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Eating Disorder

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

ID
PH377
Version ID
754
Type
Disease or Syndrome
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
Collections
ClinicalCodes Repository Phenotype Library
Tags
No tags

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: 38
Code Description Entity type Category Coding System (Read)
1612.00 Appetite loss - anorexia res41: Eating disorder diagnostic Read
1612.11 Anorexia symptom res41: Eating disorder diagnostic Read
1614.00 Excessive eating - polyphagia res41: Eating disorder diagnostic Read
1614.11 Hyperalimentation - symptom res41: Eating disorder diagnostic Read
1614.12 Polyphagia symptom res41: Eating disorder diagnostic Read
8HTN.00 Referral to eating disorders clinic res41: Eating disorder diagnostic Read
9Nk9.00 Seen in eating disorder clinic res41: Eating disorder diagnostic Read
E271.00 Anorexia nervosa res41: Eating disorder diagnostic Read
E275.00 Other and unspecified non-organic eating disorders res41: Eating disorder diagnostic Read
E275000 Unspecified non-organic eating disorder res41: Eating disorder diagnostic Read
E275100 Bulimia (non-organic overeating) res41: Eating disorder diagnostic Read
E275111 Compulsive eating disorder res41: Eating disorder diagnostic Read
E275y00 Other specified non-organic eating disorder res41: Eating disorder diagnostic Read
E275z00 Non-organic eating disorder NOS res41: Eating disorder diagnostic Read
Eu50.00 [X]Eating disorders res41: Eating disorder diagnostic Read
Eu50000 [X]Anorexia nervosa res41: Eating disorder diagnostic Read
Eu50100 [X]Atypical anorexia nervosa res41: Eating disorder diagnostic Read
Eu50200 [X]Bulimia nervosa res41: Eating disorder diagnostic Read
Eu50211 [X]Bulimia NOS res41: Eating disorder diagnostic Read
Eu50212 [X]Hyperorexia nervosa res41: Eating disorder diagnostic Read
Eu50300 [X]Atypical bulimia nervosa res41: Eating disorder diagnostic Read
Eu50400 [X]Overeating associated with other psychological disturbncs res41: Eating disorder diagnostic Read
Eu50411 [X]Psychogenic overeating res41: Eating disorder diagnostic Read
Eu50y00 [X]Other eating disorders res41: Eating disorder diagnostic Read
Eu50y11 [X]Pica in adults res41: Eating disorder diagnostic Read
Eu50z00 [X]Eating disorder, unspecified res41: Eating disorder diagnostic Read
Fy05.00 Nocturnal sleep-related eating disorder res41: Eating disorder diagnostic Read
R030.00 [D]Anorexia res41: Eating disorder diagnostic Read
R030z00 [D]Anorexia NOS res41: Eating disorder diagnostic Read
R036.00 [D]Polyphagia res41: Eating disorder diagnostic Read
R036000 [D]Excessive eating res41: Eating disorder diagnostic Read
R036011 [D]Bulimia NOS res41: Eating disorder diagnostic Read
R036100 [D]Hyperalimentation res41: Eating disorder diagnostic Read
R036z00 [D]Polyphagia NOS res41: Eating disorder diagnostic Read
SN42100 Starvation res41: Eating disorder diagnostic Read
U1B3.11 [X]Starvation res41: Eating disorder diagnostic Read
Z4B5.00 Eating disorder counselling res41: Eating disorder diagnostic Read
ZC2CD00 Dietary advice for eating disorder res41: Eating disorder diagnostic Read

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH377/version/754/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH377/version/754/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('PH377', '754', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH377/version/754/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH377/version/754/export/codes/?format=json
CSV site_root/phenotypes/PH377/version/754/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('PH377', '754', api_client=client)

Version History

Version
ID
Name Owner Publish date
754 Eating Disorder ieuan.scanlon 2021-10-06 currently shown

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

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