Background:
The Covid-19 pandemic has adversely affected population mental health.
Methods:
Using electronic health records from 1714 UK general practices registered with the Clinical Practice Research Datalink we examined incidence and event rates of depression and anxiety disorders, self-harm, prescriptions for antidepressants and benzodiazepines and GP referrals to mental health services per 100,000 person-months, before, during and after the peak of the Covid-19 emergency. Analyses were stratified by gender, age group and practice-level Index of Multiple Deprivation quintile.
Findings:
In April 2020, primary care-recorded incident depression reduced by 43·6% (95% CI 39·0% to 47·9%), anxiety disorders by 48·2% (CI 44·6% to 51·5%) and antidepressant prescribing by 36·2% (CI 33·7% to 38·6%) compared to expected rates based on prior trends. Reductions in first diagnoses of depression and anxiety disorders were particularly stark for working-age adults and patients registered at practices in more deprived areas. Self-harm incidence was 38·5% (CI 35·7% to 41·3%) lower than expected in April 2020. Total self-harm contacts fell by 28·2% (CI 25·5% to 30·8%). Rates of both incident and any self-harm remained around thirty percent lower than expected up to June 2020.
Interpretation:
Our findings reveal a stark treatment gap that was greater for first diagnoses of depression and anxiety disorders in working age adults, for practice populations in deprived areas, and for self-harm. Consequences could include more patients subsequently presenting with greater acuity and severity of mental illness and rising rates of non-fatal self-harm and suicide.
Matthew J Carr, Sarah Steeg, Roger T Webb, Nav Kapur, Carolyn A Chew-Graham, Kathryn M Abel, Holly Hope, Matthias Pierce, Darren M. Ashcroft, Primary care contact for mental illness and self-harm before during and after the peak of the Covid-19 pandemic in the UK cohort study of 13 million individual. PrePrint not peer reviewed, 2020.
| Code | Description | Entity type | Category | Coding System (Read) |
|---|---|---|---|---|
| 14K1.00 | Intentional overdose of prescription only medication | res173: Self-harm (Read codes) | diagnostic | Read |
| 1JP..00 | Suspected drug overdose | res173: Self-harm (Read codes) | diagnostic | Read |
| K048.00 | Acute renal failure induced by poison | res173: Self-harm (Read codes) | diagnostic | Read |
| SL...14 | Overdose of biological substance | res173: Self-harm (Read codes) | diagnostic | Read |
| SL...15 | Overdose of drug | res173: Self-harm (Read codes) | diagnostic | Read |
| SL...16 | Poisoning by drug and biological substances | res173: Self-harm (Read codes) | diagnostic | Read |
| SL...97 | Poisoning by CNS drugs | res173: Self-harm (Read codes) | diagnostic | Read |
| SL...98 | Poisoning by drugs/medicaments | res173: Self-harm (Read codes) | diagnostic | Read |
| SL5..00 | Analgesic, antipyretic and antirheumatic drug poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL5..11 | Analgesic poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL5..12 | Antipyretic poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL5..99 | Poisoning by analgesics | res173: Self-harm (Read codes) | diagnostic | Read |
| SL50400 | Meperidine (pethidine) poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL50500 | Morphine poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL50600 | Dextropropoxyphene poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL50700 | Dihydrocodeine poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL51.00 | Salicylate poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL51000 | Aspirin poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL51100 | Salicylic acid salt poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL51z00 | Salicylate poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SL52.00 | Aromatic analgesic poisoning NEC | res173: Self-harm (Read codes) | diagnostic | Read |
| SL52100 | Paracetamol poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL52200 | Phenacetin poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL52z00 | Aromatic analgesic poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SL53100 | Phenylbutazone poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL54200 | Ibuprofen poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL54300 | Naproxen poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL54400 | Mefenamic acid poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL5x.00 | Other non-narcotic analgesic poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL5xz00 | Non-narcotic analgesic poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SL5y.00 | Other analgesic and antipyretic poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL5y000 | Pentazocine poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL5y100 | Analgesic poisoning, NEC | res173: Self-harm (Read codes) | diagnostic | Read |
