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Self Harm

Matthew J Carr, Darren M Ashcrof, Evangelos Kontopantelis, Yvonne Awenant, Jayne Cooper, Carolynn Chew-Graham, Nav Kapur, Roger T. Webb

Type
Lifestyle Risk Factor
ID
PH392
Version ID
784
Data Sources
Sex
Female, Male
Agreement Date
2016-02-29
Coding system
Read codes v2
Tags /Collections
ClinicalCodes Repository Phenotype Library

Definition

Description of the data source:

This 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.

Case definition and clinical coding:

In 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.

Self-harm frequency measures:

Calculating 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.

Incidence:

When 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).

Measurement of deprivation:

Deprivation 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.

Statistical analyses:

The 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.

Publications

  • 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.

Clinical Code List

Rows: 261
Code Description Entity type Category Coding System (Read)
14K1.00 Intentional overdose of prescription only medication res33: Self-harm diagnostic Read
SL...14 Overdose of biological substance res33: Self-harm diagnostic Read
SL...15 Overdose of drug res33: Self-harm diagnostic Read
SL90.00 Antidepressant poisoning res33: Self-harm diagnostic Read
SL90z00 Anti-depressant poisoning NOS res33: Self-harm diagnostic Read
SLHz.00 Drug and medicament poisoning NOS res33: Self-harm diagnostic Read
TK...00 Suicide and selfinflicted injury res33: Self-harm diagnostic Read
TK...11 Cause of overdose - deliberate res33: Self-harm diagnostic Read
TK...12 Injury - self-inflicted res33: Self-harm diagnostic Read
TK...13 Poisoning - self-inflicted res33: Self-harm diagnostic Read
TK...14 Suicide and self harm res33: Self-harm diagnostic Read
TK...15 Attempted suicide res33: Self-harm diagnostic Read
TK...17 Para-suicide res33: Self-harm diagnostic Read
TK0..00 Suicide + selfinflicted poisoning by solid/liquid substances res33: Self-harm diagnostic Read
TK00.00 Suicide + selfinflicted poisoning by analgesic/antipyretic res33: Self-harm diagnostic Read
TK01.00 Suicide + selfinflicted poisoning by barbiturates res33: Self-harm diagnostic Read
TK01000 Suicide and self inflicted injury by Amylobarbitone res33: Self-harm diagnostic Read
TK01100 Suicide and self inflicted injury by Barbitone res33: Self-harm diagnostic Read
TK01400 Suicide and self inflicted injury by Phenobarbitone res33: Self-harm diagnostic Read
TK02.00 Suicide + selfinflicted poisoning by oth sedatives/hypnotics res33: Self-harm diagnostic Read
TK03.00 Suicide + selfinflicted poisoning tranquilliser/psychotropic res33: Self-harm diagnostic Read
TK04.00 Suicide + selfinflicted poisoning by other drugs/medicines res33: Self-harm diagnostic Read
TK05.00 Suicide + selfinflicted poisoning by drug or medicine NOS res33: Self-harm diagnostic Read
TK06.00 Suicide + selfinflicted poisoning by agricultural chemical res33: Self-harm diagnostic Read
TK07.00 Suicide + selfinflicted poisoning by corrosive/caustic subst res33: Self-harm diagnostic Read
TK0z.00 Suicide + selfinflicted poisoning by solid/liquid subst NOS res33: Self-harm diagnostic Read
TK1..00 Suicide + selfinflicted poisoning by gases in domestic use res33: Self-harm diagnostic Read
TK10.00 Suicide + selfinflicted poisoning by gas via pipeline res33: Self-harm diagnostic Read
