@article{ref1,
title="Understanding suicide clusters through exploring self-harm behaviors",
journal="Crisis",
year="2023",
author="Lee, Sze Chim and Rouquette, Olivier Y. and Hawton, Keith and Cleobury, Louise and Spencer, Sarah and Lloyd, Keith and Gunnell, David and Scourfield, Jonathan and John, Ann",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: There is little information about characteristics and long-term outcomes of individuals who self-harm during a suicide cluster. Aims: To compare characteristics of individuals who self-harmed during a suicide cluster in South Wales (∼10 deaths between December 2007 and March 2008) with others who self-harmed prior to the cluster and to evaluate 10-year self-harm and mortality outcomes. <br><br>METHOD: Using records from the hospital serving the catchment area of the suicide cluster, enhanced by national routinely collected linked data, we created the following two groups: individuals who self-harmed (a) during the suicide cluster and (b) 1 year before. We compared individuals' characteristics and performed logistic regression to compute odds ratios of 10-year self-harm and mortality outcomes. <br><br>RESULTS: Individuals who self-harmed during the cluster were less likely to be hospitalized or have a mental health history than those who self-harmed prior to the cluster. No significant group differences were found for 10-year self-harm outcomes, but all-cause mortality was higher for males. Limitations: Sample size was small, and data were lacking on psychological and social proximity to individuals who died during the suicide cluster. <br><br>CONCLUSION: Our findings highlight the importance of long-term healthcare follow-up of those who self-harm during a suicide cluster, particularly males.<p /> <p>Language: en</p>",
language="en",
issn="0227-5910",
doi="10.1027/0227-5910/a000930",
url="http://dx.doi.org/10.1027/0227-5910/a000930"
}