| SL5y199 | Poisoning by analgesics | res173: Self-harm (Read codes) | diagnostic | Read |
| SL5y200 | Antipyretic poisoning, NEC | res173: Self-harm (Read codes) | diagnostic | Read |
| SL5yz00 | Other analgesic or antipyretic poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SL5z.00 | Analgesic, antipyretic or antirheumatic poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SL7..00 | Sedative and hypnotic drug poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL7..11 | Hypnotic poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL7..12 | Sedative poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL70.00 | Barbiturate poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL70400 | Phenobarbital poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL70511 | Quinalbarbitone poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL70z00 | Barbiturate poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SL76.00 | Mixed sedative poisoning NEC | res173: Self-harm (Read codes) | diagnostic | Read |
| SL7y.00 | Other sedative and hypnotic poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL7z.00 | Sedative and hypnotic drug poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SL7z.11 | Sleeping drug poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL8..00 | Central nervous system depressants and anaesthetic poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL8..11 | Anaesthetic poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL80.00 | Central nervous system muscle-tone depressant poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL80z00 | Central nervous system muscle-tone depressant poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SL83200 | Thiopental sodium poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL83x00 | Other thiobarbiturate poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL84.00 | Other general anaesthetic agent poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL9..00 | Psychotropic agent poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL90.00 | Antidepressant poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL90000 | Amitriptyline poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL90100 | Imipramine poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL90200 | Monoamine oxidase inhibitor poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL90211 | MAOI - Monoamine oxidase inhibitor poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL90300 | Trazodone poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL90z00 | Anti-depressant poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SL91.00 | Phenothiazine poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL91000 | Chlorpromazine poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL91100 | Fluphenazine poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL91200 | Prochlorperazine poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL91300 | Promazine poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL91400 | Thioridazine poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL91z00 | Phenothiazine poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SL92.00 | Butyrophenone poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL92000 | Haloperidol poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL92100 | Spiperone poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL92200 | Trifluperidol poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL92z00 | Butyrophenone poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SL93.00 | Other antipsychotics/neuroleptics/tranquilliser poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL94.00 | Benzodiazepine poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL94000 | Chlordiazepoxide poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL94100 | Diazepam poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL94200 | Flurazepam poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL94300 | Lorazepam poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL94400 | Medazepam poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL94500 | Nitrazepam poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL94600 | Poisoning by temazepam | res173: Self-harm (Read codes) | diagnostic | Read |
