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Personality Disorder

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

ID
PH384
Version ID
768
Type
Disease or Syndrome
Data Sources
Valid event data range
01/01/2001 - 31/12/2012
Sex
♀  Female ♂  Male
Agreement Date
2016-03-08
Coding system
Read codes v2
Collections
ClinicalCodes Repository Phenotype Library
Tags
No tags

Definition

Background:

Little is known about the clinical management of patients in primary care following self-harm.

Methods:

A descriptive cohort study using data from 684 UK general practices that contributed to the Clinical Practice Research Datalink (CPRD) during 2001-2013. We identified 49,970 patients with a self-harm episode, 41,500 of whom had one complete year of follow-up.

Results:

Among those with complete follow-up, 26,065 (62.8%, 62.3-63.3) were prescribed psychotropic medication and 6318 (15.2%, 14.9-15.6) were referred to mental health services; 4105 (9.9%, CI 9.6-10.2) were medicated without an antecedent psychiatric diagnosis or referral, and 4,506 (10.9%, CI 10.6-11.2) had a diagnosis but were not subsequently medicated or referred. Patients registered at practices in the most deprived localities were 27.1% (CI 21.5-32.2) less likely to be referred than those in the least deprived. Despite a specifically flagged NICE 'Do not do' recommendation in 2011 against prescribing tricyclic antidepressants following self-harm because of their potentially lethal toxicity in overdose, 8.8% (CI 7.8-9.8) of individuals were issued a prescription in the subsequent year. The percentage prescribed Citalopram, an SSRI antidepressant with higher toxicity in overdose, fell sharply during 2012/2013 in the aftermath of a Medicines and Healthcare products Regulatory Agency (MHRA) safety alert issued in 2011.

Conclusions:

A relatively small percentage of these vulnerable patients are referred to mental health services, and reduced likelihood of referral in more deprived localities reflects a marked health inequality. National clinical guidelines have not yet been effective in reducing rates of tricyclic antidepressant prescribing for this high-risk group.

Publications

  • Matthew J Carr, Darren M Ashcroft, Evangelos Kontopantelis, David While, Yvonne Awenant, Jayne Cooper, Carolyn Chew-Graham, Nav Kapur, Roger T Webb, Clinical management following self-harm in a UK-wide primary care cohort. Journal of Affective Disorders, 197(2016) 182-188, 2016.

