Background:
Self-harm is a major risk factor for suicide, with older adults (older than 65 years) having reportedly greater suicidal intent than any other age group. With the aging population rising and paucity of research focus in this age group, the extent of the problem of self-harm needs to be established. In a primary care cohort of older adults we aimed to investigate the incidence of self-harm, subsequent clinical management, prevalence of mental and physical diagnoses, and unnatural-cause mortality risk, including suicide.
Methods:
The UK Clinical Practice Research Datalink contains anonymised patient records from general practice that routinely capture clinical information pertaining to both primary and secondary care services. We identified 4124 adults aged 65 years and older with a self-harm episode ascertained from Read codes recorded during 2001–14. We calculated standardised incidence and in 2854 adults with at least 12 months follow-up examined the frequency of psychiatric referrals and prescription of psychotropic medication after self-harm. We estimated prevalence of mental and physical illness diagnoses before and after self-harm and, using Cox regression in a matched cohort, we examined cause-specific mortality risks.
Findings:
Overall incidence of self-harm in older adults aged 65 years and older was 4·1 per 10 000 person-years with stable gender-specific rates observed over the 13-year period. After self-harm, 335 (11·7%) of 2854 adults were referred to mental health services, 1692 (59·3%) were prescribed an antidepressant, and 336 (11·8%) were prescribed a tricyclic antidepressant (TCA). Having a diagnosed previous mental illness was twice as prevalent in the self-harm cohort as in the comparison cohort (prevalence ratio 2·10 [95% CI 2·03–2·17]) and with a previous physical health condition prevalence was 20% higher in the self-harm cohort compared to the comparison cohort (1·20 [1·17–1·23]). Adults from the self-harm cohort (n=2454) died from unnatural causes an estimated 20 times more frequently than the comparison cohort (n=48 921) during the first year. A markedly elevated risk of suicide (hazard ratio 145·4 [95% CI 53·9–392·3]) was observed in the self-harm cohort.
Interpretation:
Within primary care, we have identified a group of older adults at high risk from unnatural death, particularly within the first year of self-harm. We have highlighted a high frequency of prescription of TCAs, known to be potentially fatally toxic in overdose. We emphasise the need for early intervention, careful alternative prescribing, and increased support when older adults consult after an episode of self-harm and with other health conditions.
Catherine Morgan, Roger T Webb, Mathew J Carr, Evangelos Kontopantelis, Carolyn A Chew-Graham, Nav Kapur, Darren M. Ashcroft, Self-harm in a primary care cohort of older people incidence, clinical management, and risk of suicide and other causes of death. Psychiatry, 5, 2018.
Code | Description | Entity type | Category | Coding System (Read) |
---|---|---|---|---|
14K1.00 | Intentional overdose of prescription only medication | res69: Self-harm | diagnostic | Read |
SL...14 | Overdose of biological substance | res69: Self-harm | diagnostic | Read |
SL...15 | Overdose of drug | res69: Self-harm | diagnostic | Read |
SL90.00 | Antidepressant poisoning | res69: Self-harm | diagnostic | Read |
SL90z00 | Anti-depressant poisoning NOS | res69: Self-harm | diagnostic | Read |
SLHz.00 | Drug and medicament poisoning NOS | res69: Self-harm | diagnostic | Read |
TK...00 | Suicide and selfinflicted injury | res69: Self-harm | diagnostic | Read |