| SL94z00 | Benzodiazepine poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SL95.00 | Other tranquilliser poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL95000 | Hydroxyzine poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL95z00 | Tranquilliser poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SL97.00 | Psychostimulant poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL97.11 | Stimulant poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL97z00 | Psychostimulant poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SL9y.00 | Other psychotropic agent poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SL9z.00 | Psychotropic agent poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SLA..00 | Central nervous system stimulant poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SLAy.00 | Other central nervous system stimulant poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SLAz.00 | Central nervous system stimulant poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SLB..00 | Autonomic nervous system drug poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SLC0200 | Propranolol poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SLC0400 | Beta blocker poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| SLHyz00 | Other drug and medicament poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SLHz.00 | Drug and medicament poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SLHz.98 | Poisoning by drugs/medicaments | res173: Self-harm (Read codes) | diagnostic | Read |
| SLHz.99 | Poisoning by medicaments NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SLX..00 | Poisoning by oth & unspec antipsychotics & neuroleptics | res173: Self-harm (Read codes) | diagnostic | Read |
| SLz..00 | Drug, medicament or biological substance poisoning NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| SyuF.00 | [X]Poisoning by drugs and biological substances | res173: Self-harm (Read codes) | diagnostic | Read |
| SyuFA00 | [X]Poisoning by other analgesics, not elsewhere classified | res173: Self-harm (Read codes) | diagnostic | Read |
| SyuFF00 | [X]Poisoning by other and unspecified general anaesthetics | res173: Self-harm (Read codes) | diagnostic | Read |
| SyuFG00 | [X]Poisoning by mixed antiepileptics, NEC | res173: Self-harm (Read codes) | diagnostic | Read |
| SyuFH00 | [X]Poisoning by oth antiepileptic & sedative-hypnotic drugs | res173: Self-harm (Read codes) | diagnostic | Read |
| SyuFJ00 | [X]Poisoning by antipark drug/oth central musc-tone depress | res173: Self-harm (Read codes) | diagnostic | Read |
| SyuFK00 | [X]Poisoning by other and unspecified antidepressants | res173: Self-harm (Read codes) | diagnostic | Read |
| SyuFL00 | [X]Poisoning by oth & unspec antipsychotics & neuroleptics | res173: Self-harm (Read codes) | diagnostic | Read |
| SyuFM00 | [X]Poisoning by other psychotropic drugs, NEC | res173: Self-harm (Read codes) | diagnostic | Read |
| SyuFc00 | [X]Poisoning by oth & unspecif drugs & biologic substances | res173: Self-harm (Read codes) | diagnostic | Read |
| SyuFd00 | [X]Poisoning by anaesthetic, unspecified | res173: Self-harm (Read codes) | diagnostic | Read |
| T....98 | Suicide/assault/other inj caus | res173: Self-harm (Read codes) | diagnostic | Read |
| TK...00 | Suicide and selfinflicted injury | res173: Self-harm (Read codes) | diagnostic | Read |
| TK...11 | Cause of overdose - deliberate | res173: Self-harm (Read codes) | diagnostic | Read |
| TK...12 | Injury - self-inflicted | res173: Self-harm (Read codes) | diagnostic | Read |
| TK...13 | Poisoning - self-inflicted | res173: Self-harm (Read codes) | diagnostic | Read |
| TK...14 | Suicide and self harm | res173: Self-harm (Read codes) | diagnostic | Read |
| TK...15 | Attempted suicide | res173: Self-harm (Read codes) | diagnostic | Read |
| TK...17 | Para-suicide | res173: Self-harm (Read codes) | diagnostic | Read |
| TK...98 | Attempt suicide - NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| TK0..00 | Suicide + selfinflicted poisoning by solid/liquid substances | res173: Self-harm (Read codes) | diagnostic | Read |
| TK00.00 | Suicide + selfinflicted poisoning by analgesic/antipyretic | res173: Self-harm (Read codes) | diagnostic | Read |
| TK01.00 | Suicide + selfinflicted poisoning by barbiturates | res173: Self-harm (Read codes) | diagnostic | Read |
| TK01000 | Suicide and self inflicted injury by Amylobarbitone | res173: Self-harm (Read codes) | diagnostic | Read |
| TK01011 | Suicide and self inflicted injury by amobarbital | res173: Self-harm (Read codes) | diagnostic | Read |
| TK01100 | Suicide and self inflicted injury by Barbitone | res173: Self-harm (Read codes) | diagnostic | Read |
| TK01200 | Suicide and self inflicted injury by Butabarbitone | res173: Self-harm (Read codes) | diagnostic | Read |
| TK01300 | Suicide and self inflicted injury by Pentabarbitone | res173: Self-harm (Read codes) | diagnostic | Read |
| TK01400 | Suicide and self inflicted injury by Phenobarbitone | res173: Self-harm (Read codes) | diagnostic | Read |