Clinical Code List

Rows: 78
Code Description Entity type Category Coding System (Read)
E21..00 Personality disorders res36: Personality disorder diagnostic Read
E21..11 Neurotic personality disorder res36: Personality disorder diagnostic Read
E210.00 Paranoid personality disorder res36: Personality disorder diagnostic Read
E211.00 Affective personality disorder res36: Personality disorder diagnostic Read
E211000 Unspecified affective personality disorder res36: Personality disorder diagnostic Read
E211100 Hypomanic personality disorder res36: Personality disorder diagnostic Read
E211200 Depressive personality disorder res36: Personality disorder diagnostic Read
E211300 Cyclothymic personality disorder res36: Personality disorder diagnostic Read
E211z00 Affective personality disorder NOS res36: Personality disorder diagnostic Read
E212.00 Schizoid personality disorder res36: Personality disorder diagnostic Read
E212000 Unspecified schizoid personality disorder res36: Personality disorder diagnostic Read
E212z00 Schizoid personality disorder NOS res36: Personality disorder diagnostic Read
E213.00 Explosive personality disorder res36: Personality disorder diagnostic Read
E214.00 Compulsive personality disorders res36: Personality disorder diagnostic Read
E214.11 Anancastic personality res36: Personality disorder diagnostic Read
E214000 Anankastic personality res36: Personality disorder diagnostic Read
E214z00 Compulsive personality disorder NOS res36: Personality disorder diagnostic Read
E215.00 Histrionic personality disorders res36: Personality disorder diagnostic Read
E215.11 Hysterical personality disorders res36: Personality disorder diagnostic Read
E215000 Unspecified histrionic personality disorder res36: Personality disorder diagnostic Read
E215z00 Histrionic personality disorder NOS res36: Personality disorder diagnostic Read
E216.00 Inadequate personality disorder res36: Personality disorder diagnostic Read
E217.00 Antisocial or sociopathic personality disorder res36: Personality disorder diagnostic Read
E21y.00 Other personality disorders res36: Personality disorder diagnostic Read
E21y000 Narcissistic personality disorder res36: Personality disorder diagnostic Read
E21y100 Avoidant personality disorder res36: Personality disorder diagnostic Read
E21y200 Borderline personality disorder res36: Personality disorder diagnostic Read
E21y300 Passive-aggressive personality disorder res36: Personality disorder diagnostic Read
E21y400 Eccentric personality disorder res36: Personality disorder diagnostic Read
E21y500 Immature personality disorder res36: Personality disorder diagnostic Read
E21y600 Masochistic personality disorder res36: Personality disorder diagnostic Read
E21y700 Psychoneurotic personality disorder res36: Personality disorder diagnostic Read
E21yz00 Other personality disorder NOS res36: Personality disorder diagnostic Read
E21z.00 Personality disorder NOS res36: Personality disorder diagnostic Read
E21z.11 Psychopathic personality res36: Personality disorder diagnostic Read
Eu06000 [X]Organic personality disorder res36: Personality disorder diagnostic Read
Eu06011 [X]Organic pseudopsychopathic personality res36: Personality disorder diagnostic Read
Eu21.17 [X]Pseudopsychopathic schizophrenia res36: Personality disorder diagnostic Read
Eu21.18 [X]Schizotypal personality disorder res36: Personality disorder diagnostic Read
Eu34011 [X]Affective personality disorder res36: Personality disorder diagnostic Read
Eu34112 [X]Depressive personality disorder res36: Personality disorder diagnostic Read
Eu60.00 [X]Specific personality disorders res36: Personality disorder diagnostic Read
Eu60000 [X]Paranoid personality disorder res36: Personality disorder diagnostic Read
Eu60013 [X]Querulant personality disorder res36: Personality disorder diagnostic Read
Eu60014 [X]Sensitive paranoid personality disorder res36: Personality disorder diagnostic Read
Eu60100 [X]Schizoid personality disorder res36: Personality disorder diagnostic Read
Eu60200 [X]Dissocial personality disorder res36: Personality disorder diagnostic Read
Eu60212 [X]Antisocial personality disorder res36: Personality disorder diagnostic Read
Eu60213 [X]Asocial personality disorder res36: Personality disorder diagnostic Read
Eu60214 [X]Psychopathic personality disorder res36: Personality disorder diagnostic Read
Eu60215 [X]Sociopathic personality disorder res36: Personality disorder diagnostic Read
Eu60300 [X]Emotionally unstable personality disorder res36: Personality disorder diagnostic Read
Eu60311 [X]Aggressive personality disorder res36: Personality disorder diagnostic Read
Eu60312 [X]Borderline personality disorder res36: Personality disorder diagnostic Read
Eu60313 [X]Explosive personality disorder res36: Personality disorder diagnostic Read
Eu60400 [X]Histrionic personality disorder res36: Personality disorder diagnostic Read
Eu60411 [X]Hysterical personality disorder res36: Personality disorder diagnostic Read
Eu60412 [X]Psychoinfantile personality disorder res36: Personality disorder diagnostic Read
Eu60500 [X]Anankastic personality disorder res36: Personality disorder diagnostic Read
Eu60511 [X]Compulsive personality disorder res36: Personality disorder diagnostic Read
Eu60512 [X]Obsessional personality disorder res36: Personality disorder diagnostic Read
Eu60513 [X]Obsessive-compulsive personality disorder res36: Personality disorder diagnostic Read
Eu60600 [X]Anxious [avoidant] personality disorder res36: Personality disorder diagnostic Read
Eu60700 [X]Dependent personality disorder res36: Personality disorder diagnostic Read
Eu60711 [X]Asthenic personality disorder res36: Personality disorder diagnostic Read
Eu60712 [X]Inadequate personality disorder res36: Personality disorder diagnostic Read
Eu60713 [X]Passive personality disorder res36: Personality disorder diagnostic Read
Eu60714 [X]Self defeating personality disorder res36: Personality disorder diagnostic Read
Eu60y00 [X]Other specific personality disorders res36: Personality disorder diagnostic Read
Eu60y11 [X]Eccentric personality disorder res36: Personality disorder diagnostic Read
Eu60y12 [X]Haltlose type personality disorder res36: Personality disorder diagnostic Read
Eu60y13 [X]Immature personality disorder res36: Personality disorder diagnostic Read
Eu60y14 [X]Narcissistic personality disorder res36: Personality disorder diagnostic Read
Eu60y16 [X]Psychoneurotic personality disorder res36: Personality disorder diagnostic Read
Eu60z00 [X]Personality disorder, unspecified res36: Personality disorder diagnostic Read
Eu61.00 [X]Mixed and other personality disorders res36: Personality disorder diagnostic Read
Eu84511 [X]Autistic psychopathy res36: Personality disorder diagnostic Read
Eu94211 [X]Affectionless psychopathy res36: Personality disorder diagnostic Read

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH384/version/768/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH384/version/768/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('PH384', '768', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH384/version/768/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH384/version/768/export/codes/?format=json
CSV site_root/phenotypes/PH384/version/768/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('PH384', '768', api_client=client)

Version History

Version
ID
Name Owner Publish date
768 Personality 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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