Print

Alcohol

Matthew J Carr, Darren M Ashcroft, Evangelos Kontopantelis, David While, Yvonne Awenat, Jayne Cooper, Carolyn Chew-Graham, Nav Kapur, Roger T Webb

Type
Lifestyle Risk Factor
ID
PH359
Version ID
718
Data Sources
Valid event data range
01/01/2001 - 31/12/2013
Sex
Female, Male
Agreement Date
2017-05-01
Coding system
Read codes v2
Tags /Collections
ClinicalCodes Repository Phenotype Library

Definition

PURPOSE:

Self-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.

METHODS:

During 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.

RESULTS:

We 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.

CONCLUSIONS:

Primary 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.

Publications

  • 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.

Clinical Code List

Rows: 99
Code Description Entity type Category Coding System (Read)
1282.00 fh: alcoholism res41: alcohol diagnostic Read
1366.00 Very heavy drinker - >9u/day res41: alcohol diagnostic Read
136Q.00 Very heavy drinker res41: alcohol diagnostic Read
136T.00 harmful alcohol use res41: alcohol diagnostic Read
1462.00 H/O: alcoholism res41: alcohol diagnostic Read
1B1c.00 Alcohol induced hallucinations res41: alcohol diagnostic Read
66e0.00 alcohol abuse monitoring res41: alcohol diagnostic Read
7P22100 Delivery of rehabilitation for alcohol addiction res41: alcohol diagnostic Read
8BA8.00 alcohol detoxification res41: alcohol diagnostic Read
8CAv.00 advised to contact primary care alcohol worker res41: alcohol diagnostic Read
8G32.00 Aversion therapy - alcoholism res41: alcohol diagnostic Read
8H35.00 admitted to alcohol detoxification centre res41: alcohol diagnostic Read
8HkG.00 Referral to specialist alcohol treatment service res41: alcohol diagnostic Read
8IAF.00 brief intervention for excessive alcohol consumptn declined res41: alcohol diagnostic Read
8IAJ.00 declined referral to specialist alcohol treatment service res41: alcohol diagnostic Read
8IAt.00 Extended intervention for excessive alcohol consumption declined res41: alcohol diagnostic Read
9NN2.00 Under care of community alcohol team res41: alcohol diagnostic Read
9k1B.00 Extended intervention for excessive alcohol consumption completed res41: alcohol diagnostic Read
C150500 Alcohol-induced pseudo-Cushing's syndrome res41: alcohol diagnostic Read
E01..00 Alcoholic psychoses res41: alcohol diagnostic Read
E010.00 Alcohol withdrawal delirium res41: alcohol diagnostic Read
E011000 Korsakov's alcoholic psychosis res41: alcohol diagnostic Read
E011100 Korsakov's alcoholic psychosis with peripheral neuritis res41: alcohol diagnostic Read
E011200 Wernicke-Korsakov syndrome res41: alcohol diagnostic Read
E011z00 Alcohol amnestic syndrome NOS res41: alcohol diagnostic Read
E012.00 Other alcoholic dementia res41: alcohol diagnostic Read
E012.11 alcoholic dementia nos res41: alcohol diagnostic Read
E012000 Chronic alcoholic brain syndrome res41: alcohol diagnostic Read
E013.00 Alcohol withdrawal hallucinosis res41: alcohol diagnostic Read
E014.00 pathological alcohol intoxication res41: alcohol diagnostic Read
E015.00 Alcoholic paranoia res41: alcohol diagnostic Read
E01y.00 Other alcoholic psychosis res41: alcohol diagnostic Read
E01y000 Alcohol withdrawal syndrome res41: alcohol diagnostic Read
E01yz00 Other alcoholic psychosis NOS res41: alcohol diagnostic Read
E01z.00 Alcoholic psychosis NOS res41: alcohol diagnostic Read
E23..00 Alcohol dependence syndrome res41: alcohol diagnostic Read
E23..11 Alcoholism res41: alcohol diagnostic Read
E230.00 Acute alcoholic intoxication in alcoholism res41: alcohol diagnostic Read
E230.11 alcohol dependence with acute alcoholic intoxication res41: alcohol diagnostic Read
E230000 Acute alcoholic intoxication, unspecified, in alcoholism res41: alcohol diagnostic Read
E230100 Continuous acute alcoholic intoxication in alcoholism res41: alcohol diagnostic Read
E230200 Episodic acute alcoholic intoxication in alcoholism res41: alcohol diagnostic Read
E230300 Acute alcoholic intoxication in remission, in alcoholism res41: alcohol diagnostic Read
E230z00 Acute alcoholic intoxication in alcoholism NOS res41: alcohol diagnostic Read
E231.00 Chronic alcoholism res41: alcohol diagnostic Read
E231000 Unspecified chronic alcoholism res41: alcohol diagnostic Read
E231100 Continuous chronic alcoholism res41: alcohol diagnostic Read
E231200 Episodic chronic alcoholism res41: alcohol diagnostic Read
E231300 Chronic alcoholism in remission res41: alcohol diagnostic Read
E231z00 Chronic alcoholism NOS res41: alcohol diagnostic Read
E23z.00 Alcohol dependence syndrome NOS res41: alcohol diagnostic Read
E250300 nondependent alcohol abuse in remission res41: alcohol diagnostic Read