| TK01411 | Suicide and self inflicted injury by Phenobarbital | res173: Self-harm (Read codes) | diagnostic | Read |
| TK01500 | Suicide and self inflicted injury by Quinalbarbitone | res173: Self-harm (Read codes) | diagnostic | Read |
| TK01511 | Suicide and self inflicted injury by secobarbital | res173: Self-harm (Read codes) | diagnostic | Read |
| TK01z00 | Suicide and self inflicted injury by barbiturates | res173: Self-harm (Read codes) | diagnostic | Read |
| TK02.00 | Suicide + selfinflicted poisoning by oth sedatives/hypnotics | res173: Self-harm (Read codes) | diagnostic | Read |
| TK03.00 | Suicide + selfinflicted poisoning tranquilliser/psychotropic | res173: Self-harm (Read codes) | diagnostic | Read |
| TK04.00 | Suicide + selfinflicted poisoning by other drugs/medicines | res173: Self-harm (Read codes) | diagnostic | Read |
| TK05.00 | Suicide + selfinflicted poisoning by drug or medicine NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| TK05.99 | Attempt suicide -drug overdose | res173: Self-harm (Read codes) | diagnostic | Read |
| TK06.00 | Suicide + selfinflicted poisoning by agricultural chemical | res173: Self-harm (Read codes) | diagnostic | Read |
| TK07.00 | Suicide + selfinflicted poisoning by corrosive/caustic subst | res173: Self-harm (Read codes) | diagnostic | Read |
| TK08.00 | Suicide + selfinflicted poisoning by arsenic + its compounds | res173: Self-harm (Read codes) | diagnostic | Read |
| TK0z.00 | Suicide + selfinflicted poisoning by solid/liquid subst NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| TK1..00 | Suicide + selfinflicted poisoning by gases in domestic use | res173: Self-harm (Read codes) | diagnostic | Read |
| TK1..99 | Attempt suicide - domestic gas | res173: Self-harm (Read codes) | diagnostic | Read |
| TK10.00 | Suicide + selfinflicted poisoning by gas via pipeline | res173: Self-harm (Read codes) | diagnostic | Read |
| TK11.00 | Suicide + selfinflicted poisoning by liquified petrol gas | res173: Self-harm (Read codes) | diagnostic | Read |
| TK1y.00 | Suicide and selfinflicted poisoning by other utility gas | res173: Self-harm (Read codes) | diagnostic | Read |
| TK1z.00 | Suicide + selfinflicted poisoning by domestic gases NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| TK2..00 | Suicide + selfinflicted poisoning by other gases and vapours | res173: Self-harm (Read codes) | diagnostic | Read |
| TK20.00 | Suicide + selfinflicted poisoning by motor veh exhaust gas | res173: Self-harm (Read codes) | diagnostic | Read |
| TK20.99 | Attempt suicide - car exhaust | res173: Self-harm (Read codes) | diagnostic | Read |
| TK21.00 | Suicide and selfinflicted poisoning by other carbon monoxide | res173: Self-harm (Read codes) | diagnostic | Read |
| TK2y.00 | Suicide + selfinflicted poisoning by other gases and vapours | res173: Self-harm (Read codes) | diagnostic | Read |
| TK2z.00 | Suicide + selfinflicted poisoning by gases and vapours NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| TK3..00 | Suicide + selfinflicted injury by hang/strangulate/suffocate | res173: Self-harm (Read codes) | diagnostic | Read |
| TK30.00 | Suicide and selfinflicted injury by hanging | res173: Self-harm (Read codes) | diagnostic | Read |
| TK30.99 | Attempt suicide - hanging | res173: Self-harm (Read codes) | diagnostic | Read |
| TK31.00 | Suicide + selfinflicted injury by suffocation by plastic bag | res173: Self-harm (Read codes) | diagnostic | Read |
| TK31.99 | Attempt suicide - suffocate | res173: Self-harm (Read codes) | diagnostic | Read |
| TK3y.00 | Suicide + selfinflicted inj oth mean hang/strangle/suffocate | res173: Self-harm (Read codes) | diagnostic | Read |
| TK3z.00 | Suicide + selfinflicted inj by hang/strangle/suffocate NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| TK4..00 | Suicide and selfinflicted injury by drowning | res173: Self-harm (Read codes) | diagnostic | Read |
| TK4..99 | Attempt suicide - drowning | res173: Self-harm (Read codes) | diagnostic | Read |
| TK5..00 | Suicide and selfinflicted injury by firearms and explosives | res173: Self-harm (Read codes) | diagnostic | Read |
| TK5..99 | Attempt suicide - firearms | res173: Self-harm (Read codes) | diagnostic | Read |
| TK50.00 | Suicide and selfinflicted injury by handgun | res173: Self-harm (Read codes) | diagnostic | Read |
| TK51.00 | Suicide and selfinflicted injury by shotgun | res173: Self-harm (Read codes) | diagnostic | Read |
| TK52.00 | Suicide and selfinflicted injury by hunting rifle | res173: Self-harm (Read codes) | diagnostic | Read |
| TK53.00 | Suicide and selfinflicted injury by military firearms | res173: Self-harm (Read codes) | diagnostic | Read |
| TK54.00 | Suicide and selfinflicted injury by other firearm | res173: Self-harm (Read codes) | diagnostic | Read |
