The epidemiology of self-harm in a UK-wide primary care patient cohort, 2001-2013.

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

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    BACKGROUND: Most of the research conducted on people who harm themselves has been undertaken in secondary healthcare settings. Little is known about the frequency of self-harm in primary care patient populations. This is the first study to describe the epidemiology of self-harm presentations to primary care using broadly representative national data from across the United Kingdom (UK). METHODS: Using the Clinical Practice Research Datalink (CPRD), we calculated directly standardised rates of incidence and annual presentation during 2001-2013. Rates were compared by gender and age and across the nations of the UK, and also by degree of socioeconomic deprivation measured ecologically at general practice level. RESULTS: We found significantly elevated rates in females vs. males for incidence (rate ratio - RR, 1.45, 95 % confidence interval - CI, 1.42-1.47) and for annual presentation (RR 1.56, CI 1.54-1.58). An increasing trend over time in incidence was apparent for males (P 
    Original languageEnglish
    Number of pages10
    JournalBMC Psychiatry
    Issue number1
    Publication statusPublished - 2016


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