[
  {
    "phenotype_id": "PH392",
    "phenotype_version_id": 784,
    "name": "Self Harm",
    "definition": "Description of the data source:\n\nThis study was conducted using routinely collected data from the CPRD, the world’s largest population-based, longitudinal, primary care database. This data source contains anonymised patient information entered by general practice staff. Most clinical data is coded using the Read code system and the database includes information on diagnoses, demographics, laboratory tests, medications, and referrals to other healthcare settings. Our study utilised information from 677 general practices, with 10,396,605 patients contributing data at some stage during years 2001–2013, inclusive. We restricted our analyses to patients identified to be of an acceptable quality for research, and registered with a general practice deemed to be ‘up to standard’ on continuity of provision and data completeness criteria. We utilised an ‘open’ cohort study design in that each patient’s time at risk commenced at a different time point, and some exited prior to the end of the study period due to migration, death, or cessation of their practice’s contribution to the CPRD.\n\n\nCase definition and clinical coding:\n\nIn the UK, the National Institute for Health and Clinical Excellence (NICE) guidelines (CG16) define self-harm as any act of “self-poisoning or self-injury, irrespective of the apparent purpose”. Using this broad conceptualisation, we developed a list of Read codes incorporating all cases across the spectrum from milder forms of nonsuicidal behaviour through to near-fatal suicide attempts. Initially we searched for all Read codes that included the following terms in their description: ‘deliberate’, ‘intentional’ or ‘self ’ (to identify episodes of self-harm/harming, selfinjury/ injurious behaviour, self-inflicted harm/injury, harm/injury to self, self-poisoning, deliberate overdose, intentional overdose) and ‘suicide attempt’, ‘attempted suicide’ or ‘parasuicide’ (to identify suicide attempts). These candidate codes were then subjected to rigorous clinical review by two expert clinicians within the research team (NK and JC), with any non-relevant codes omitted. Additional potentially relevant codes were identified using the hierarchical structure of the coding system. We excluded codes that referred only to thoughts of self-harm or suicidal ideation and alcohol related codes, unless intent to actively harm oneself was specified.\n\n\nSelf-harm frequency measures:\n\nCalculating a rate based on the total number of general practice consultations could be dominated unduly by frequent attenders. We therefore deployed a dual approach at the patient-level to investigate: (i) rates of new cases in the population (incidence); (ii) the proportion of patients affected annually (presentation rates). We restricted our study to this more recent time period to maximise data quality and the relevance of our findings. Patients were eligible for inclusion in a given year if they were aged 15–64 years and registered with a CPRD contributing practice at the start of the year. The rationale for imposing these age restrictions was that the determinants and implications of self-harm in children and older adults are quite distinct from those of the rest of the population, and therefore warrant separate investigation and consideration. Among older persons who harm themselves, specific mechanisms such as bereavement,loneliness and social isolation and physical illness, multi-morbidity and impairment play a predominant role; children aged below 15 years who harm themselves tend to have an unusually low suicidal intent, and this behaviour is associated with a relatively low long-term risk of suicide.\n\n\nIncidence:\n\nWhen calculating incidence rates, denominator estimates were restricted to patients registered at the start of the year with a practice that contributed data throughout the year. Patients with a history of self-harm were excluded. The numerators were estimated as the number of patients included in the denominator with a first recorded episode of self-harm during the year. We excluded patients who were no longer registered on the episode date. Annual presentation rates Denominator estimates were restricted to patients registered at the start of the year with a practice that contributed data throughout the year. No restriction was placed regarding prior episodes of self-harm. The numerators were estimated as the number included in the denominator, with one or more presentations of self-harm during the year, and still registered on the first of those presentations. Gender-specific estimates of incidence and annual presentation rates are presented throughout. We report stratified analyses by age (10-year bands), nation (England, Northern Ireland, Scotland, and Wales), and socio-economic deprivation quintiles from 1 (least) to 5 (most deprived).\n\n\nMeasurement of deprivation:\n\nDeprivation quintiles were applied according to the postcode of the general practice of registration, and were derived using the Index of Multiple Deprivation (IMD) for 2010 in each of the four UK nations. The specification differs slightly for each nation, but throughout the UK the IMD is a measure of area-level deprivation constructed from domains including income, employment, health, education, barriers to services (including housing), crime, and general living environment. In England, Wales and Northern Ireland, the indices are derived for geographical areas designated as Lower-layer Super Output Areas (LSOA’s), which contain 1000–3000 people and are Census-derived. In Scotland, the small area concentrations are called datazones. The IMD provides a means of ranking and assessing whether an area is more/less deprived than others in the same nation.