11(1):60-61
pubmed: 28687461
Pain. 2011 May;152(5):1096-1103
pubmed: 21450402
Am J Mens Health. 2016 Nov;10(6):NP1-NP10
pubmed: 25846771
Front Psychol. 2017 Nov 08;8:1946
pubmed: 29167651
J Child Psychol Psychiatry. 2018 Sep;59(9):948-956
pubmed: 29504652
Acta Psychiatr Scand. 1996 May;93(5):327-38
pubmed: 8792901
J Clin Psychiatry. 2004 May;65(5):690-5
pubmed: 15163257
BJPsych Open. 2021 Jul 08;7(4):e125
pubmed: 34236021
Aust N Z J Psychiatry. 2010 Jun;44(6):568-73
pubmed: 20482416
EClinicalMedicine. 2020 Jun 05;23:100378
pubmed: 32529177
Aging Ment Health. 2016;20(2):166-94
pubmed: 26381843
J Psychosom Res. 2012 Aug;73(2):92-7
pubmed: 22789410
Br J Psychiatry. 2014 Jun;204(6):430-5
pubmed: 24578445
Int J Ment Health Syst. 2014 Nov 18;8:43
pubmed: 25926871
Br J Psychiatry. 1988 Dec;153:792-800
pubmed: 3256378
J Affect Disord. 2019 Mar 1;246:195-200
pubmed: 30583145
Borderline Personal Disord Emot Dysregul. 2017 Oct 31;4:22
pubmed: 29093819
PLoS One. 2013 Nov 19;8(11):e80667
pubmed: 24260449
Early Interv Psychiatry. 2009 May;3(2):116-22
pubmed: 21352184
BMC Psychiatry. 2018 Feb 6;18(1):34
pubmed: 29409473
Eur Psychiatry. 2019 Jun;59:25-36
pubmed: 30986729
Lancet. 2015 Feb 21;385(9969):717-26
pubmed: 25706217
Annu Rev Clin Psychol. 2016;12:307-30
pubmed: 26772209
BMC Psychiatry. 2019 Jan 23;19(1):38
pubmed: 30674288
Psychiatry Res. 2015 Nov 30;230(1):28-35
pubmed: 26315664
BMC Psychiatry. 2016 Nov 24;16(1):421
pubmed: 27881107
J R Soc Med. 2014 May;107(5):194-204
pubmed: 24526464
Drug Saf. 2007;30(6):533-40
pubmed: 17536879
J Psychopathol Behav Assess. 2009 Sep;31(3):215-219
pubmed: 29269992
Soc Psychiatry Psychiatr Epidemiol. 2011 Apr;46(4):263-71
pubmed: 20174782
Fortschr Neurol Psychiatr. 2011 Jan;79(1):9-20
pubmed: 21104583
J Clin Psychiatry. 2014 Mar;75(3):e191-7
pubmed: 24717390
Clin Psychol Rev. 2007 Mar;27(2):226-39
pubmed: 17014942
Source Code Biol Med. 2008 Dec 16;3:17
pubmed: 19087314
Adicciones. 2014;26(4):321-33
pubmed: 25580865
Med Sci Monit. 2011 Aug;17(8):PH65-70
pubmed: 21804473
Med Hypotheses. 2012 Feb;78(2):350
pubmed: 22133558
Kaohsiung J Med Sci. 2007 May;23(5):247-53
pubmed: 17525007
J Chronic Dis. 1970 Dec;23(7):455-68
pubmed: 26309916
Crisis. 2014;35(5):330-7
pubmed: 25189111
JNMA J Nepal Med Assoc. 2014 Jan-Mar;52(193):697-701
pubmed: 26905551
PLoS One. 2012;7(2):e31663
pubmed: 22363700
Lancet Reg Health Eur. 2022 Apr 01;16:100341
pubmed: 35392452
PLoS Med. 2019 Aug 26;16(8):e1002864
pubmed: 31449518
Psychiatry Res. 2017 May;251:176-181
pubmed: 28213187
Psychiatry Res. 2010 Aug 15;178(3):540-4
pubmed: 20580437
J Am Geriatr Soc. 2019 Mar;67(3):511-519
pubmed: 30471103
Br J Psychiatry. 2004 Jul;185:70-5
pubmed: 15231558
Evid Based Ment Health. 2012 Aug;15(3):68
pubmed: 22518019
Neuropsychiatr Dis Treat. 2008 Feb;4(1):247-55
pubmed: 18728807
Am J Psychiatry. 2005 Jul;162(7):1375-8
pubmed: 15994723
Psychiatry Res. 2020 May;287:112553
pubmed: 31526562
Arch Suicide Res. 2022 Jan-Mar;26(1):91-111
pubmed: 32576083
Am J Psychiatry. 2017 Aug 1;174(8):765-774
pubmed: 28320225
BMC Psychiatry. 2018 Jan 24;18(1):21
pubmed: 29368645
Prim Care Companion CNS Disord. 2014 Aug 07;16(4):
pubmed: 25664212
Pediatrics. 2018 Apr;141(4):
pubmed: 29555689
PLoS One. 2014 Jan 20;9(1):e84282
pubmed: 24465400