TK...11 | Cause of overdose - deliberate | res69: Self-harm | diagnostic | Read |
TK...12 | Injury - self-inflicted | res69: Self-harm | diagnostic | Read |
TK...13 | Poisoning - self-inflicted | res69: Self-harm | diagnostic | Read |
TK...14 | Suicide and self harm | res69: Self-harm | diagnostic | Read |
TK...15 | Attempted suicide | res69: Self-harm | diagnostic | Read |
TK...17 | Para-suicide | res69: Self-harm | diagnostic | Read |
TK0..00 | Suicide + selfinflicted poisoning by solid/liquid substances | res69: Self-harm | diagnostic | Read |
TK00.00 | Suicide + selfinflicted poisoning by analgesic/antipyretic | res69: Self-harm | diagnostic | Read |
TK01.00 | Suicide + selfinflicted poisoning by barbiturates | res69: Self-harm | diagnostic | Read |
TK01000 | Suicide and self inflicted injury by Amylobarbitone | res69: Self-harm | diagnostic | Read |
TK01100 | Suicide and self inflicted injury by Barbitone | res69: Self-harm | diagnostic | Read |
TK01400 | Suicide and self inflicted injury by Phenobarbitone | res69: Self-harm | diagnostic | Read |
TK02.00 | Suicide + selfinflicted poisoning by oth sedatives/hypnotics | res69: Self-harm | diagnostic | Read |
TK03.00 | Suicide + selfinflicted poisoning tranquilliser/psychotropic | res69: Self-harm | diagnostic | Read |
TK04.00 | Suicide + selfinflicted poisoning by other drugs/medicines | res69: Self-harm | diagnostic | Read |
TK05.00 | Suicide + selfinflicted poisoning by drug or medicine NOS | res69: Self-harm | diagnostic | Read |
TK06.00 | Suicide + selfinflicted poisoning by agricultural chemical | res69: Self-harm | diagnostic | Read |
TK07.00 | Suicide + selfinflicted poisoning by corrosive/caustic subst | res69: Self-harm | diagnostic | Read |
TK0z.00 | Suicide + selfinflicted poisoning by solid/liquid subst NOS | res69: Self-harm | diagnostic | Read |
TK1..00 | Suicide + selfinflicted poisoning by gases in domestic use | res69: Self-harm | diagnostic | Read |
TK10.00 | Suicide + selfinflicted poisoning by gas via pipeline | res69: Self-harm | diagnostic | Read |
TK11.00 | Suicide + selfinflicted poisoning by liquified petrol gas | res69: Self-harm | diagnostic | Read |
TK1y.00 | Suicide and selfinflicted poisoning by other utility gas | res69: Self-harm | diagnostic | Read |
TK1z.00 | Suicide + selfinflicted poisoning by domestic gases NOS | res69: Self-harm | diagnostic | Read |
TK2..00 | Suicide + selfinflicted poisoning by other gases and vapours | res69: Self-harm | diagnostic | Read |
TK20.00 | Suicide + selfinflicted poisoning by motor veh exhaust gas | res69: Self-harm | diagnostic | Read |
TK21.00 | Suicide and selfinflicted poisoning by other carbon monoxide | res69: Self-harm | diagnostic | Read |
TK2z.00 | Suicide + selfinflicted poisoning by gases and vapours NOS | res69: Self-harm | diagnostic | Read |
TK3..00 | Suicide + selfinflicted injury by hang/strangulate/suffocate | res69: Self-harm | diagnostic | Read |
TK30.00 | Suicide and selfinflicted injury by hanging | res69: Self-harm | diagnostic | Read |
TK31.00 | Suicide + selfinflicted injury by suffocation by plastic bag | res69: Self-harm | diagnostic | Read |
TK3y.00 | Suicide + selfinflicted inj oth mean hang/strangle/suffocate | res69: Self-harm | diagnostic | Read |
TK3z.00 | Suicide + selfinflicted inj by hang/strangle/suffocate NOS | res69: Self-harm | diagnostic | Read |
TK4..00 | Suicide and selfinflicted injury by drowning | res69: Self-harm | diagnostic | Read |
TK5..00 | Suicide and selfinflicted injury by firearms and explosives | res69: Self-harm | diagnostic | Read |