\n\n\nStatistical analyses:\n\nThe focus of our investigation was comparison of selfharm risk between subgroups of the UK population. Firstly, we compared rates for male versus female patients. Secondly, we conducted gender-specific comparisons across age bands, nations, and deprivation quintiles. Crude rate comparisons could have been misleading if the populations being compared had differed significantly with respect to potential confounders. Therefore, to enhance comparability, all subgroup rates were directly standardised for age, geographical region, and deprivation quintile. We derived directly standardised rates by applying categoryspecific rates from each subgroup to the demographic distribution of the total CPRD population to produce group-specific rates that would have been observed if the subgroups all had the same distribution. Rates per 10,000 patients are reported as 3-year moving averages, centred on the middle year of each 3-year period. Variations between demographic subgroups were examined formally using Mantel-Haenszel risk ratios, stratified by study year. Chi-squared tests were applied to assess homogeneity of rates over time and logistic regression to test for temporal linear trends. Each test for trend involved fitting two regression models with time represented as a categorical variable in the first and as a continuous variable in the second. Linear trends were confirmed if a likelihood ratio test on the two models was non-significant but the effect of time was significant in the second model. Significance was assessed at an α level of 0.05 (two-sided). All of the analyses were conducted using Stata version 13.\n\n\n\n\n\n\n\n\n",
    "implementation": "",
    "publications": [
      {
        "doi": null,
        "details": "Matthew J Carr, Darren M Ashcroft, Evangelos Kontopantelis, Yvone Awenant, Jayne Cooper, Carolynn Chew-Graham, Nav Kapur, Roger T Webb, The epidemiology of self-harm in a UK-wide primary care patient cohort, 2001–2013. Psychiatry, 16(53) 2016."
      }
    ],
    "validation": "",
    "citation_requirements": "",
    "created": "2021-10-06T16:17:11.485903Z",
    "author": "Matthew J Carr, Darren M Ashcrof, Evangelos Kontopantelis, Yvonne Awenant, Jayne Cooper, Carolynn 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": "2021-10-06T16:17:11.485941Z",
    "sex": [
      {
        "name": "Both",
        "value": "3"
      }
    ],
    "type": [
      {
        "name": "Lifestyle risk factor",
        "value": "4"
      }
    ],
    "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": "",
    "concept_information": [
      {
        "concept_id": 1724,
        "concept_version_id": 4586,
        "concept_name": "Self Harm - Primary Care",
        "coding_system": {
          "id": 5,
          "name": "Read codes v2",
          "description": "Read codes v2"
        },
        "phenotype_id": "PH392",
        "phenotype_version_id": 784,
        "phenotype_name": "Self Harm",
        "code_attribute_header": [
          "Entity type",
          "Category",
          "Coding System (Read)"
        ],
        "codes": [
          {
            "code": "14K1.00",
            "description": "Intentional overdose of prescription only medication",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "SL...14",
            "description": "Overdose of biological substance",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "SL...15",
            "description": "Overdose of drug",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "SL90.00",
            "description": "Antidepressant poisoning",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "SL90z00",
            "description": "Anti-depressant poisoning NOS",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "SLHz.00",
            "description": "Drug and medicament poisoning NOS",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK...00",
            "description": "Suicide and selfinflicted injury",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK0..00",
            "description": "Suicide + selfinflicted poisoning by solid/liquid substances",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK00.00",
            "description": "Suicide + selfinflicted poisoning by analgesic/antipyretic",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK01.00",
            "description": "Suicide + selfinflicted poisoning by barbiturates",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK01000",
            "description": "Suicide and self inflicted injury by Amylobarbitone",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK01100",
            "description": "Suicide and self inflicted injury by Barbitone",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK01400",
            "description": "Suicide and self inflicted injury by Phenobarbitone",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK02.00",
            "description": "Suicide + selfinflicted poisoning by oth sedatives/hypnotics",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK03.00",
            "description": "Suicide + selfinflicted poisoning tranquilliser/psychotropic",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK04.00",
            "description": "Suicide + selfinflicted poisoning by other drugs/medicines",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK05.00",
            "description": "Suicide + selfinflicted poisoning by drug or medicine NOS",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK06.00",
            "description": "Suicide + selfinflicted poisoning by agricultural chemical",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK07.00",
            "description": "Suicide + selfinflicted poisoning by corrosive/caustic subst",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK0z.00",
            "description": "Suicide + selfinflicted poisoning by solid/liquid subst NOS",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK1..00",
            "description": "Suicide + selfinflicted poisoning by gases in domestic use",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK10.00",
            "description": "Suicide + selfinflicted poisoning by gas via pipeline",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK...11",
            "description": "Cause of overdose - deliberate",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK11.00",
            "description": "Suicide + selfinflicted poisoning by liquified petrol gas",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK...12",
            "description": "Injury - self-inflicted",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK...13",
            "description": "Poisoning - self-inflicted",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK...14",
            "description": "Suicide and self harm",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK...15",
            "description": "Attempted suicide",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK...17",