TK11.00 Suicide + selfinflicted poisoning by liquified petrol gas res33: Self-harm diagnostic Read
TK1y.00 Suicide and selfinflicted poisoning by other utility gas res33: Self-harm diagnostic Read
TK1z.00 Suicide + selfinflicted poisoning by domestic gases NOS res33: Self-harm diagnostic Read
TK2..00 Suicide + selfinflicted poisoning by other gases and vapours res33: Self-harm diagnostic Read
TK20.00 Suicide + selfinflicted poisoning by motor veh exhaust gas res33: Self-harm diagnostic Read
TK21.00 Suicide and selfinflicted poisoning by other carbon monoxide res33: Self-harm diagnostic Read
TK2z.00 Suicide + selfinflicted poisoning by gases and vapours NOS res33: Self-harm diagnostic Read
TK3..00 Suicide + selfinflicted injury by hang/strangulate/suffocate res33: Self-harm diagnostic Read
TK30.00 Suicide and selfinflicted injury by hanging res33: Self-harm diagnostic Read
TK31.00 Suicide + selfinflicted injury by suffocation by plastic bag res33: Self-harm diagnostic Read
TK3y.00 Suicide + selfinflicted inj oth mean hang/strangle/suffocate res33: Self-harm diagnostic Read
TK3z.00 Suicide + selfinflicted inj by hang/strangle/suffocate NOS res33: Self-harm diagnostic Read
TK4..00 Suicide and selfinflicted injury by drowning res33: Self-harm diagnostic Read
TK5..00 Suicide and selfinflicted injury by firearms and explosives res33: Self-harm diagnostic Read
TK51.00 Suicide and selfinflicted injury by shotgun res33: Self-harm diagnostic Read
TK52.00 Suicide and selfinflicted injury by hunting rifle res33: Self-harm diagnostic Read
TK54.00 Suicide and selfinflicted injury by other firearm res33: Self-harm diagnostic Read
TK5z.00 Suicide and selfinflicted injury by firearms/explosives NOS res33: Self-harm diagnostic Read
TK6..00 Suicide and selfinflicted injury by cutting and stabbing res33: Self-harm diagnostic Read
TK60.00 Suicide and selfinflicted injury by cutting res33: Self-harm diagnostic Read
TK60100 Self inflicted lacerations to wrist res33: Self-harm diagnostic Read
TK60111 Slashed wrists self inflicted res33: Self-harm diagnostic Read
TK61.00 Suicide and selfinflicted injury by stabbing res33: Self-harm diagnostic Read
TK6z.00 Suicide and selfinflicted injury by cutting and stabbing NOS res33: Self-harm diagnostic Read
TK7..00 Suicide and selfinflicted injury by jumping from high place res33: Self-harm diagnostic Read
TK70.00 Suicide+selfinflicted injury-jump from residential premises res33: Self-harm diagnostic Read
TK71.00 Suicide+selfinflicted injury-jump from oth manmade structure res33: Self-harm diagnostic Read
TK72.00 Suicide+selfinflicted injury-jump from natural sites res33: Self-harm diagnostic Read
TK7z.00 Suicide+selfinflicted injury-jump from high place NOS res33: Self-harm diagnostic Read
TKx..00 Suicide and selfinflicted injury by other means res33: Self-harm diagnostic Read
TKx0.00 Suicide + selfinflicted injury-jump/lie before moving object res33: Self-harm diagnostic Read
TKx0000 Suicide + selfinflicted injury-jumping before moving object res33: Self-harm diagnostic Read
TKx1.00 Suicide and selfinflicted injury by burns or fire res33: Self-harm diagnostic Read
TKx2.00 Suicide and selfinflicted injury by scald res33: Self-harm diagnostic Read
TKx3.00 Suicide and selfinflicted injury by extremes of cold res33: Self-harm diagnostic Read
TKx4.00 Suicide and selfinflicted injury by electrocution res33: Self-harm diagnostic Read