TK51.00 | Suicide and selfinflicted injury by shotgun | res69: Self-harm | diagnostic | Read |
TK52.00 | Suicide and selfinflicted injury by hunting rifle | res69: Self-harm | diagnostic | Read |
TK54.00 | Suicide and selfinflicted injury by other firearm | res69: Self-harm | diagnostic | Read |
TK5z.00 | Suicide and selfinflicted injury by firearms/explosives NOS | res69: Self-harm | diagnostic | Read |
TK6..00 | Suicide and selfinflicted injury by cutting and stabbing | res69: Self-harm | diagnostic | Read |
TK60.00 | Suicide and selfinflicted injury by cutting | res69: Self-harm | diagnostic | Read |
TK60100 | Self inflicted lacerations to wrist | res69: Self-harm | diagnostic | Read |
TK60111 | Slashed wrists self inflicted | res69: Self-harm | diagnostic | Read |
TK61.00 | Suicide and selfinflicted injury by stabbing | res69: Self-harm | diagnostic | Read |
TK6z.00 | Suicide and selfinflicted injury by cutting and stabbing NOS | res69: Self-harm | diagnostic | Read |
TK7..00 | Suicide and selfinflicted injury by jumping from high place | res69: Self-harm | diagnostic | Read |
TK70.00 | Suicide+selfinflicted injury-jump from residential premises | res69: Self-harm | diagnostic | Read |
TK71.00 | Suicide+selfinflicted injury-jump from oth manmade structure | res69: Self-harm | diagnostic | Read |
TK72.00 | Suicide+selfinflicted injury-jump from natural sites | res69: Self-harm | diagnostic | Read |
TK7z.00 | Suicide+selfinflicted injury-jump from high place NOS | res69: Self-harm | diagnostic | Read |
TKx..00 | Suicide and selfinflicted injury by other means | res69: Self-harm | diagnostic | Read |
TKx0.00 | Suicide + selfinflicted injury-jump/lie before moving object | res69: Self-harm | diagnostic | Read |
TKx0000 | Suicide + selfinflicted injury-jumping before moving object | res69: Self-harm | diagnostic | Read |
TKx1.00 | Suicide and selfinflicted injury by burns or fire | res69: Self-harm | diagnostic | Read |
TKx2.00 | Suicide and selfinflicted injury by scald | res69: Self-harm | diagnostic | Read |
TKx3.00 | Suicide and selfinflicted injury by extremes of cold | res69: Self-harm | diagnostic | Read |
TKx4.00 | Suicide and selfinflicted injury by electrocution | res69: Self-harm | diagnostic | Read |
TKx5.00 | Suicide and selfinflicted injury by crashing motor vehicle | res69: Self-harm | diagnostic | Read |
TKx6.00 | Suicide and selfinflicted injury by crashing of aircraft | res69: Self-harm | diagnostic | Read |
TKx7.00 | Suicide and selfinflicted injury caustic subst; excl poison | res69: Self-harm | diagnostic | Read |
TKxy.00 | Suicide and selfinflicted injury by other specified means | res69: Self-harm | diagnostic | Read |
TKxz.00 | Suicide and selfinflicted injury by other means NOS | res69: Self-harm | diagnostic | Read |
TKy..00 | Late effects of selfinflicted injury | res69: Self-harm | diagnostic | Read |
TKz..00 | Suicide and selfinflicted injury NOS | res69: Self-harm | diagnostic | Read |
U2...00 | [X]Intentional self-harm | res69: Self-harm | diagnostic | Read |
U2...11 | [X]Self inflicted injury | res69: Self-harm | diagnostic | Read |
U2...12 | [X]Injury - self-inflicted | res69: Self-harm | diagnostic | Read |
U2...13 | [X]Suicide | res69: Self-harm | diagnostic | Read |
U2...14 | [X]Attempted suicide | res69: Self-harm | diagnostic | Read |
U2...15 | [X]Para-suicide | res69: Self-harm | diagnostic | Read |
U20..00 | [X]Intentional self poisoning/exposure to noxious substances | res69: Self-harm | diagnostic | Read |
U20..11 | [X]Deliberate drug overdose / other poisoning | res69: Self-harm | diagnostic | Read |