            "description": "Para-suicide",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK1y.00",
            "description": "Suicide and selfinflicted poisoning by other utility gas",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK1z.00",
            "description": "Suicide + selfinflicted poisoning by domestic gases NOS",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK2..00",
            "description": "Suicide + selfinflicted poisoning by other gases and vapours",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK20.00",
            "description": "Suicide + selfinflicted poisoning by motor veh exhaust gas",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK21.00",
            "description": "Suicide and selfinflicted poisoning by other carbon monoxide",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK2z.00",
            "description": "Suicide + selfinflicted poisoning by gases and vapours NOS",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK3..00",
            "description": "Suicide + selfinflicted injury by hang/strangulate/suffocate",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK30.00",
            "description": "Suicide and selfinflicted injury by hanging",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK31.00",
            "description": "Suicide + selfinflicted injury by suffocation by plastic bag",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK3y.00",
            "description": "Suicide + selfinflicted inj oth mean hang/strangle/suffocate",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK3z.00",
            "description": "Suicide + selfinflicted inj by hang/strangle/suffocate NOS",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK4..00",
            "description": "Suicide and selfinflicted injury by drowning",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK5..00",
            "description": "Suicide and selfinflicted injury by firearms and explosives",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK51.00",
            "description": "Suicide and selfinflicted injury by shotgun",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK52.00",
            "description": "Suicide and selfinflicted injury by hunting rifle",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK54.00",
            "description": "Suicide and selfinflicted injury by other firearm",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK5z.00",
            "description": "Suicide and selfinflicted injury by firearms/explosives NOS",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK6..00",
            "description": "Suicide and selfinflicted injury by cutting and stabbing",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK60.00",
            "description": "Suicide and selfinflicted injury by cutting",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK60100",
            "description": "Self inflicted lacerations to wrist",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK60111",
            "description": "Slashed wrists self inflicted",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK61.00",
            "description": "Suicide and selfinflicted injury by stabbing",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK6z.00",
            "description": "Suicide and selfinflicted injury by cutting and stabbing NOS",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK7..00",
            "description": "Suicide and selfinflicted injury by jumping from high place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK70.00",
            "description": "Suicide+selfinflicted injury-jump from residential premises",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK71.00",
            "description": "Suicide+selfinflicted injury-jump from oth manmade structure",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK72.00",
            "description": "Suicide+selfinflicted injury-jump from natural sites",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TK7z.00",
            "description": "Suicide+selfinflicted injury-jump from high place NOS",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TKx..00",
            "description": "Suicide and selfinflicted injury by other means",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TKx0.00",
            "description": "Suicide + selfinflicted injury-jump/lie before moving object",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TKx0000",
            "description": "Suicide + selfinflicted injury-jumping before moving object",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TKx1.00",
            "description": "Suicide and selfinflicted injury by burns or fire",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TKx2.00",
            "description": "Suicide and selfinflicted injury by scald",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TKx3.00",
            "description": "Suicide and selfinflicted injury by extremes of cold",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TKx4.00",
            "description": "Suicide and selfinflicted injury by electrocution",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TKx5.00",
            "description": "Suicide and selfinflicted injury by crashing motor vehicle",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TKx6.00",
            "description": "Suicide and selfinflicted injury by crashing of aircraft",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TKx7.00",
            "description": "Suicide and selfinflicted injury caustic subst, excl poison",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TKxy.00",
            "description": "Suicide and selfinflicted injury by other specified means",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TKxz.00",
            "description": "Suicide and selfinflicted injury by other means NOS",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TKy..00",
            "description": "Late effects of selfinflicted injury",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "TKz..00",
            "description": "Suicide and selfinflicted injury NOS",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2...00",
            "description": "[X]Intentional self-harm",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20..00",
