[
  {
    "phenotype_id": "PH385",
    "phenotype_version_id": 770,
    "name": "Personality Disorder",
    "definition": "PURPOSE:\n\nSelf-harm is a public health problem that requires a better understanding of mortality risk. We undertook a study to examine premature mortality in a nationally representative cohort of primary care patients who had harmed themselves.\n\n\nMETHODS:\n\nDuring 2001-2013, a total of 385 general practices in England contributed data to the Clinical Practice Research Datalink with linkage to Office for National Statistics mortality records. We identified 30,017 persons aged 15 to 64 years with a recorded episode of self-harm. We estimated the relative risks of all-cause and cause-specific natural and unnatural mortality using a comparison cohort of 600,258 individuals matched on age, sex, and general practice.\n\n\nRESULTS:\n\nWe found an elevated risk of dying prematurely from any cause among the self-harm cohort, especially in the first year of follow-up (adjusted hazard ratio for that year, 3.6; 95% CI, 3.1-4.2). In particular, suicide risk was especially high during the first year (adjusted hazard ratio, 54.4; 95% CI, 34.3-86.3); although it declined sharply, it remained much higher than that in the comparison cohort. Large elevations of risk throughout the follow-up period were also observed for accidental, alcohol-related, and drug poisoning deaths. At 10 years of follow-up, cumulative incidence values were 6.5% (95% CI, 6.0%-7.1%) for allcause mortality and 1.3% (95% CI, 1.2%-1.5%) for suicide.\n\n\nCONCLUSIONS:\n\nPrimary care patients who have harmed themselves are at greatly increased risk of dying prematurely by natural and unnatural causes, and especially within a year of a first episode. These individuals visit clinicians at a relatively high frequency, which presents a clear opportunity for preventive action. Primary care patients with myriad comorbidities, including self-harming behavior, mental disorder, addictions, and physical illnesses, will require concerted, multipronged, multidisciplinary collaborative care approaches.\n\n\n\n\n\n\n\n\n",
    "implementation": "",
    "publications": [
      {
        "doi": null,
        "details": "Matthew J Carr, Darren M Ashcroft, Evangelos Kontopantelis, David While, Yvonne Awenat, Jayne Cooper, Carolyn Chew-Graham, Nav Kapur, Roger T Webb, Premature Death Among Primary Care Patients With a History of Self-Harm. Annals of Family Medicine, 15(3), 2017."
      }
    ],
    "validation": "",
    "citation_requirements": "",
    "created": "2021-10-06T16:16:51.385519Z",
    "author": "Matthew J Carr, Darren M Ashcroft, Evangelos Kontopantelis, David While, Yvonne Awenat, Jayne Cooper, Carolyn Chew-Graham, Nav Kapur, Roger T Webb",
    "collections": [
      {
        "name": "ClinicalCodes Repository",
        "value": 25
      },
      {
        "name": "Phenotype Library",
        "value": 18
      }
    ],
    "tags": null,
    "organisation": null,
    "world_access": 1,
    "updated": "2021-10-06T16:16:51.385548Z",
    "sex": [
      {
        "name": "Both",
        "value": "3"
      }
    ],
    "type": [
      {
        "name": "Disease or syndrome",
        "value": "2"
      }
    ],
    "ontology": null,
    "phenoflowid": "",
    "data_sources": [
      {
        "name": "CPRD GOLD",
        "value": 5,
        "uid": "a29feafa-7bdd-44e9-b977-c9d26425e67f",
        "url": "https://healthdatagateway.org/en/dataset/694",
        "datasource_id": 694
      }
    ],
    "coding_system": [
      {
        "name": "Read codes v2",
        "value": 5
      }
    ],
    "event_date_range": "01/01/2001 - 31/12/2013",
    "concept_information": [
      {
        "concept_id": 1715,
        "concept_version_id": 4568,
        "concept_name": "Personality Disorder - Primary Care",
        "coding_system": {
          "id": 5,
          "name": "Read codes v2",
          "description": "Read codes v2"
        },
        "phenotype_id": "PH385",
        "phenotype_version_id": 770,
        "phenotype_name": "Personality Disorder",
        "code_attribute_header": [
          "Entity type",
          "Category",
          "Coding System (Read)"
        ],
        "codes": [
          {
            "code": "E21..00",
            "description": "Personality disorders",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E210.00",
            "description": "Paranoid personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E211.00",
            "description": "Affective personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E211000",
            "description": "Unspecified affective personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E21..11",
            "description": "Neurotic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E211100",
            "description": "Hypomanic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E211200",
            "description": "Depressive personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E211300",
            "description": "Cyclothymic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E211z00",
            "description": "Affective personality disorder NOS",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E212.00",
            "description": "Schizoid personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E212000",
            "description": "Unspecified schizoid personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E212z00",
            "description": "Schizoid personality disorder NOS",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E213.00",
            "description": "Explosive personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E214.00",
            "description": "Compulsive personality disorders",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E214000",
            "description": "Anankastic personality",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E214.11",
            "description": "Anancastic personality",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E214z00",
            "description": "Compulsive personality disorder NOS",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E215.00",
            "description": "Histrionic personality disorders",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E215000",
            "description": "Unspecified histrionic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E215.11",
            "description": "Hysterical personality disorders",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E215z00",
            "description": "Histrionic personality disorder NOS",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E216.00",
            "description": "Inadequate personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E217.00",
            "description": "Antisocial or sociopathic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E21y.00",
