Risk of First General Hospital Admissions for Self-Harm Among People With Personality Disorder: A Retrospective Cohort Study.
Autor: | Rush, Kelsey, Fok, Marcella, Moran, Paul, Dorrington, Sarah, Shetty, Hitesh, Stewart, Robert, Chang, Chin-Kuo |
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Předmět: |
PERSONALITY disorders
SUBSTANCE abuse CONFIDENCE intervals TIME MULTIVARIATE analysis PATIENTS RETROSPECTIVE studies REGRESSION analysis HOSPITAL admission & discharge RISK assessment MENTAL depression BULIMIA DESCRIPTIVE statistics ANOREXIA nervosa SELF-mutilation COMORBIDITY LONGITUDINAL method PROPORTIONAL hazards models MENTAL illness |
Zdroj: | Journal of Personality Disorders; Oct2021, Vol. 35 Issue 5, p657-671, 21p |
Abstrakt: | For individuals with a personality disorder (PD), it is unknown whether additional psychiatric conditions increase their risk of self-harm. The authors therefore conducted a retrospective cohort study, using data from secondary mental health care, to identify self-harm admissions. Adults with diagnosed PD, followed up over a 6-year period, were involved (N = 7,475). Cox regression was used to model the risk of self-harm admissions, with comorbid depression, substance use disorders (SUD), severe mental illness (SMI), anorexia nervosa (AN), and bulimia nervosa (BN) as primary exposures; sociodemographics were considered as confounders. In multivariable analyses, comorbid SUD (adjusted HR = 1.66; 95% CI [1.45, 1.90]), depressive disorder (1.25; [1.09, 1.44]), AN (1.63; [1.10, 2.39]), and BN (1.65; [1.09, 2.51]) were positively associated with increased risks of hospitalization due to self-harm. However, a negative association was found for comorbid SMI. The findings highlight the importance of assessing and treating comorbid psychiatric disorders in PD. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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