| TK55.00 | Suicide and selfinflicted injury by explosives | res173: Self-harm (Read codes) | diagnostic | Read |
| TK5z.00 | Suicide and selfinflicted injury by firearms/explosives NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| TK6..00 | Suicide and selfinflicted injury by cutting and stabbing | res173: Self-harm (Read codes) | diagnostic | Read |
| TK6..99 | Attempt suicide - cut/stab | res173: Self-harm (Read codes) | diagnostic | Read |
| TK60.00 | Suicide and selfinflicted injury by cutting | res173: Self-harm (Read codes) | diagnostic | Read |
| TK60100 | Self inflicted lacerations to wrist | res173: Self-harm (Read codes) | diagnostic | Read |
| TK60111 | Slashed wrists self inflicted | res173: Self-harm (Read codes) | diagnostic | Read |
| TK61.00 | Suicide and selfinflicted injury by stabbing | res173: Self-harm (Read codes) | diagnostic | Read |
| TK6z.00 | Suicide and selfinflicted injury by cutting and stabbing NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| TK7..00 | Suicide and selfinflicted injury by jumping from high place | res173: Self-harm (Read codes) | diagnostic | Read |
| TK7..99 | Attempt suicide-jump from high | res173: Self-harm (Read codes) | diagnostic | Read |
| TK70.00 | Suicide+selfinflicted injury-jump from residential premises | res173: Self-harm (Read codes) | diagnostic | Read |
| TK71.00 | Suicide+selfinflicted injury-jump from oth manmade structure | res173: Self-harm (Read codes) | diagnostic | Read |
| TK72.00 | Suicide+selfinflicted injury-jump from natural sites | res173: Self-harm (Read codes) | diagnostic | Read |
| TK7z.00 | Suicide+selfinflicted injury-jump from high place NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| TKx..00 | Suicide and selfinflicted injury by other means | res173: Self-harm (Read codes) | diagnostic | Read |
| TKx0.00 | Suicide + selfinflicted injury-jump/lie before moving object | res173: Self-harm (Read codes) | diagnostic | Read |
| TKx0000 | Suicide + selfinflicted injury-jumping before moving object | res173: Self-harm (Read codes) | diagnostic | Read |
| TKx0100 | Suicide + selfinflicted injury-lying before moving object | res173: Self-harm (Read codes) | diagnostic | Read |
| TKx0z00 | Suicide + selfinflicted inj-jump/lie before moving obj NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| TKx1.00 | Suicide and selfinflicted injury by burns or fire | res173: Self-harm (Read codes) | diagnostic | Read |
| TKx2.00 | Suicide and selfinflicted injury by scald | res173: Self-harm (Read codes) | diagnostic | Read |
| TKx3.00 | Suicide and selfinflicted injury by extremes of cold | res173: Self-harm (Read codes) | diagnostic | Read |
| TKx4.00 | Suicide and selfinflicted injury by electrocution | res173: Self-harm (Read codes) | diagnostic | Read |
| TKx5.00 | Suicide and selfinflicted injury by crashing motor vehicle | res173: Self-harm (Read codes) | diagnostic | Read |
| TKx6.00 | Suicide and selfinflicted injury by crashing of aircraft | res173: Self-harm (Read codes) | diagnostic | Read |
| TKx7.00 | Suicide and selfinflicted injury caustic subst, excl poison | res173: Self-harm (Read codes) | diagnostic | Read |
| TKxy.00 | Suicide and selfinflicted injury by other specified means | res173: Self-harm (Read codes) | diagnostic | Read |
| TKxz.00 | Suicide and selfinflicted injury by other means NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| TKz..00 | Suicide and selfinflicted injury NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| TKz..99 | Attempt suicide - NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| TN3..00 | Injury ?accidental, hanging, strangulation and suffocation | res173: Self-harm (Read codes) | diagnostic | Read |
| TN3z.00 | Injury ?accidental, hanging/strangulation/suffocation NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| TN6..00 | Injury ?accidental, by cutting and stabbing instruments | res173: Self-harm (Read codes) | diagnostic | Read |
| TN60.00 | Injury ?accidental, by cutting instrument | res173: Self-harm (Read codes) | diagnostic | Read |
| TN61.00 | Injury ?accidental, by stabbing instrument | res173: Self-harm (Read codes) | diagnostic | Read |
| TN6z.00 | Injury ?accidental, by cutting or stabbing instrument NOS | res173: Self-harm (Read codes) | diagnostic | Read |
| TN84.00 | Injury ?accidental, by electrocution | res173: Self-harm (Read codes) | diagnostic | Read |
| U2...00 | [X]Intentional self-harm | res173: Self-harm (Read codes) | diagnostic | Read |
| U2...11 | [X]Self inflicted injury | res173: Self-harm (Read codes) | diagnostic | Read |
| U2...12 | [X]Injury - self-inflicted | res173: Self-harm (Read codes) | diagnostic | Read |
| U2...14 | [X]Attempted suicide | res173: Self-harm (Read codes) | diagnostic | Read |