U200.00 | [X]Intent self poison/exposure to nonopioid analgesic | res69: Self-harm | diagnostic | Read |
U200.11 | [X]Overdose - paracetamol | res69: Self-harm | diagnostic | Read |
U200.12 | [X]Overdose - ibuprofen | res69: Self-harm | diagnostic | Read |
U200.13 | [X]Overdose - aspirin | res69: Self-harm | diagnostic | Read |
U200000 | [X]Int self poison/exposure to nonopioid analgesic at home | res69: Self-harm | diagnostic | Read |
U200100 | [X]Intent self poison nonopioid analgesic at res institut | res69: Self-harm | diagnostic | Read |
U200400 | [X]Intent self pois nonopioid analgesic in street/highway | res69: Self-harm | diagnostic | Read |
U200500 | [X]Intent self pois nonopioid analgesic trade/service area | res69: Self-harm | diagnostic | Read |
U200y00 | [X]Int self poison nonopioid analgesic other spec place | res69: Self-harm | diagnostic | Read |
U200z00 | [X]Intent self poison nonopioid analgesic unspecif place | res69: Self-harm | diagnostic | Read |
U201.00 | [X]Intent self poison/exposure to antiepileptic | res69: Self-harm | diagnostic | Read |
U201000 | [X]Int self poison/exposure to antiepileptic at home | res69: Self-harm | diagnostic | Read |
U201z00 | [X]Intent self poison antiepileptic unspecif place | res69: Self-harm | diagnostic | Read |
U202.00 | [X]Intent self poison/exposure to sedative hypnotic | res69: Self-harm | diagnostic | Read |
U202.11 | [X]Overdose - sleeping tabs | res69: Self-harm | diagnostic | Read |
U202.12 | [X]Overdose - diazepam | res69: Self-harm | diagnostic | Read |
U202.13 | [X]Overdose - temazepam | res69: Self-harm | diagnostic | Read |
U202.15 | [X]Overdose - nitrazepam | res69: Self-harm | diagnostic | Read |
U202.16 | [X]Overdose - benzodiazepine | res69: Self-harm | diagnostic | Read |
U202.17 | [X]Overdose - barbiturate | res69: Self-harm | diagnostic | Read |
U202.18 | [X]Overdose - amobarbital | res69: Self-harm | diagnostic | Read |
U202000 | [X]Int self poison/exposure to sedative hypnotic at home | res69: Self-harm | diagnostic | Read |
U202400 | [X]Intent self pois sedative hypnotic in street/highway | res69: Self-harm | diagnostic | Read |
U202y00 | [X]Int self poison sedative hypnotic other spec place | res69: Self-harm | diagnostic | Read |
U202z00 | [X]Intent self poison sedative hypnotic unspecif place | res69: Self-harm | diagnostic | Read |
U204.00 | [X]Intent self poison/exposure to psychotropic drug | res69: Self-harm | diagnostic | Read |
U204.11 | [X]Overdose - antidepressant | res69: Self-harm | diagnostic | Read |
U204.12 | [X]Overdose - amitriptyline | res69: Self-harm | diagnostic | Read |
U204.13 | [X]Overdose - SSRI | res69: Self-harm | diagnostic | Read |
U204000 | [X]Int self poison/exposure to psychotropic drug at home | res69: Self-harm | diagnostic | Read |
U204100 | [X]Intent self poison psychotropic drug at res institut | res69: Self-harm | diagnostic | Read |
U204y00 | [X]Int self poison psychotropic drug other spec place | res69: Self-harm | diagnostic | Read |
U204z00 | [X]Intent self poison psychotropic drug unspecif place | res69: Self-harm | diagnostic | Read |
U205.00 | [X]Intent self poison/exposure to narcotic drug | res69: Self-harm | diagnostic | Read |
U205000 | [X]Int self poison/exposure to narcotic drug at home | res69: Self-harm | diagnostic | Read |
U205y00 | [X]Int self poison narcotic drug other spec place | res69: Self-harm | diagnostic | Read |
U205z00 | [X]Intent self poison narcotic drug unspecif place | res69: Self-harm | diagnostic | Read |
U206.00 | [X]Intent self poison/exposure to hallucinogen | res69: Self-harm | diagnostic | Read |
