tailieunhanh - Báo cáo y học: " Antecedents of hospital admission for deliberate self-harm from a 14-year follow-up study using data-linkage"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Antecedents of hospital admission for deliberate self-harm from a 14-year follow-up study using data-linkage | Mitrou et al. BMC Psychiatry 2010 10 82 http 1471-244X 10 82 BMC Psychiatry RESEARCH ARTICLE Open Access Antecedents of hospital admission for deliberate self-harm from a 14-year follow-up study using data-linkage 1 1 1 Francis Mitrou Jennifer Gaudie David Lawrence Sven R Silburn Fiona J Stanley Stephen R Zubrick Abstract Background A prior episode of deliberate self-harm DSH is one of the strongest predictors of future completed suicide. Identifying antecedents of DSH may inform strategies designed to reduce suicide rates. This study aimed to determine whether individual and socio-ecological factors collected in childhood and adolescence were associated with later hospitalisation for DSH. Methods Longitudinal follow-up of a Western Australian population-wide random sample of 2 736 children aged 4-16 years and their carers from 1993 until 2007 using administrative record linkage. Children were aged between 18 and 31 years at end of follow-up. Proportional hazards regression was used to examine the relationship between child parent family school and community factors measured in 1993 and subsequent hospitalisation for DSH. Results There were six factors measured in 1993 that increased a child s risk of future hospitalisation with DSH female sex primary carer being a smoker being in a step blended family having more emotional or behavioural problems than other children living in a family with inconsistent parenting style and having a teenage mother. Factors found to be not significant included birth weight combined carer income carer s lifetime treatment for a mental health problem and carer education. Conclusions The persistence of carer smoking as an independent risk factor for later DSH after adjusting for child carer family school and community level socio-ecological factors adds to the known risk domains for DSH and invites further investigation into the underlying mechanisms of this relationship. This study has also confirmed .