            "description": "[X]Intentional self poisoning/exposure to noxious substances",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U200.00",
            "description": "[X]Intent self poison/exposure to nonopioid analgesic",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U200000",
            "description": "[X]Int self poison/exposure to nonopioid analgesic at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U200100",
            "description": "[X]Intent self poison nonopioid analgesic at res institut",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U200.11",
            "description": "[X]Overdose - paracetamol",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U200.12",
            "description": "[X]Overdose - ibuprofen",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U200.13",
            "description": "[X]Overdose - aspirin",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U200400",
            "description": "[X]Intent self pois nonopioid analgesic in street/highway",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U200500",
            "description": "[X]Intent self pois nonopioid analgesic trade/service area",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U200y00",
            "description": "[X]Int self poison nonopioid analgesic other spec place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U200z00",
            "description": "[X]Intent self poison nonopioid analgesic unspecif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U201.00",
            "description": "[X]Intent self poison/exposure to antiepileptic",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U201000",
            "description": "[X]Int self poison/exposure to antiepileptic at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20..11",
            "description": "[X]Deliberate drug overdose / other poisoning",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U201z00",
            "description": "[X]Intent self poison antiepileptic unspecif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U202.00",
            "description": "[X]Intent self poison/exposure to sedative hypnotic",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U202000",
            "description": "[X]Int self poison/exposure to sedative hypnotic at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U202.11",
            "description": "[X]Overdose - sleeping tabs",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U202.12",
            "description": "[X]Overdose - diazepam",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U202.13",
            "description": "[X]Overdose - temazepam",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U202.15",
            "description": "[X]Overdose - nitrazepam",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U202.16",
            "description": "[X]Overdose - benzodiazepine",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U202.17",
            "description": "[X]Overdose - barbiturate",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U202.18",
            "description": "[X]Overdose - amobarbital",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U202400",
            "description": "[X]Intent self pois sedative hypnotic in street/highway",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U202y00",
            "description": "[X]Int self poison sedative hypnotic other spec place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U202z00",
            "description": "[X]Intent self poison sedative hypnotic unspecif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U204.00",
            "description": "[X]Intent self poison/exposure to psychotropic drug",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U204000",
            "description": "[X]Int self poison/exposure to psychotropic drug at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U204100",
            "description": "[X]Intent self poison psychotropic drug at res institut",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U204.11",
            "description": "[X]Overdose - antidepressant",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U204.12",
            "description": "[X]Overdose - amitriptyline",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U204.13",
            "description": "[X]Overdose - SSRI",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U204y00",
            "description": "[X]Int self poison psychotropic drug other spec place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U204z00",
            "description": "[X]Intent self poison psychotropic drug unspecif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U205.00",
            "description": "[X]Intent self poison/exposure to narcotic drug",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U205000",
            "description": "[X]Int self poison/exposure to narcotic drug at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U205y00",
            "description": "[X]Int self poison narcotic drug other spec place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U205z00",
            "description": "[X]Intent self poison narcotic drug unspecif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U206.00",
            "description": "[X]Intent self poison/exposure to hallucinogen",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U206400",
            "description": "[X]Intent self pois hallucinogen in street/highway",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U207.00",
            "description": "[X]Intent self poison/exposure to oth autonomic drug",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U207000",
            "description": "[X]Int self poison/exposure to oth autonomic drug at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U207z00",
            "description": "[X]Intent self poison oth autonomic drug unspecif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U208.00",
            "description": "[X]Int self poison/exposure to other/unspec drug/medicament",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U208000",
            "description": "[X]Int self poison/exposure to oth/unsp drug/medicam home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U208400",
            "description": "[X]Intent self pois oth/unsp drug/medic in street/highway",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U208y00",