| U2...15 | [X]Para-suicide | res173: Self-harm (Read codes) | diagnostic | Read |
| U20..00 | [X]Intentional self poisoning/exposure to noxious substances | res173: Self-harm (Read codes) | diagnostic | Read |
| U20..11 | [X]Deliberate drug overdose / other poisoning | res173: Self-harm (Read codes) | diagnostic | Read |
| U200.00 | [X]Intent self poison/exposure to nonopioid analgesic | res173: Self-harm (Read codes) | diagnostic | Read |
| U200.11 | [X]Overdose - paracetamol | res173: Self-harm (Read codes) | diagnostic | Read |
| U200.12 | [X]Overdose - ibuprofen | res173: Self-harm (Read codes) | diagnostic | Read |
| U200.13 | [X]Overdose - aspirin | res173: Self-harm (Read codes) | diagnostic | Read |
| U200000 | [X]Int self poison/exposure to nonopioid analgesic at home | res173: Self-harm (Read codes) | diagnostic | Read |
| U200100 | [X]Intent self poison nonopioid analgesic at res institut | res173: Self-harm (Read codes) | diagnostic | Read |
| U200200 | [X]Int self poison nonopioid analges school/pub admin area | res173: Self-harm (Read codes) | diagnostic | Read |
| U200300 | [X]Int self poison nonopioid analges in sport/athletic area | res173: Self-harm (Read codes) | diagnostic | Read |
| U200400 | [X]Intent self pois nonopioid analgesic in street/highway | res173: Self-harm (Read codes) | diagnostic | Read |
| U200500 | [X]Intent self pois nonopioid analgesic trade/service area | res173: Self-harm (Read codes) | diagnostic | Read |
| U200600 | [X]Int self pois nonopioid analgesic indust/construct area | res173: Self-harm (Read codes) | diagnostic | Read |
| U200700 | [X]Int self poison/exposure to nonopioid analgesic on farm | res173: Self-harm (Read codes) | diagnostic | Read |
| U200y00 | [X]Int self poison nonopioid analgesic other spec place | res173: Self-harm (Read codes) | diagnostic | Read |
| U200z00 | [X]Intent self poison nonopioid analgesic unspecif place | res173: Self-harm (Read codes) | diagnostic | Read |
| U201.00 | [X]Intent self poison/exposure to antiepileptic | res173: Self-harm (Read codes) | diagnostic | Read |
| U201000 | [X]Int self poison/exposure to antiepileptic at home | res173: Self-harm (Read codes) | diagnostic | Read |
| U201100 | [X]Intent self poison antiepileptic at res institut | res173: Self-harm (Read codes) | diagnostic | Read |
| U201200 | [X]Intent self pois nonopioid analges school/pub admin area | res173: Self-harm (Read codes) | diagnostic | Read |
| U201300 | [X]Int self poison antiepileptic in sport/athletic area | res173: Self-harm (Read codes) | diagnostic | Read |
| U201400 | [X]Intent self pois antiepileptic in street/highway | res173: Self-harm (Read codes) | diagnostic | Read |
| U201500 | [X]Intent self pois antiepileptic trade/service area | res173: Self-harm (Read codes) | diagnostic | Read |
| U201600 | [X]Int self poison antiepileptic indust/construct area | res173: Self-harm (Read codes) | diagnostic | Read |
| U201700 | [X]Int self poison/exposure to antiepileptic on farm | res173: Self-harm (Read codes) | diagnostic | Read |
| U201y00 | [X]Intent self poison antiepileptic other spec place | res173: Self-harm (Read codes) | diagnostic | Read |
| U201z00 | [X]Intent self poison antiepileptic unspecif place | res173: Self-harm (Read codes) | diagnostic | Read |
| U202.00 | [X]Intent self poison/exposure to sedative hypnotic | res173: Self-harm (Read codes) | diagnostic | Read |
| U202.11 | [X]Overdose - sleeping tabs | res173: Self-harm (Read codes) | diagnostic | Read |
| U202.12 | [X]Overdose - diazepam | res173: Self-harm (Read codes) | diagnostic | Read |
| U202.13 | [X]Overdose - temazepam | res173: Self-harm (Read codes) | diagnostic | Read |
| U202.14 | [X]Overdose - flurazepam | res173: Self-harm (Read codes) | diagnostic | Read |
| U202.15 | [X]Overdose - nitrazepam | res173: Self-harm (Read codes) | diagnostic | Read |
| U202.16 | [X]Overdose - benzodiazepine | res173: Self-harm (Read codes) | diagnostic | Read |
| U202.17 | [X]Overdose - barbiturate | res173: Self-harm (Read codes) | diagnostic | Read |
| U202.18 | [X]Overdose - amobarbital | res173: Self-harm (Read codes) | diagnostic | Read |
| U202000 | [X]Int self poison/exposure to sedative hypnotic at home | res173: Self-harm (Read codes) | diagnostic | Read |
| U202100 | [X]Intent self poison sedative hypnotic at res institut | res173: Self-harm (Read codes) | diagnostic | Read |
| U202200 | [X]Int self poison sedative hypnotic school/pub admin area | res173: Self-harm (Read codes) | diagnostic | Read |
| U202300 | [X]Int self poison sedative hypnotic in sport/athletic area | res173: Self-harm (Read codes) | diagnostic | Read |
| U202400 | [X]Intent self pois sedative hypnotic in street/highway | res173: Self-harm (Read codes) | diagnostic | Read |