U206400 | [X]Intent self pois hallucinogen in street/highway | res69: Self-harm | diagnostic | Read |
U207.00 | [X]Intent self poison/exposure to oth autonomic drug | res69: Self-harm | diagnostic | Read |
U207000 | [X]Int self poison/exposure to oth autonomic drug at home | res69: Self-harm | diagnostic | Read |
U207z00 | [X]Intent self poison oth autonomic drug unspecif place | res69: Self-harm | diagnostic | Read |
U208.00 | [X]Int self poison/exposure to other/unspec drug/medicament | res69: Self-harm | diagnostic | Read |
U208000 | [X]Int self poison/exposure to oth/unsp drug/medicam home | res69: Self-harm | diagnostic | Read |
U208400 | [X]Intent self pois oth/unsp drug/medic in street/highway | res69: Self-harm | diagnostic | Read |
U208y00 | [X]Int self poison oth/unsp drug/medic other spec place | res69: Self-harm | diagnostic | Read |
U208z00 | [X]Intent self poison oth/unsp drug/medic unspecif place | res69: Self-harm | diagnostic | Read |
U209.00 | [X]Intent self poison/exposure to alcohol | res69: Self-harm | diagnostic | Read |
U209y00 | [X]Int self poison alcohol other spec place | res69: Self-harm | diagnostic | Read |
U209z00 | [X]Intent self poison alcohol unspecif place | res69: Self-harm | diagnostic | Read |
U20A.00 | [X]Intentional self poison organ solvent;halogen hydrocarb | res69: Self-harm | diagnostic | Read |
U20A.11 | [X]Self poisoning from glue solvent | res69: Self-harm | diagnostic | Read |
U20A000 | [X]Intent self pois organ solvent;halogen hydrocarb; home | res69: Self-harm | diagnostic | Read |
U20A400 | [X]Int self poison org solvent;halogen hydrocarb;in highway | res69: Self-harm | diagnostic | Read |
U20Az00 | [X]Int self pois org solv;halogen hydrocarb; unspec place | res69: Self-harm | diagnostic | Read |
U20B.00 | [X]Intent self poison/exposure to other gas/vapour | res69: Self-harm | diagnostic | Read |
U20B.11 | [X]Self carbon monoxide poisoning | res69: Self-harm | diagnostic | Read |
U20B000 | [X]Int self poison/exposure to other gas/vapour at home | res69: Self-harm | diagnostic | Read |
U20B200 | [X]Int self poison other gas/vapour school/pub admin area | res69: Self-harm | diagnostic | Read |
U20By00 | [X]Int self poison other gas/vapour other spec place | res69: Self-harm | diagnostic | Read |
U20Bz00 | [X]Intent self poison other gas/vapour unspecif place | res69: Self-harm | diagnostic | Read |
U20C.00 | [X]Intent self poison/exposure to pesticide | res69: Self-harm | diagnostic | Read |
U20C.11 | [X]Self poisoning with weedkiller | res69: Self-harm | diagnostic | Read |
U20C.12 | [X]Self poisoning with paraquat | res69: Self-harm | diagnostic | Read |
U20C000 | [X]Int self poison/exposure to pesticide at home | res69: Self-harm | diagnostic | Read |
U20Cy00 | [X]Int self poison pesticide other spec place | res69: Self-harm | diagnostic | Read |
U20y.00 | [X]Intent self poison/exposure to unspecif chemical | res69: Self-harm | diagnostic | Read |
U20y000 | [X]Int self poison/exposure to unspecif chemical at home | res69: Self-harm | diagnostic | Read |
U20y200 | [X]Int self poison unspecif chemical school/pub admin area | res69: Self-harm | diagnostic | Read |
U20yz00 | [X]Intent self poison unspecif chemical unspecif place | res69: Self-harm | diagnostic | Read |
U21..00 | [X]Intent self harm by hanging strangulation / suffocation | res69: Self-harm | diagnostic | Read |
U210.00 | [X]Intent self harm by hanging strangulat/suffocat occ home | res69: Self-harm | diagnostic | Read |
U211.00 | [X]Intent self harm by hangng strangult/suffoct resid instit | res69: Self-harm | diagnostic | Read |