TKx5.00 Suicide and selfinflicted injury by crashing motor vehicle res33: Self-harm diagnostic Read
TKx6.00 Suicide and selfinflicted injury by crashing of aircraft res33: Self-harm diagnostic Read
TKx7.00 Suicide and selfinflicted injury caustic subst, excl poison res33: Self-harm diagnostic Read
TKxy.00 Suicide and selfinflicted injury by other specified means res33: Self-harm diagnostic Read
TKxz.00 Suicide and selfinflicted injury by other means NOS res33: Self-harm diagnostic Read
TKy..00 Late effects of selfinflicted injury res33: Self-harm diagnostic Read
TKz..00 Suicide and selfinflicted injury NOS res33: Self-harm diagnostic Read
U2...00 [X]Intentional self-harm res33: Self-harm diagnostic Read
U2...11 [X]Self inflicted injury res33: Self-harm diagnostic Read
U2...12 [X]Injury - self-inflicted res33: Self-harm diagnostic Read
U2...13 [X]Suicide res33: Self-harm diagnostic Read
U2...14 [X]Attempted suicide res33: Self-harm diagnostic Read
U2...15 [X]Para-suicide res33: Self-harm diagnostic Read
U20..00 [X]Intentional self poisoning/exposure to noxious substances res33: Self-harm diagnostic Read
U20..11 [X]Deliberate drug overdose / other poisoning res33: Self-harm diagnostic Read
U200.00 [X]Intent self poison/exposure to nonopioid analgesic res33: Self-harm diagnostic Read
U200.11 [X]Overdose - paracetamol res33: Self-harm diagnostic Read
U200.12 [X]Overdose - ibuprofen res33: Self-harm diagnostic Read
U200.13 [X]Overdose - aspirin res33: Self-harm diagnostic Read
U200000 [X]Int self poison/exposure to nonopioid analgesic at home res33: Self-harm diagnostic Read
U200100 [X]Intent self poison nonopioid analgesic at res institut res33: Self-harm diagnostic Read
U200400 [X]Intent self pois nonopioid analgesic in street/highway res33: Self-harm diagnostic Read
U200500 [X]Intent self pois nonopioid analgesic trade/service area res33: Self-harm diagnostic Read
U200y00 [X]Int self poison nonopioid analgesic other spec place res33: Self-harm diagnostic Read
U200z00 [X]Intent self poison nonopioid analgesic unspecif place res33: Self-harm diagnostic Read
U201.00 [X]Intent self poison/exposure to antiepileptic res33: Self-harm diagnostic Read
U201000 [X]Int self poison/exposure to antiepileptic at home res33: Self-harm diagnostic Read
U201z00 [X]Intent self poison antiepileptic unspecif place res33: Self-harm diagnostic Read
U202.00 [X]Intent self poison/exposure to sedative hypnotic res33: Self-harm diagnostic Read
U202.11 [X]Overdose - sleeping tabs res33: Self-harm diagnostic Read
U202.12 [X]Overdose - diazepam res33: Self-harm diagnostic Read
U202.13 [X]Overdose - temazepam res33: Self-harm diagnostic Read
U202.15 [X]Overdose - nitrazepam res33: Self-harm diagnostic Read
U202.16 [X]Overdose - benzodiazepine res33: Self-harm diagnostic Read
U202.17 [X]Overdose - barbiturate res33: Self-harm diagnostic Read
U202.18 [X]Overdose - amobarbital res33: Self-harm diagnostic Read
U202000 [X]Int self poison/exposure to sedative hypnotic at home res33: Self-harm diagnostic Read
U202400 [X]Intent self pois sedative hypnotic in street/highway res33: Self-harm diagnostic Read
U202y00 [X]Int self poison sedative hypnotic other spec place res33: Self-harm diagnostic Read
U202z00 [X]Intent self poison sedative hypnotic unspecif place res33: Self-harm diagnostic Read
U204.00 [X]Intent self poison/exposure to psychotropic drug res33: Self-harm diagnostic Read
U204.11 [X]Overdose - antidepressant res33: Self-harm diagnostic Read