| U202500 | [X]Intent self pois sedative hypnotic trade/service area | res173: Self-harm (Read codes) | diagnostic | Read |
| U202600 | [X]Int self pois sedative hypnotic indust/construct area | res173: Self-harm (Read codes) | diagnostic | Read |
| U202700 | [X]Int self poison/exposure to sedative hypnotic on farm | res173: Self-harm (Read codes) | diagnostic | Read |
| U202y00 | [X]Int self poison sedative hypnotic other spec place | res173: Self-harm (Read codes) | diagnostic | Read |
| U202z00 | [X]Intent self poison sedative hypnotic unspecif place | res173: Self-harm (Read codes) | diagnostic | Read |
| U203.00 | [X]Intent self poison/exposure to antiparkinson drug | res173: Self-harm (Read codes) | diagnostic | Read |
| U203000 | [X]Int self poison/exposure to antiparkinson drug at home | res173: Self-harm (Read codes) | diagnostic | Read |
| U203100 | [X]Intent self poison antiparkinson drug at res institut | res173: Self-harm (Read codes) | diagnostic | Read |
| U203200 | [X]Int self poison antparkinson drug school/pub admin area | res173: Self-harm (Read codes) | diagnostic | Read |
| U203300 | [X]Int self poison antparkinson drug in sport/athletic area | res173: Self-harm (Read codes) | diagnostic | Read |
| U203400 | [X]Intent self pois antiparkinson drug in street/highway | res173: Self-harm (Read codes) | diagnostic | Read |
| U203500 | [X]Intent self pois antiparkinson drug trade/service area | res173: Self-harm (Read codes) | diagnostic | Read |
| U203600 | [X]Int self pois antiparkinson drug indust/construct area | res173: Self-harm (Read codes) | diagnostic | Read |
| U203700 | [X]Int self poison/exposure to antiparkinson drug on farm | res173: Self-harm (Read codes) | diagnostic | Read |
| U203y00 | [X]Int self poison antiparkinson drug other spec place | res173: Self-harm (Read codes) | diagnostic | Read |
| U203z00 | [X]Intent self poison antiparkinson drug unspecif place | res173: Self-harm (Read codes) | diagnostic | Read |
| U204.00 | [X]Intent self poison/exposure to psychotropic drug | res173: Self-harm (Read codes) | diagnostic | Read |
| U204.11 | [X]Overdose - antidepressant | res173: Self-harm (Read codes) | diagnostic | Read |
| U204.12 | [X]Overdose - amitriptyline | res173: Self-harm (Read codes) | diagnostic | Read |
| U204.13 | [X]Overdose - SSRI | res173: Self-harm (Read codes) | diagnostic | Read |
| U204000 | [X]Int self poison/exposure to psychotropic drug at home | res173: Self-harm (Read codes) | diagnostic | Read |
| U204100 | [X]Intent self poison psychotropic drug at res institut | res173: Self-harm (Read codes) | diagnostic | Read |
| U204200 | [X]Int self poison psychotropic drug school/pub admin area | res173: Self-harm (Read codes) | diagnostic | Read |
| U204300 | [X]Int self poison psychotropic drug in sport/athletic area | res173: Self-harm (Read codes) | diagnostic | Read |
| U204400 | [X]Intent self pois psychotropic drug in street/highway | res173: Self-harm (Read codes) | diagnostic | Read |
| U204500 | [X]Intent self pois psychotropic drug trade/service area | res173: Self-harm (Read codes) | diagnostic | Read |
| U204600 | [X]Int self pois psychotropic drug indust/construct area | res173: Self-harm (Read codes) | diagnostic | Read |
| U204700 | [X]Int self poison/exposure to psychotropic drug on farm | res173: Self-harm (Read codes) | diagnostic | Read |
| U204y00 | [X]Int self poison psychotropic drug other spec place | res173: Self-harm (Read codes) | diagnostic | Read |
| U204z00 | [X]Intent self poison psychotropic drug unspecif place | res173: Self-harm (Read codes) | diagnostic | Read |
| U205.00 | [X]Intent self poison/exposure to narcotic drug | res173: Self-harm (Read codes) | diagnostic | Read |
| U205000 | [X]Int self poison/exposure to narcotic drug at home | res173: Self-harm (Read codes) | diagnostic | Read |
| U205100 | [X]Intent self poison narcotic drug at res institut | res173: Self-harm (Read codes) | diagnostic | Read |
| U205200 | [X]Int self poison narcotic drug school/pub admin area | res173: Self-harm (Read codes) | diagnostic | Read |
| U205300 | [X]Int self poison narcotic drug in sport/athletic area | res173: Self-harm (Read codes) | diagnostic | Read |
| U205400 | [X]Intent self pois narcotic drug in street/highway | res173: Self-harm (Read codes) | diagnostic | Read |
| U205500 | [X]Intent self pois narcotic drug trade/service area | res173: Self-harm (Read codes) | diagnostic | Read |
| U205600 | [X]Int self pois narcotic drug indust/construct area | res173: Self-harm (Read codes) | diagnostic | Read |
| U205700 | [X]Int self poison/exposure to narcotic drug on farm | res173: Self-harm (Read codes) | diagnostic | Read |
| U205y00 | [X]Int self poison narcotic drug other spec place | res173: Self-harm (Read codes) | diagnostic | Read |