            "description": "[X]Int self poison oth/unsp drug/medic other spec place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U208z00",
            "description": "[X]Intent self poison oth/unsp drug/medic unspecif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U209.00",
            "description": "[X]Intent self poison/exposure to alcohol",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U209y00",
            "description": "[X]Int self poison alcohol other spec place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U209z00",
            "description": "[X]Intent self poison alcohol unspecif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20A.00",
            "description": "[X]Intentional self poison organ solvent,halogen hydrocarb",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20A000",
            "description": "[X]Intent self pois organ solvent,halogen hydrocarb, home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20A.11",
            "description": "[X]Self poisoning from glue solvent",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20A400",
            "description": "[X]Int self poison org solvent,halogen hydrocarb,in highway",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20Az00",
            "description": "[X]Int self pois org solv,halogen hydrocarb, unspec place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20B.00",
            "description": "[X]Intent self poison/exposure to other gas/vapour",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20B000",
            "description": "[X]Int self poison/exposure to other gas/vapour at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20B.11",
            "description": "[X]Self carbon monoxide poisoning",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20B200",
            "description": "[X]Int self poison other gas/vapour school/pub admin area",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20By00",
            "description": "[X]Int self poison other gas/vapour other spec place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20Bz00",
            "description": "[X]Intent self poison other gas/vapour unspecif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20C.00",
            "description": "[X]Intent self poison/exposure to pesticide",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20C000",
            "description": "[X]Int self poison/exposure to pesticide at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20C.11",
            "description": "[X]Self poisoning with weedkiller",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20C.12",
            "description": "[X]Self poisoning with paraquat",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20Cy00",
            "description": "[X]Int self poison pesticide other spec place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20y.00",
            "description": "[X]Intent self poison/exposure to unspecif chemical",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20y000",
            "description": "[X]Int self poison/exposure to unspecif chemical at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20y200",
            "description": "[X]Int self poison unspecif chemical school/pub admin area",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U20yz00",
            "description": "[X]Intent self poison unspecif chemical unspecif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U21..00",
            "description": "[X]Intent self harm by hanging strangulation / suffocation",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U210.00",
            "description": "[X]Intent self harm by hanging strangulat/suffocat occ home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2...11",
            "description": "[X]Self inflicted injury",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U211.00",
            "description": "[X]Intent self harm by hangng strangult/suffoct resid instit",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2...12",
            "description": "[X]Injury - self-inflicted",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U212.00",
            "description": "[X]Inten slf harm hang strang/suffc sch oth ins/pub adm area",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2...13",
            "description": "[X]Suicide",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2...14",
            "description": "[X]Attempted suicide",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2...15",
            "description": "[X]Para-suicide",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U216.00",
            "description": "[X]Intent self harm by hang strangl/suffc indust/constr area",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U21y.00",
            "description": "[X]Intent self harm by hangng strangul/suffoct oth spec plce",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U21z.00",
            "description": "[X]Intent self harm by hangng strangul/suffoct unspecif plce",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U22..00",
            "description": "[X]Intentional self harm by drowning and submersion",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U220.00",
            "description": "[X]Intent self harm by drowning/submersion occurrn at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U221.00",
            "description": "[X]Intent self harm by drowning/submersn occ resid instit'n",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U22y.00",
            "description": "[X]Intent self harm by drown/submersn occ oth specif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U22z.00",
            "description": "[X]Intent self harm by drown/submersn occ unspecified place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U24..00",
            "description": "[X]Intent self harm by rifle shotgun/larger firearm disch",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U241.00",
            "description": "[X]Int self harm rifl s'gun/lrg frarm disch occ resid instit",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U242.00",
            "description": "[X]Int slf hrm rifl s'gun/lrg frarm dis sch/ins/pub adm area",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U25..00",
            "description": "[X]Intent self harm by other/unspecified firearm discharge",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U250.00",