U204.12 [X]Overdose - amitriptyline res33: Self-harm diagnostic Read
U204.13 [X]Overdose - SSRI res33: Self-harm diagnostic Read
U204000 [X]Int self poison/exposure to psychotropic drug at home res33: Self-harm diagnostic Read
U204100 [X]Intent self poison psychotropic drug at res institut res33: Self-harm diagnostic Read
U204y00 [X]Int self poison psychotropic drug other spec place res33: Self-harm diagnostic Read
U204z00 [X]Intent self poison psychotropic drug unspecif place res33: Self-harm diagnostic Read
U205.00 [X]Intent self poison/exposure to narcotic drug res33: Self-harm diagnostic Read
U205000 [X]Int self poison/exposure to narcotic drug at home res33: Self-harm diagnostic Read
U205y00 [X]Int self poison narcotic drug other spec place res33: Self-harm diagnostic Read
U205z00 [X]Intent self poison narcotic drug unspecif place res33: Self-harm diagnostic Read
U206.00 [X]Intent self poison/exposure to hallucinogen res33: Self-harm diagnostic Read
U206400 [X]Intent self pois hallucinogen in street/highway res33: Self-harm diagnostic Read
U207.00 [X]Intent self poison/exposure to oth autonomic drug res33: Self-harm diagnostic Read
U207000 [X]Int self poison/exposure to oth autonomic drug at home res33: Self-harm diagnostic Read
U207z00 [X]Intent self poison oth autonomic drug unspecif place res33: Self-harm diagnostic Read
U208.00 [X]Int self poison/exposure to other/unspec drug/medicament res33: Self-harm diagnostic Read
U208000 [X]Int self poison/exposure to oth/unsp drug/medicam home res33: Self-harm diagnostic Read
U208400 [X]Intent self pois oth/unsp drug/medic in street/highway res33: Self-harm diagnostic Read
U208y00 [X]Int self poison oth/unsp drug/medic other spec place res33: Self-harm diagnostic Read
U208z00 [X]Intent self poison oth/unsp drug/medic unspecif place res33: Self-harm diagnostic Read
U209.00 [X]Intent self poison/exposure to alcohol res33: Self-harm diagnostic Read
U209y00 [X]Int self poison alcohol other spec place res33: Self-harm diagnostic Read
U209z00 [X]Intent self poison alcohol unspecif place res33: Self-harm diagnostic Read
U20A.00 [X]Intentional self poison organ solvent,halogen hydrocarb res33: Self-harm diagnostic Read
U20A.11 [X]Self poisoning from glue solvent res33: Self-harm diagnostic Read
U20A000 [X]Intent self pois organ solvent,halogen hydrocarb, home res33: Self-harm diagnostic Read
U20A400 [X]Int self poison org solvent,halogen hydrocarb,in highway res33: Self-harm diagnostic Read
U20Az00 [X]Int self pois org solv,halogen hydrocarb, unspec place res33: Self-harm diagnostic Read
U20B.00 [X]Intent self poison/exposure to other gas/vapour res33: Self-harm diagnostic Read
U20B.11 [X]Self carbon monoxide poisoning res33: Self-harm diagnostic Read
U20B000 [X]Int self poison/exposure to other gas/vapour at home res33: Self-harm diagnostic Read
U20B200 [X]Int self poison other gas/vapour school/pub admin area res33: Self-harm diagnostic Read
U20By00 [X]Int self poison other gas/vapour other spec place res33: Self-harm diagnostic Read
U20Bz00 [X]Intent self poison other gas/vapour unspecif place res33: Self-harm diagnostic Read
U20C.00 [X]Intent self poison/exposure to pesticide res33: Self-harm diagnostic Read
U20C.11 [X]Self poisoning with weedkiller res33: Self-harm diagnostic Read
U20C.12 [X]Self poisoning with paraquat res33: Self-harm diagnostic Read
U20C000 [X]Int self poison/exposure to pesticide at home res33: Self-harm diagnostic Read