| U205z00 | [X]Intent self poison narcotic drug unspecif place | res173: Self-harm (Read codes) | diagnostic | Read |
| U206.00 | [X]Intent self poison/exposure to hallucinogen | res173: Self-harm (Read codes) | diagnostic | Read |
| U206000 | [X]Int self poison/exposure to hallucinogen at home | res173: Self-harm (Read codes) | diagnostic | Read |
| U206100 | [X]Intent self poison hallucinogen at res institut | res173: Self-harm (Read codes) | diagnostic | Read |
| U206200 | [X]Int self poison hallucinogenschool/pub admin area | res173: Self-harm (Read codes) | diagnostic | Read |
| U206300 | [X]Int self poison hallucinogenin sport/athletic area | res173: Self-harm (Read codes) | diagnostic | Read |
| U206400 | [X]Intent self pois hallucinogen in street/highway | res173: Self-harm (Read codes) | diagnostic | Read |
| U206500 | [X]Intent self pois hallucinogen trade/service area | res173: Self-harm (Read codes) | diagnostic | Read |
| U206600 | [X]Int self pois hallucinogen indust/construct area | res173: Self-harm (Read codes) | diagnostic | Read |
| U206700 | [X]Int self poison/exposure to hallucinogen on farm | res173: Self-harm (Read codes) | diagnostic | Read |
| U206y00 | [X]Int self poison hallucinogen other spec place | res173: Self-harm (Read codes) | diagnostic | Read |
| U206z00 | [X]Intent self poison hallucinogen unspecif place | res173: Self-harm (Read codes) | diagnostic | Read |
| U207.00 | [X]Intent self poison/exposure to oth autonomic drug | res173: Self-harm (Read codes) | diagnostic | Read |
| U207000 | [X]Int self poison/exposure to oth autonomic drug at home | res173: Self-harm (Read codes) | diagnostic | Read |
| U207100 | [X]Intent self poison oth autonomic drug at res institut | res173: Self-harm (Read codes) | diagnostic | Read |
| U207200 | [X]Int self poison oth autonom drug school/pub admin area | res173: Self-harm (Read codes) | diagnostic | Read |
| U207300 | [X]Int self poison oth autonom drug in sport/athletic area | res173: Self-harm (Read codes) | diagnostic | Read |
| U207400 | [X]Intent self pois oth autonomic drug in street/highway | res173: Self-harm (Read codes) | diagnostic | Read |
| U207500 | [X]Intent self pois oth autonomic drug trade/service area | res173: Self-harm (Read codes) | diagnostic | Read |
| U207600 | [X]Int self pois oth autonomic drug indust/construct area | res173: Self-harm (Read codes) | diagnostic | Read |
| U207700 | [X]Int self poison/exposure to oth autonomic drug on farm | res173: Self-harm (Read codes) | diagnostic | Read |
| U207y00 | [X]Int self poison oth autonomic drug other spec place | res173: Self-harm (Read codes) | diagnostic | Read |
| U207z00 | [X]Intent self poison oth autonomic drug unspecif place | res173: Self-harm (Read codes) | diagnostic | Read |
| U208.00 | [X]Int self poison/exposure to other/unspec drug/medicament | res173: Self-harm (Read codes) | diagnostic | Read |
| U208000 | [X]Int self poison/exposure to oth/unsp drug/medicam home | res173: Self-harm (Read codes) | diagnostic | Read |
| U208100 | [X]Intent self poison oth/unsp drug/medicam res institut | res173: Self-harm (Read codes) | diagnostic | Read |
| U208200 | [X]Int self poison oth/uns drug/med school/pub admin area | res173: Self-harm (Read codes) | diagnostic | Read |
| U208300 | [X]Int self poison oth/uns drug/med in sport/athletic area | res173: Self-harm (Read codes) | diagnostic | Read |
| U208400 | [X]Intent self pois oth/unsp drug/medic in street/highway | res173: Self-harm (Read codes) | diagnostic | Read |
| U208500 | [X]Intent self pois oth/unsp drug/medic trade/service area | res173: Self-harm (Read codes) | diagnostic | Read |
| U208600 | [X]Int self pois oth/unsp drug/medic indust/construct area | res173: Self-harm (Read codes) | diagnostic | Read |
| U208700 | [X]Int self poison/exposure to oth/unsp drug/medic on farm | res173: Self-harm (Read codes) | diagnostic | Read |
| U208y00 | [X]Int self poison oth/unsp drug/medic other spec place | res173: Self-harm (Read codes) | diagnostic | Read |
| U208z00 | [X]Intent self poison oth/unsp drug/medic unspecif place | res173: Self-harm (Read codes) | diagnostic | Read |
| U209.00 | [X]Intent self poison/exposure to alcohol | res173: Self-harm (Read codes) | diagnostic | Read |
| U209000 | [X]Int self poison/exposure to alcohol at home | res173: Self-harm (Read codes) | diagnostic | Read |
| U209100 | [X]Intent self poison alcohol at res institut | res173: Self-harm (Read codes) | diagnostic | Read |
| U209200 | [X]Int self poison alcohol school/pub admin area | res173: Self-harm (Read codes) | diagnostic | Read |
| U209300 | [X]Int self poison alcohol in sport/athletic area | res173: Self-harm (Read codes) | diagnostic | Read |
| U209400 | [X]Intent self pois alcohol in street/highway | res173: Self-harm (Read codes) |