            "description": "[X]Intent self harm oth/unspecif firearm disch occ at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U26..00",
            "description": "[X]Intentional self harm by explosive material",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U27..00",
            "description": "[X]Intentional self harm by smoke, fire and flames",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U270.00",
            "description": "[X]Intention self harm by smoke fire/flames occurrn at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U274.00",
            "description": "[X]Intent self harm by smoke fire/flame occ street/highway",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U27z.00",
            "description": "[X]Intent self harm by smoke fire/flames occ unspecif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U28..00",
            "description": "[X]Intentional self harm by steam hot vapours / hot objects",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U280.00",
            "description": "[X]Intent self harm by steam hot vapour/hot obj occ at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U28z.00",
            "description": "[X]Intent self harm by steam hot vapour/obj occ unspec place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U29..00",
            "description": "[X]Intentional self harm by sharp object",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U290.00",
            "description": "[X]Intentional self harm by sharp object occurrence at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U291.00",
            "description": "[X]Intent self harm by sharp object occ resident instit'n",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U294.00",
            "description": "[X]Intention self harm by sharp object occ street/highway",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U29y.00",
            "description": "[X]Intention self harm by sharp object occ oth specif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U29z.00",
            "description": "[X]Intentional self harm by sharp object occ unspecif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2A..00",
            "description": "[X]Intentional self harm by blunt object",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2A0.00",
            "description": "[X]Intentional self harm by blunt object occurrence at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2A1.00",
            "description": "[X]Intent self harm by blunt object occ resident instit'n",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2A3.00",
            "description": "[X]Intent self harm by blunt object occ sports/athlet area",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2B..00",
            "description": "[X]Intentional self harm by jumping from a high place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2B0.00",
            "description": "[X]Intent self harm by jumping from high place occ at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2B4.00",
            "description": "[X]Intent self harm by jump from high place occ street/h'way",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2B6.00",
            "description": "[X]Int self harm by jump from high place indust/constr area",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2By.00",
            "description": "[X]Int self harm by jump from high place occ oth specif plce",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2Bz.00",
            "description": "[X]Int self harm by jump from high place occ unspecif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2C..00",
            "description": "[X]Intent self harm by jumping / lying before moving object",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2C1.00",
            "description": "[X]Int self harm jump/lying befr mov obje occ resid instit'n",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2C4.00",
            "description": "[X]Int self harm jump/lying befr mov obje occ street/highway",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2Cy.00",
            "description": "[X]Int self harm jump/lying bef mov obje occ oth specif plce",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2D..00",
            "description": "[X]Intentional self harm by crashing of motor vehicle",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2D0.00",
            "description": "[X]Intent self harm by crash of motor vehicl occurrn at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2D4.00",
            "description": "[X]Intent self harm by crash motor vehicl occ street/highway",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2D6.00",
            "description": "[X]Intent self harm crash motor vehic occ indust/constr area",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2E..00",
            "description": "[X]Self mutilation",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2y..00",
            "description": "[X]Intentional self harm by other specified means",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2y0.00",
            "description": "[X]Intentionl self harm by oth specif means occurrn at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2y1.00",
            "description": "[X]Intent self harm by oth specif means occ resid instit'n",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2yz.00",
            "description": "[X]Intent self harm by oth specif means occ unspecif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2z..00",
            "description": "[X]Intentional self harm by unspecified means",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2z0.00",
            "description": "[X]Intentional self harm by unspecif means occurrn at home",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2z2.00",
            "description": "[X]Intent self harm by unspec mean occ sch/ins/pub adm area",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2zy.00",
            "description": "[X]Intent self harm by unspecif means occ oth specif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U2zz.00",
            "description": "[X]Intent self harm by unspecif means occ at unspecif place",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U30..11",
            "description": "[X]Deliberate drug poisoning",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U41..00",
