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Psychiatric admissions after hospital presented deliberate self-harm in the young: A national study
Open accessAbstract
Follow-up psychiatric care is crucial for young adults presenting to hospitals because of deliberate self-harm (DSH). However, who receives such care is not sufficiently understood. We therefore investigated the clinical and sociodemographic correlates of admissions to psychiatric inpatient treatment immediately following general hospital treatment of DSH in this age band. All episodes of hospital presented DSH among patients aged 18-35 years during the period 2008-2018 were identified from the Norwegian Patient Register. The outcome was admissions to psychiatric inpatient treatment immediately after discharge from the general hospital. The correlates of such admissions were calculated using binomial generalized estimating equation. Of 26.166 identified DSH episodes, 21.4% were admitted to psychiatric inpatient treatment. Admissions were most common for patients with a history of psychiatric treatment and a recorded diagnosis of psychosis-, mood- or personality disorders. Adjusted for other psychiatric factors, alcohol- or substance misuse diagnoses and repeated presentations of DSH were inversely associated with admissions to psychiatric inpatient treatment. Young adults admitted to psychiatric inpatient treatment following DSH have a high burden of psychiatric morbidity and risk factors for suicide. However, the inverse association seen for two important risk factors for suicide, alcohol- or substance misuse and repeated DSH, warrants further attention.
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Destructive experiential avoidance behaviors in adolescents increase the public health burden, such as rehospitalizations and emergency department visits.
“As previous studies indicated, DEA behaviors in adolescents also increase the public health burden, such as rehospitalizations and emergency department visits [16,17].”
From Acceptance and Commitment Therapy for Destructive Experiential Avoidance (ACT-DEA): A Feasibility Study (2022) · cites this paper as [17]
The Discussion reports repeat emergency-hospital presentations for deliberate self-harm and psychiatric inpatient admissions in young adults, which supports a narrower claim about healthcare use. It does not study destructive experiential avoidance or adolescents: Methods §2.5 gives ages 18–35. The Discussion also reports that repeat presentations were inversely associated with inpatient admission after adjustment, so the paper does not establish that these behaviors increase rehospitalizations. (LLM, conf=0.86)
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Na, E., Lee, K., Jeon, B.-H., Jo, C., Kwak, U.-H., Jeon, Y., Yang, K., Lee, E. J., & Jeong, J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192416434 · Cited by 21
“As previous studies indicated, DEA behaviors in adolescents also increase the public health burden, such as rehospitalizations and emergency department visits [16,17].”
Result
Metadata
- Authors
- Lunde, K. B., Mehlum, L., Melle, I., & Qin, P.
- Affiliations
- University of Oslo (NO)
- Corresponding author
- Lunde, Ketil Berge
- Venue
- Journal of Psychiatric Research
- Publisher
- Elsevier BV
- Published
- 2022-07
- Volume
- 151
- Pages
- 575-582
- ISSN
- 0022-3956 (ISSN-L)
- OpenAlex
- W4281393274
- Cited by
- 2
- References
- 24
- Citations by year
- 2023: 1 · 2022: 1
- FWCI
- 0.46
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Psychiatric Research (publishedVersion, cc-by)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Funders
- Norges Forskningsråd (260453/H10)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- self-harm, psychiatric hospital admissions, young adults, suicide risk factors, alcohol abuse, substance abuse, repeated self-harm, psychosis, mood disorders, personality disorders, psychiatric morbidity
- MeSH terms
- Hospitalization, Hospitals, Humans, Risk Factors, Suicide, Self-Injurious Behavior, Substance-Related Disorders, Young Adult
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