U20Cy00 [X]Int self poison pesticide other spec place res33: Self-harm diagnostic Read
U20y.00 [X]Intent self poison/exposure to unspecif chemical res33: Self-harm diagnostic Read
U20y000 [X]Int self poison/exposure to unspecif chemical at home res33: Self-harm diagnostic Read
U20y200 [X]Int self poison unspecif chemical school/pub admin area res33: Self-harm diagnostic Read
U20yz00 [X]Intent self poison unspecif chemical unspecif place res33: Self-harm diagnostic Read
U21..00 [X]Intent self harm by hanging strangulation / suffocation res33: Self-harm diagnostic Read
U210.00 [X]Intent self harm by hanging strangulat/suffocat occ home res33: Self-harm diagnostic Read
U211.00 [X]Intent self harm by hangng strangult/suffoct resid instit res33: Self-harm diagnostic Read
U212.00 [X]Inten slf harm hang strang/suffc sch oth ins/pub adm area res33: Self-harm diagnostic Read
U216.00 [X]Intent self harm by hang strangl/suffc indust/constr area res33: Self-harm diagnostic Read
U21y.00 [X]Intent self harm by hangng strangul/suffoct oth spec plce res33: Self-harm diagnostic Read
U21z.00 [X]Intent self harm by hangng strangul/suffoct unspecif plce res33: Self-harm diagnostic Read
U22..00 [X]Intentional self harm by drowning and submersion res33: Self-harm diagnostic Read
U220.00 [X]Intent self harm by drowning/submersion occurrn at home res33: Self-harm diagnostic Read
U221.00 [X]Intent self harm by drowning/submersn occ resid instit'n res33: Self-harm diagnostic Read
U22y.00 [X]Intent self harm by drown/submersn occ oth specif place res33: Self-harm diagnostic Read
U22z.00 [X]Intent self harm by drown/submersn occ unspecified place res33: Self-harm diagnostic Read
U24..00 [X]Intent self harm by rifle shotgun/larger firearm disch res33: Self-harm diagnostic Read
U241.00 [X]Int self harm rifl s'gun/lrg frarm disch occ resid instit res33: Self-harm diagnostic Read
U242.00 [X]Int slf hrm rifl s'gun/lrg frarm dis sch/ins/pub adm area res33: Self-harm diagnostic Read
U25..00 [X]Intent self harm by other/unspecified firearm discharge res33: Self-harm diagnostic Read
U250.00 [X]Intent self harm oth/unspecif firearm disch occ at home res33: Self-harm diagnostic Read
U26..00 [X]Intentional self harm by explosive material res33: Self-harm diagnostic Read
U27..00 [X]Intentional self harm by smoke, fire and flames res33: Self-harm diagnostic Read
U270.00 [X]Intention self harm by smoke fire/flames occurrn at home res33: Self-harm diagnostic Read
U274.00 [X]Intent self harm by smoke fire/flame occ street/highway res33: Self-harm diagnostic Read
U27z.00 [X]Intent self harm by smoke fire/flames occ unspecif place res33: Self-harm diagnostic Read
U28..00 [X]Intentional self harm by steam hot vapours / hot objects res33: Self-harm diagnostic Read
U280.00 [X]Intent self harm by steam hot vapour/hot obj occ at home res33: Self-harm diagnostic Read
U28z.00 [X]Intent self harm by steam hot vapour/obj occ unspec place res33: Self-harm diagnostic Read
U29..00 [X]Intentional self harm by sharp object res33: Self-harm diagnostic Read
U290.00 [X]Intentional self harm by sharp object occurrence at home res33: Self-harm diagnostic Read
U291.00 [X]Intent self harm by sharp object occ resident instit'n res33: Self-harm diagnostic Read
U294.00 [X]Intention self harm by sharp object occ street/highway res33: Self-harm diagnostic Read
U29y.00 [X]Intention self harm by sharp object occ oth specif place res33: Self-harm diagnostic Read
