Titre : | Self-harm, somatic disorders and mortality in the 3 years following a hospitalisation in psychiatry in adolescents and young adults |
Auteurs : | Fabrice Jollant, Aut. ; Karine Goueslard, Aut. ; Keith Hawton, Aut. ; Catherine Quantin, Aut. |
Année de publication : | 2022 |
Note générale : | Evidence-Based Mental Health, Online First : 28 mars 2022 |
Langues: | Anglais |
Mots-clés : |
SANTEPSY ADOLESCENT ; AUTOMUTILATION ; HOPITAL PSYCHIATRIQUE ; HOSPITALISATION ; JEUNE ADULTE ; MORTALITE ; SORTIE ; SUICIDE ; TROUBLE PSYCHOSOMATIQUE |
Résumé : |
Background : There is limited recent information regarding the risk of self-harm, somatic disorders and premature mortality following discharge from psychiatric hospital in young people.
Objective : To measure these risks in young people discharged from a psychiatric hospital as compared with both non-affected controls and non-hospitalised affected controls. Methods : Data were extracted from the French national health records. Cases were compared with two control groups. Cases: all individuals aged 12–24 years, hospitalised in psychiatry in France in 2013–2014. Non-affected controls: matched for age and sex with cases, not hospitalised in psychiatry and no identification of a mental disorder in 2008–2014. Affected controls: unmatched youths identified with a mental disorder between 2008 and 2014, never hospitalised in psychiatry. Follow-up of 3 years. Logistic regression analyses were conducted with these confounding variables: age, sex, past hospitalisation for self-harm, past somatic disorder diagnosis. Findings : The studied population comprised 73 300 hospitalised patients (53.6% males), 219 900 non-affected controls and 9 683 affected controls. All rates and adjusted risks were increased in hospitalised patients versus both non-affected and affected controls regarding a subsequent hospitalisation for self-harm (HR=105.5, 95% CIs (89.5 to 124.4) and HR=1.5, 95% CI (1.4 to 1.6)), a somatic disorder diagnosis (HR=4.1, 95% CI (3.9–4.1) and HR=1.4, 95% CI (1.3–1.5)), all-cause mortality (HR=13.3, 95% CI (10.6–16.7) and HR=2.2, 95% CI (1.5–3.0)) and suicide (HR=9.2, 95% CI (4.3–19.8) and HR=1.7, 95% CI (1.0–2.9)). Conclusions : The first 3 years following psychiatric hospital admission of young people is a period of high risk for self-harm, somatic disorders and premature mortality. |
Notes de contenus : | 30 réf. bibliogr. |
En ligne : | https://ebmh.bmj.com/content/early/2022/03/27/ebmental-2021-300409 |