            "description": "Other personality disorders",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E21y000",
            "description": "Narcissistic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E21y100",
            "description": "Avoidant personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E21y200",
            "description": "Borderline personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E21y300",
            "description": "Passive-aggressive personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E21y400",
            "description": "Eccentric personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E21y500",
            "description": "Immature personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E21y600",
            "description": "Masochistic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E21y700",
            "description": "Psychoneurotic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E21yz00",
            "description": "Other personality disorder NOS",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E21z.00",
            "description": "Personality disorder NOS",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "E21z.11",
            "description": "Psychopathic personality",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu06000",
            "description": "[X]Organic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu06011",
            "description": "[X]Organic pseudopsychopathic personality",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu21.17",
            "description": "[X]Pseudopsychopathic schizophrenia",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu21.18",
            "description": "[X]Schizotypal personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu34011",
            "description": "[X]Affective personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu34112",
            "description": "[X]Depressive personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60.00",
            "description": "[X]Specific personality disorders",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60000",
            "description": "[X]Paranoid personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60013",
            "description": "[X]Querulant personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60014",
            "description": "[X]Sensitive paranoid personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60100",
            "description": "[X]Schizoid personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60200",
            "description": "[X]Dissocial personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60212",
            "description": "[X]Antisocial personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60213",
            "description": "[X]Asocial personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60214",
            "description": "[X]Psychopathic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60215",
            "description": "[X]Sociopathic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60300",
            "description": "[X]Emotionally unstable personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60311",
            "description": "[X]Aggressive personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60312",
            "description": "[X]Borderline personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60313",
            "description": "[X]Explosive personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60400",
            "description": "[X]Histrionic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60411",
            "description": "[X]Hysterical personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60412",
            "description": "[X]Psychoinfantile personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60500",
            "description": "[X]Anankastic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60511",
            "description": "[X]Compulsive personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60512",
            "description": "[X]Obsessional personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60513",
            "description": "[X]Obsessive-compulsive personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60600",
            "description": "[X]Anxious [avoidant] personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60700",
            "description": "[X]Dependent personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60711",
            "description": "[X]Asthenic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60712",
            "description": "[X]Inadequate personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60713",
            "description": "[X]Passive personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60714",
            "description": "[X]Self defeating personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60y00",
            "description": "[X]Other specific personality disorders",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60y11",
            "description": "[X]Eccentric personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60y12",
            "description": "[X]Haltlose type personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60y13",
            "description": "[X]Immature personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60y14",
            "description": "[X]Narcissistic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60y16",
            "description": "[X]Psychoneurotic personality disorder",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu60z00",
            "description": "[X]Personality disorder, unspecified",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu61.00",
            "description": "[X]Mixed and other personality disorders",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu84511",
            "description": "[X]Autistic psychopathy",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "Eu94211",
            "description": "[X]Affectionless psychopathy",
            "attributes": {
              "Entity type": "res41: Personality disorder",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          }
        ]
      }
    ],
    "status": 2,
    "doi": "https://doi.org/10.48533/sp9b-mh77",
    "is_deleted": null,
    "publish_status": 2,
    "owner": "ieuan.scanlon",
    "template": {
      "id": 1,
      "name": "Clinical-Coded Phenotype",
      "description": "Phenotype definitions that are based on lists of clinical codes, or algorithms using clinical codes.",
      "version_id": 1
    },
    "versions": [
      {
        "version_id": 770,
        "version_name": "Personality Disorder",
        "version_date": "2021-10-06T16:16:51.414719Z",
        "is_published": true,
        "is_latest": true
      }
    ]
  }
]