U29z.00 [X]Intentional self harm by sharp object occ unspecif place res33: Self-harm diagnostic Read
U2A..00 [X]Intentional self harm by blunt object res33: Self-harm diagnostic Read
U2A0.00 [X]Intentional self harm by blunt object occurrence at home res33: Self-harm diagnostic Read
U2A1.00 [X]Intent self harm by blunt object occ resident instit'n res33: Self-harm diagnostic Read
U2A3.00 [X]Intent self harm by blunt object occ sports/athlet area res33: Self-harm diagnostic Read
U2B..00 [X]Intentional self harm by jumping from a high place res33: Self-harm diagnostic Read
U2B0.00 [X]Intent self harm by jumping from high place occ at home res33: Self-harm diagnostic Read
U2B4.00 [X]Intent self harm by jump from high place occ street/h'way res33: Self-harm diagnostic Read
U2B6.00 [X]Int self harm by jump from high place indust/constr area res33: Self-harm diagnostic Read
U2By.00 [X]Int self harm by jump from high place occ oth specif plce res33: Self-harm diagnostic Read
U2Bz.00 [X]Int self harm by jump from high place occ unspecif place res33: Self-harm diagnostic Read
U2C..00 [X]Intent self harm by jumping / lying before moving object res33: Self-harm diagnostic Read
U2C1.00 [X]Int self harm jump/lying befr mov obje occ resid instit'n res33: Self-harm diagnostic Read
U2C4.00 [X]Int self harm jump/lying befr mov obje occ street/highway res33: Self-harm diagnostic Read
U2Cy.00 [X]Int self harm jump/lying bef mov obje occ oth specif plce res33: Self-harm diagnostic Read
U2D..00 [X]Intentional self harm by crashing of motor vehicle res33: Self-harm diagnostic Read
U2D0.00 [X]Intent self harm by crash of motor vehicl occurrn at home res33: Self-harm diagnostic Read
U2D4.00 [X]Intent self harm by crash motor vehicl occ street/highway res33: Self-harm diagnostic Read
U2D6.00 [X]Intent self harm crash motor vehic occ indust/constr area res33: Self-harm diagnostic Read
U2E..00 [X]Self mutilation res33: Self-harm diagnostic Read
U2y..00 [X]Intentional self harm by other specified means res33: Self-harm diagnostic Read
U2y0.00 [X]Intentionl self harm by oth specif means occurrn at home res33: Self-harm diagnostic Read
U2y1.00 [X]Intent self harm by oth specif means occ resid instit'n res33: Self-harm diagnostic Read
U2yz.00 [X]Intent self harm by oth specif means occ unspecif place res33: Self-harm diagnostic Read
U2z..00 [X]Intentional self harm by unspecified means res33: Self-harm diagnostic Read
U2z0.00 [X]Intentional self harm by unspecif means occurrn at home res33: Self-harm diagnostic Read
U2z2.00 [X]Intent self harm by unspec mean occ sch/ins/pub adm area res33: Self-harm diagnostic Read
U2zy.00 [X]Intent self harm by unspecif means occ oth specif place res33: Self-harm diagnostic Read
U2zz.00 [X]Intent self harm by unspecif means occ at unspecif place res33: Self-harm diagnostic Read
U30..11 [X]Deliberate drug poisoning res33: Self-harm diagnostic Read
U41..00 [X]Hanging strangulation + suffocation undetermined intent res33: Self-harm diagnostic Read
U44..00 [X]Rifle shotgun+larger firearm discharge undetermin intent res33: Self-harm diagnostic Read
U45..00 [X]Other+unspecified firearm discharge undetermined intent res33: Self-harm diagnostic Read
U4B..00 [X]Falling jumping/pushed from high place undeterm intent res33: Self-harm diagnostic Read
U4Bz.00 [X]Fall jump/push frm high plce undt intnt occ unspecif plce res33: Self-harm diagnostic Read
U72..00 [X]Sequel intentn self-harm assault+event of undeterm intent res33: Self-harm diagnostic Read
