@article{ref1,
title="Psychiatric disorders among adults treated for deliberate self-harm in general hospital: a national register study",
journal="Journal of affective disorders",
year="2022",
author="Bøe, Anne Seljenes and Mehlum, Lars and Melle, Ingrid and Qin, Ping",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Psychiatric disorders are common among individuals treated for deliberate self-harm (DSH) in somatic hospitals. However, few large-scale studies have explicitly addressed psychiatric disorders among adult DSH patients. <br><br>AIM: To examine the presence of psychiatric disorders among adults presenting to somatic hospitals following DSH, and further to establish clinical and sociodemographic determinants of being diagnosed with a psychiatric disorder in this patient population. <br><br>METHOD: Data from several national registers were interlinked to identify all individuals aged 18 and older presenting to somatic hospital for DSH during the period 2008-2018. Logistic regression was used to examine the association between psychiatric disorders (ICD-10) and clinical and sociodemographic characteristics of the DSH patients. <br><br>RESULTS: Altogether 39,534 subjects with 63,622 episodes of DSH were included in the study with a gender ratio (F:M) of 1.48. The majority were unmarried and had low income and education. Psychiatric disorders were present in 58.5 % of all episodes and in 54.3 % of the index episodes. Affective disorders displayed the highest prevalence (18.3 %), followed by alcohol use disorder (16.4 %). Personality disorders were highly prevalent among young females with multiple DSH episodes. Middle-aged individuals had the highest prevalence of psychiatric disorders. Presence of psychiatric disorders was significantly associated with DSH repetition. LIMITATIONS: Data was restricted to variables available in the registers. <br><br>CONCLUSIONS: Psychiatric disorders were common among DSH patients in the present cohort, but distributed differently between the genders. DSH repetition and middle-age was associated with being diagnosed with a psychiatric disorder.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2022.09.066",
url="http://dx.doi.org/10.1016/j.jad.2022.09.066"
}