@article{ref1,
title="The association between problematic use of alcohol and drugs and repeat self-harm and suicidal ideation",
journal="Crisis",
year="2022",
author="Chitty, Kate M. and Cvejic, Rachael C. and Heintze, Teresa and Srasuebkul, Preeyaporn and Morley, Kirsten and Dawson, Andrew and Carter, Gregory and Dinh, Michael and Buckley, Nicholas A. and Trollor, Julian N.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Aims: We investigated the association between problematic use of alcohol and/or drugs (PUAD) and the incidence, urgency, and mode of discharge for a subsequent episode of self-harm (SH) or suicidal ideation (SI). <br><br>METHODS: This was a retrospective population-based cohort study of individuals admitted to hospital for an index episode of SH/SI (2010-2014) using linked data from hospital admissions and emergency department (ED) presentations. The outcome variables were (1) subsequent presentation to the ED for SH/SI, (2) triage category, and (3) mode of departure. Key predictors were PUAD. <br><br>RESULTS: In total, 23,007 individuals were admitted to hospital for an index SH/SI, of whom 8% had a subsequent presentation to an ED for SH/SI within a year. The odds of subsequent presentation was increased in those with problematic alcohol use (AOR 1.62, 95% CI 1.36, 1.92), drug use (AOR 1.28, 95% CI 1.07, 1.53), and mental health diagnoses (AOR 1.63, 95% CI 1.44, 1.85). Those with problematic alcohol use were more likely to be assigned to the most urgent triage categories (AOR 1.84, 95% CI 1.32, 2.56). Limitations: Defining SH and PUAD using administrative data is challenging, and the true prevalence is likely to be underestimated. <br><br>CONCLUSION: The findings underscore the importance of drug health intervention as a key component of self-harm prevention.<p /> <p>Language: en</p>",
language="en",
issn="0227-5910",
doi="10.1027/0227-5910/a000880",
url="http://dx.doi.org/10.1027/0227-5910/a000880"
}