U720.00 [X]Sequelae of intentional self-harm res33: Self-harm diagnostic Read
ZRLfC12 HoNOS item 2 - non-accidental self injury res33: Self-harm diagnostic Read
ZRn3.00 Suicide intent score subscale - attempt circumstances res33: Self-harm diagnostic Read
ZX...00 Self-harm res33: Self-harm diagnostic Read
ZX...11 Self-damage res33: Self-harm diagnostic Read
ZX1..00 Self-injurious behaviour res33: Self-harm diagnostic Read
ZX1..12 SIB - Self-injurious behaviour res33: Self-harm diagnostic Read
ZX1..13 Deliberate self-harm res33: Self-harm diagnostic Read
ZX11.00 Biting self res33: Self-harm diagnostic Read
ZX11.11 Bites self res33: Self-harm diagnostic Read
ZX12.00 Burning self res33: Self-harm diagnostic Read
ZX13.00 Cutting self res33: Self-harm diagnostic Read
ZX13.11 Cuts self res33: Self-harm diagnostic Read
ZX13100 Cutting own wrists res33: Self-harm diagnostic Read
ZX15.00 Drowning self res33: Self-harm diagnostic Read
ZX18.00 Hanging self res33: Self-harm diagnostic Read
ZX19.00 Hitting self res33: Self-harm diagnostic Read
ZX19100 Punching self res33: Self-harm diagnostic Read
ZX19200 Slapping self res33: Self-harm diagnostic Read
ZX1B.00 Jumping from height res33: Self-harm diagnostic Read
ZX1B100 Jumping from building res33: Self-harm diagnostic Read
ZX1B200 Jumping from bridge res33: Self-harm diagnostic Read
ZX1B300 Jumping from cliff res33: Self-harm diagnostic Read
ZX1C.00 Nipping self res33: Self-harm diagnostic Read
ZX1E.00 Pinching self res33: Self-harm diagnostic Read
ZX1G.00 Scratches self res33: Self-harm diagnostic Read
ZX1H.00 Self-asphyxiation res33: Self-harm diagnostic Read
ZX1H100 Self-strangulation res33: Self-harm diagnostic Read
ZX1H200 Self-suffocation res33: Self-harm diagnostic Read
ZX1I.00 Self-scalding res33: Self-harm diagnostic Read
ZX1J.00 Self-electrocution res33: Self-harm diagnostic Read
ZX1K.00 Self-incineration res33: Self-harm diagnostic Read
ZX1K.11 Setting fire to self res33: Self-harm diagnostic Read
ZX1K.12 Setting self alight res33: Self-harm diagnostic Read
ZX1L.00 Self-mutilation res33: Self-harm diagnostic Read
ZX1L100 Self-mutilation of hands res33: Self-harm diagnostic Read
ZX1L200 Self-mutilation of genitalia res33: Self-harm diagnostic Read
ZX1L300 Self-mutilation of penis res33: Self-harm diagnostic Read
ZX1L600 Self-mutilation of ears res33: Self-harm diagnostic Read
ZX1LD00 [X]Self mutilation res33: Self-harm diagnostic Read
ZX1M.00 Shooting self res33: Self-harm diagnostic Read
ZX1N.00 Stabbing self res33: Self-harm diagnostic Read
ZX1Q.00 Throwing self in front of train res33: Self-harm diagnostic Read
ZX1Q.11 Jumping under train res33: Self-harm diagnostic Read
ZX1R.00 Throwing self in front of vehicle res33: Self-harm diagnostic Read
ZX1S.00 Throwing self onto floor res33: Self-harm diagnostic Read

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH392/version/784/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH392/version/784/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('PH392', '784', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH392/version/784/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH392/version/784/export/codes/?format=json
CSV site_root/phenotypes/PH392/version/784/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('PH392', '784', api_client=client)

Version History

Version
ID
Name Owner Publish date
784 Self Harm 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.