Eu10.00 [X]Mental and behavioural disorders due to use of alcohol res41: alcohol diagnostic Read
Eu10100 [x]mental and behav dis due to use of alcohol: harmful use res41: alcohol diagnostic Read
Eu10200 [X]Mental and behavioural disorders due to use of alcohol: dependence syndrome res41: alcohol diagnostic Read
Eu10211 [x]alcohol addiction res41: alcohol diagnostic Read
Eu10212 [x]chronic alcoholism res41: alcohol diagnostic Read
Eu10300 [X]Mental and behavioural disorders due to use of alcohol: withdrawal state res41: alcohol diagnostic Read
Eu10400 [X]Mental and behavioural disorders due to use of alcohol: withdrawal state with delirium res41: alcohol diagnostic Read
Eu10411 [x]delirium tremens, alcohol induced res41: alcohol diagnostic Read
Eu10500 [X]Mental and behavioural disorders due to use of alcohol: psychotic disorder res41: alcohol diagnostic Read
Eu10511 [X]Alcoholic hallucinosis res41: alcohol diagnostic Read
Eu10512 [x]alcoholic jealousy res41: alcohol diagnostic Read
Eu10513 [X]Alcoholic paranoia res41: alcohol diagnostic Read
Eu10514 [X]Alcoholic psychosis NOS res41: alcohol diagnostic Read
Eu10600 [X]Mental and behavioural disorders due to use of alcohol: amnesic syndrome res41: alcohol diagnostic Read
Eu10611 [x]korsakov's psychosis, alcohol induced res41: alcohol diagnostic Read
Eu10700 [X]Mental and behavioural disorders due to use of alcohol: residual and late-onset psychotic disorde res41: alcohol diagnostic Read
Eu10711 [X]Alcoholic dementia NOS res41: alcohol diagnostic Read
Eu10712 [X]Chronic alcoholic brain syndrome res41: alcohol diagnostic Read
Eu10800 [X]Alcohol withdrawal-induced seizure res41: alcohol diagnostic Read
Eu10y00 [X]Mental and behavioural disorders due to use of alcohol: other mental and behavioural disorders res41: alcohol diagnostic Read
Eu10z00 [X]Mental and behavioural disorders due to use of alcohol: unspecified mental and behavioural disord res41: alcohol diagnostic Read
F11x000 Cerebral degeneration due to alcoholism res41: alcohol diagnostic Read
F11x011 Alcoholic encephalopathy res41: alcohol diagnostic Read
F144000 Cerebellar ataxia due to alcoholism res41: alcohol diagnostic Read
F25B.00 Alcohol-induced epilepsy res41: alcohol diagnostic Read
F375.00 Alcoholic polyneuropathy res41: alcohol diagnostic Read
F394100 Alcoholic myopathy res41: alcohol diagnostic Read
G555.00 Alcoholic cardiomyopathy res41: alcohol diagnostic Read
G852300 Oesophageal varices in alcoholic cirrhosis of the liver res41: alcohol diagnostic Read
J610.00 Alcoholic fatty liver res41: alcohol diagnostic Read
J611.00 Acute alcoholic hepatitis res41: alcohol diagnostic Read
J612.00 Alcoholic cirrhosis of liver res41: alcohol diagnostic Read
J612000 Alcoholic fibrosis and sclerosis of liver res41: alcohol diagnostic Read
J613.00 Alcoholic liver damage unspecified res41: alcohol diagnostic Read
J613000 Alcoholic hepatic failure res41: alcohol diagnostic Read
J617.00 Alcoholic hepatitis res41: alcohol diagnostic Read
J617000 Chronic alcoholic hepatitis res41: alcohol diagnostic Read
J671000 Alcohol-induced chronic pancreatitis res41: alcohol diagnostic Read
SLH3.00 Alcohol deterrent poisoning res41: alcohol diagnostic Read
SM00100 denatured alcohol causing toxic effect res41: alcohol diagnostic Read
U60H300 [X]Alcohol deterrents causing adverse effects in therapeutic use res41: alcohol diagnostic Read
U60H311 [X] Adverse reaction to alcohol deterrents res41: alcohol diagnostic Read
Z191.00 alcohol detoxification res41: alcohol diagnostic Read
Z191100 alcohol withdrawal regime res41: alcohol diagnostic Read
Z191211 alcohol reduction programme res41: alcohol diagnostic Read
ZR1E.11 ads - alcohol dependence scale res41: alcohol diagnostic Read
ZV11300 [V]Personal history of alcoholism res41: alcohol diagnostic Read

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH359/version/718/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH359/version/718/detail/?format=json
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get details of phenotype

details = get_phenotype_detail_by_version('PH359', '718', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH359/version/718/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH359/version/718/export/codes/?format=json
CSV site_root/phenotypes/PH359/version/718/export/codes/
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get codelists of phenotype

codelists = get_phenotype_code_list('PH359', '718', api_client=client)

Version History

Version
ID
Name Owner Publish date
718 Alcohol ieuan.scanlon 2021-10-06 currently shown

Export - export all codes into a csv file/JSON/XML for the current phenotype version.

Print - Print page.