U212.00 | [X]Inten slf harm hang strang/suffc sch oth ins/pub adm area | res69: Self-harm | diagnostic | Read |
U216.00 | [X]Intent self harm by hang strangl/suffc indust/constr area | res69: Self-harm | diagnostic | Read |
U21y.00 | [X]Intent self harm by hangng strangul/suffoct oth spec plce | res69: Self-harm | diagnostic | Read |
U21z.00 | [X]Intent self harm by hangng strangul/suffoct unspecif plce | res69: Self-harm | diagnostic | Read |
U22..00 | [X]Intentional self harm by drowning and submersion | res69: Self-harm | diagnostic | Read |
U220.00 | [X]Intent self harm by drowning/submersion occurrn at home | res69: Self-harm | diagnostic | Read |
U221.00 | [X]Intent self harm by drowning/submersn occ resid instit'n | res69: Self-harm | diagnostic | Read |
U22y.00 | [X]Intent self harm by drown/submersn occ oth specif place | res69: Self-harm | diagnostic | Read |
U22z.00 | [X]Intent self harm by drown/submersn occ unspecified place | res69: Self-harm | diagnostic | Read |
U24..00 | [X]Intent self harm by rifle shotgun/larger firearm disch | res69: Self-harm | diagnostic | Read |
U241.00 | [X]Int self harm rifl s'gun/lrg frarm disch occ resid instit | res69: Self-harm | diagnostic | Read |
U242.00 | [X]Int slf hrm rifl s'gun/lrg frarm dis sch/ins/pub adm area | res69: Self-harm | diagnostic | Read |
U25..00 | [X]Intent self harm by other/unspecified firearm discharge | res69: Self-harm | diagnostic | Read |
U250.00 | [X]Intent self harm oth/unspecif firearm disch occ at home | res69: Self-harm | diagnostic | Read |
U26..00 | [X]Intentional self harm by explosive material | res69: Self-harm | diagnostic | Read |
U27..00 | [X]Intentional self harm by smoke; fire and flames | res69: Self-harm | diagnostic | Read |
U270.00 | [X]Intention self harm by smoke fire/flames occurrn at home | res69: Self-harm | diagnostic | Read |
U274.00 | [X]Intent self harm by smoke fire/flame occ street/highway | res69: Self-harm | diagnostic | Read |
U27z.00 | [X]Intent self harm by smoke fire/flames occ unspecif place | res69: Self-harm | diagnostic | Read |
U28..00 | [X]Intentional self harm by steam hot vapours / hot objects | res69: Self-harm | diagnostic | Read |
U280.00 | [X]Intent self harm by steam hot vapour/hot obj occ at home | res69: Self-harm | diagnostic | Read |
U28z.00 | [X]Intent self harm by steam hot vapour/obj occ unspec place | res69: Self-harm | diagnostic | Read |
U29..00 | [X]Intentional self harm by sharp object | res69: Self-harm | diagnostic | Read |
U290.00 | [X]Intentional self harm by sharp object occurrence at home | res69: Self-harm | diagnostic | Read |
U291.00 | [X]Intent self harm by sharp object occ resident instit'n | res69: Self-harm | diagnostic | Read |
U294.00 | [X]Intention self harm by sharp object occ street/highway | res69: Self-harm | diagnostic | Read |
U29y.00 | [X]Intention self harm by sharp object occ oth specif place | res69: Self-harm | diagnostic | Read |
U29z.00 | [X]Intentional self harm by sharp object occ unspecif place | res69: Self-harm | diagnostic | Read |
U2A..00 | [X]Intentional self harm by blunt object | res69: Self-harm | diagnostic | Read |
U2A0.00 | [X]Intentional self harm by blunt object occurrence at home | res69: Self-harm | diagnostic | Read |
U2A1.00 | [X]Intent self harm by blunt object occ resident instit'n | res69: Self-harm | diagnostic | Read |
U2A3.00 | [X]Intent self harm by blunt object occ sports/athlet area | res69: Self-harm | diagnostic | Read |
U2B..00 | [X]Intentional self harm by jumping from a high place | res69: Self-harm | diagnostic | Read |