            "description": "[X]Hanging strangulation + suffocation undetermined intent",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U44..00",
            "description": "[X]Rifle shotgun+larger firearm discharge undetermin intent",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U45..00",
            "description": "[X]Other+unspecified firearm discharge undetermined intent",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U4B..00",
            "description": "[X]Falling jumping/pushed from high place undeterm intent",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U4Bz.00",
            "description": "[X]Fall jump/push frm high plce undt intnt occ unspecif plce",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U72..00",
            "description": "[X]Sequel intentn self-harm assault+event of undeterm intent",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "U720.00",
            "description": "[X]Sequelae of intentional self-harm",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZRLfC12",
            "description": "HoNOS item 2 - non-accidental self injury",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZRn3.00",
            "description": "Suicide intent score subscale - attempt circumstances",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX...00",
            "description": "Self-harm",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1..00",
            "description": "Self-injurious behaviour",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX...11",
            "description": "Self-damage",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX11.00",
            "description": "Biting self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX11.11",
            "description": "Bites self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1..12",
            "description": "SIB - Self-injurious behaviour",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1..13",
            "description": "Deliberate self-harm",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX12.00",
            "description": "Burning self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX13.00",
            "description": "Cutting self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX13100",
            "description": "Cutting own wrists",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX13.11",
            "description": "Cuts self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX15.00",
            "description": "Drowning self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX18.00",
            "description": "Hanging self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX19.00",
            "description": "Hitting self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX19100",
            "description": "Punching self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX19200",
            "description": "Slapping self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1B.00",
            "description": "Jumping from height",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1B100",
            "description": "Jumping from building",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1B200",
            "description": "Jumping from bridge",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1B300",
            "description": "Jumping from cliff",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1C.00",
            "description": "Nipping self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1E.00",
            "description": "Pinching self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1G.00",
            "description": "Scratches self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1H.00",
            "description": "Self-asphyxiation",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1H100",
            "description": "Self-strangulation",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1H200",
            "description": "Self-suffocation",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1I.00",
            "description": "Self-scalding",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1J.00",
            "description": "Self-electrocution",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1K.00",
            "description": "Self-incineration",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1K.11",
            "description": "Setting fire to self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1K.12",
            "description": "Setting self alight",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1L.00",
            "description": "Self-mutilation",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1L100",
            "description": "Self-mutilation of hands",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1L200",
            "description": "Self-mutilation of genitalia",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1L300",
            "description": "Self-mutilation of penis",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1L600",
            "description": "Self-mutilation of ears",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1LD00",
            "description": "[X]Self mutilation",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1M.00",
            "description": "Shooting self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1N.00",
            "description": "Stabbing self",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1Q.00",
            "description": "Throwing self in front of train",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1Q.11",
            "description": "Jumping under train",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1R.00",
            "description": "Throwing self in front of vehicle",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          },
          {
            "code": "ZX1S.00",
            "description": "Throwing self onto floor",
            "attributes": {
              "Entity type": "res33: Self-harm",
              "Category": "diagnostic",
              "Coding System (Read)": "Read"
            }
          }
        ]
      }
    ],
    "status": 2,
    "doi": "https://doi.org/10.48533/nmfp-0602",
    "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": 784,
        "version_name": "Self Harm",
        "version_date": "2021-10-06T16:17:11.508557Z",
        "is_published": true,
        "is_latest": true
      }
    ]
  }
]