Self-harm in women in midlife: rates, precipitating problems and outcomes following hospital presentations in the multicentre study of self-harm in England
Rattachement africain : gb. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background Suicide in women in the UK is highest among those in midlife. Given the unique changes in biological, social and economic risk factors experienced by women in midlife, more information is needed to inform care. Aim To investigate rates, characteristics and outcomes of self-harm in women in midlife compared to younger women and identify differences within the midlife age-group. Method Data on women aged 40–59 years from the Multicentre Study of Self-harm in England from 2003 to 2016 were used, including mortality follow-up to 2019, collected via specialist assessments and/or emergency department records. Trends were assessed using negative binomial regression models. Comparative analysis used chi-square tests of association. Self-harm repetition and suicide mortality analyses used Cox proportional hazards models. Results The self-harm rate in midlife women was 435 per 100 000 population and relatively stable over time (incident rate ratio (IRR) 0.99, p < 0.01). Midlife women reported more problems with finances, alcohol and physical and mental health. Suicide was more common in the oldest midlife women (hazard ratio 2.20, p < 0.01), while psychosocial assessment and psychiatric inpatient admission also increased with age. Conclusion Addressing issues relating to finances, mental health and alcohol misuse, alongside known social and biological transitions, may help reduce self-harm in women in midlife. Alcohol use was important across midlife while physical health problems and bereavement increased with age. Despite receiving more intensive follow-up care, suicide risk in the oldest women was elevated. Awareness of these vulnerabilities may help inform clinicians’ risk formulation and safety planning.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Self-harm in women in midlife: rates, precipitating problems and outcomes following hospital presentations in the multicentre study of self-harm in England
- Date Crossref
- 15/01/2025
- Éditeur
- Royal College of Psychiatrists
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Manchester Academic Health Science Centre pays non établi dans la noticeÉtablissement de santé
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University of Manchester Manchester Academic Health Sciences Centre pays non établi dans la noticeUniversité ou école supérieure
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Centre for Mental Health pays non établi dans la noticeÉtablissement de santé
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Warneford Hospital pays non établi dans la noticeÉtablissement de santé
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University of Oxford Department of Psychiatry pays non établi dans la noticeUniversité ou école supérieure
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Derbyshire Community Health Services NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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University of Nottingham pays non établi dans la noticeUniversité ou école supérieure
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Mersey Care NHS Trust pays non établi dans la noticeÉtablissement de santé
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NIHR Manchester Biomedical Research Centre pays non établi dans la noticeStructure de recherche
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Derbyshire Healthcare NHS Foundation Trust Centre for Self-harm and Suicide Prevention Research pays non établi dans la noticeOrganisation à but non lucratif
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School of Psychology pays non établi dans la noticeUniversité ou école supérieure
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Mersey Care NHS Foundation Trust pays non établi dans la noticeOrganisation à but non lucratif
Manchester Academic Health Science Centre, Manchester Academic Health Sciences Centre — University of Manchester et Centre for Mental Health, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.