U2B0.00 | [X]Intent self harm by jumping from high place occ at home | res69: Self-harm | diagnostic | Read |
U2B4.00 | [X]Intent self harm by jump from high place occ street/h'way | res69: Self-harm | diagnostic | Read |
U2B6.00 | [X]Int self harm by jump from high place indust/constr area | res69: Self-harm | diagnostic | Read |
U2By.00 | [X]Int self harm by jump from high place occ oth specif plce | res69: Self-harm | diagnostic | Read |
U2Bz.00 | [X]Int self harm by jump from high place occ unspecif place | res69: Self-harm | diagnostic | Read |
U2C..00 | [X]Intent self harm by jumping / lying before moving object | res69: Self-harm | diagnostic | Read |
U2C1.00 | [X]Int self harm jump/lying befr mov obje occ resid instit'n | res69: Self-harm | diagnostic | Read |
U2C4.00 | [X]Int self harm jump/lying befr mov obje occ street/highway | res69: Self-harm | diagnostic | Read |
U2Cy.00 | [X]Int self harm jump/lying bef mov obje occ oth specif plce | res69: Self-harm | diagnostic | Read |
U2D..00 | [X]Intentional self harm by crashing of motor vehicle | res69: Self-harm | diagnostic | Read |
U2D0.00 | [X]Intent self harm by crash of motor vehicl occurrn at home | res69: Self-harm | diagnostic | Read |
U2D4.00 | [X]Intent self harm by crash motor vehicl occ street/highway | res69: Self-harm | diagnostic | Read |
U2D6.00 | [X]Intent self harm crash motor vehic occ indust/constr area | res69: Self-harm | diagnostic | Read |
U2E..00 | [X]Self mutilation | res69: Self-harm | diagnostic | Read |
U2y..00 | [X]Intentional self harm by other specified means | res69: Self-harm | diagnostic | Read |
U2y0.00 | [X]Intentionl self harm by oth specif means occurrn at home | res69: Self-harm | diagnostic | Read |
U2y1.00 | [X]Intent self harm by oth specif means occ resid instit'n | res69: Self-harm | diagnostic | Read |
U2yz.00 | [X]Intent self harm by oth specif means occ unspecif place | res69: Self-harm | diagnostic | Read |
U2z..00 | [X]Intentional self harm by unspecified means | res69: Self-harm | diagnostic | Read |
U2z0.00 | [X]Intentional self harm by unspecif means occurrn at home | res69: Self-harm | diagnostic | Read |
U2z2.00 | [X]Intent self harm by unspec mean occ sch/ins/pub adm area | res69: Self-harm | diagnostic | Read |
U2zy.00 | [X]Intent self harm by unspecif means occ oth specif place | res69: Self-harm | diagnostic | Read |
U2zz.00 | [X]Intent self harm by unspecif means occ at unspecif place | res69: Self-harm | diagnostic | Read |
U30..11 | [X]Deliberate drug poisoning | res69: Self-harm | diagnostic | Read |
U41..00 | [X]Hanging strangulation + suffocation undetermined intent | res69: Self-harm | diagnostic | Read |
U44..00 | [X]Rifle shotgun+larger firearm discharge undetermin intent | res69: Self-harm | diagnostic | Read |
U45..00 | [X]Other+unspecified firearm discharge undetermined intent | res69: Self-harm | diagnostic | Read |
U4B..00 | [X]Falling jumping/pushed from high place undeterm intent | res69: Self-harm | diagnostic | Read |
U4Bz.00 | [X]Fall jump/push frm high plce undt intnt occ unspecif plce | res69: Self-harm | diagnostic | Read |
U72..00 | [X]Sequel intentn self-harm assault+event of undeterm intent | res69: Self-harm | diagnostic | Read |
U720.00 | [X]Sequelae of intentional self-harm | res69: Self-harm | diagnostic | Read |
ZRLfC12 | HoNOS item 2 - non-accidental self injury | res69: Self-harm | diagnostic | Read |
ZRn3.00 | Suicide intent score subscale - attempt circumstances | res69: Self-harm | diagnostic | Read |
ZX...00 | Self-harm | res69: Self-harm | diagnostic | Read |
ZX...11 | Self-damage | res69: Self-harm | diagnostic | Read |
ZX1..00 | Self-injurious behaviour | res69: Self-harm | diagnostic | Read |
ZX1..12 | SIB - Self-injurious behaviour | res69: Self-harm | diagnostic | Read |
ZX1..13 | Deliberate self-harm | res69: Self-harm | diagnostic | Read |
ZX11.00 | Biting self | res69: Self-harm | diagnostic | Read |
ZX11.11 | Bites self | res69: Self-harm | diagnostic | Read |
ZX12.00 | Burning self | res69: Self-harm | diagnostic | Read |
ZX13.00 | Cutting self | res69: Self-harm | diagnostic | Read |
ZX13.11 | Cuts self | res69: Self-harm | diagnostic | Read |
ZX13100 | Cutting own wrists | res69: Self-harm | diagnostic | Read |
ZX15.00 | Drowning self | res69: Self-harm | diagnostic | Read |
ZX18.00 | Hanging self | res69: Self-harm | diagnostic | Read |
ZX19.00 | Hitting self | res69: Self-harm | diagnostic | Read |
ZX19100 | Punching self | res69: Self-harm | diagnostic | Read |
ZX19200 | Slapping self | res69: Self-harm | diagnostic | Read |
ZX1B.00 | Jumping from height | res69: Self-harm | diagnostic | Read |
ZX1B100 | Jumping from building | res69: Self-harm | diagnostic | Read |
ZX1B200 | Jumping from bridge | res69: Self-harm | diagnostic | Read |
ZX1B300 | Jumping from cliff | res69: Self-harm | diagnostic | Read |
ZX1C.00 | Nipping self | res69: Self-harm | diagnostic | Read |
ZX1E.00 | Pinching self | res69: Self-harm | diagnostic | Read |
ZX1G.00 | Scratches self | res69: Self-harm | diagnostic | Read |
ZX1H.00 | Self-asphyxiation | res69: Self-harm | diagnostic | Read |
ZX1H100 | Self-strangulation | res69: Self-harm | diagnostic | Read |
ZX1H200 | Self-suffocation | res69: Self-harm | diagnostic | Read |
ZX1I.00 | Self-scalding | res69: Self-harm | diagnostic | Read |
ZX1J.00 | Self-electrocution | res69: Self-harm | diagnostic | Read |
ZX1K.00 | Self-incineration | res69: Self-harm | diagnostic | Read |
ZX1K.11 | Setting fire to self | res69: Self-harm | diagnostic | Read |
ZX1K.12 | Setting self alight | res69: Self-harm | diagnostic | Read |
ZX1L.00 | Self-mutilation | res69: Self-harm | diagnostic | Read |
ZX1L100 | Self-mutilation of hands | res69: Self-harm | diagnostic | Read |
ZX1L200 | Self-mutilation of genitalia | res69: Self-harm | diagnostic | Read |
ZX1L300 | Self-mutilation of penis | res69: Self-harm | diagnostic | Read |
ZX1L600 | Self-mutilation of ears | res69: Self-harm | diagnostic | Read |
ZX1LD00 | [X]Self mutilation | res69: Self-harm | diagnostic | Read |
ZX1M.00 | Shooting self | res69: Self-harm | diagnostic | Read |
ZX1N.00 | Stabbing self | res69: Self-harm | diagnostic | Read |
ZX1Q.00 | Throwing self in front of train | res69: Self-harm | diagnostic | Read |
ZX1Q.11 | Jumping under train | res69: Self-harm | diagnostic | Read |
ZX1R.00 | Throwing self in front of vehicle | res69: Self-harm | diagnostic | Read |
ZX1S.00 | Throwing self onto floor | res69: Self-harm | diagnostic | Read |
To Export Phenotype Details:
Format | API |
---|---|
XML | site_root/api/v1/public/phenotypes/PH893/version/1865/detail/?format=xml |
JSON | site_root/api/v1/public/phenotypes/PH893/version/1865/detail/?format=json |
R Package |
|
To Export Phenotype Code List:
Format | API |
---|---|
XML | site_root/api/v1/public/phenotypes/PH893/version/1865/export/codes/?format=xml |
JSON | site_root/api/v1/public/phenotypes/PH893/version/1865/export/codes/?format=json |
CSV | site_root/phenotypes/PH893/version/1865/export/codes/ |
R Package |
|
Version ID |
Name | Owner | Publish date | |
---|---|---|---|---|
1865 | Self Harm | ieuan.scanlon | 2022-04-04 | currently shown |
Export - export all codes into a csv file/JSON/XML for the current phenotype version.
Print - Print page.