title: Mortality and suicide after self-harm: community cohort study in Taiwan.
abstract: BACKGROUND
  Little is known about outcomes after self-harm in East Asia.
  
  
  OBJECTIVE
  To investigate mortality after self-harm in a Taiwanese population.
  
  
  METHODS
  Between 2000 and 2003, 1083 individuals who self-harmed were identified through a population self-harm register in Nantou County, Taiwan, and followed until 2007 for date and cause of death on a national mortality database.
  
  
  RESULTS
  In total, 145 individuals died, 48 through suicide. The risks of all-cause and suicide mortality in the first year were 4.7% and 2.1% respectively, representing 8- and 131-fold age- and gender-standardised increases. Male gender and older age were independent risk factors for both suicide and non-suicide mortality. Use of more lethal methods in the index episode was associated with higher mortality but this was accounted for by gender.
  
  
  CONCLUSIONS
  Results in this sample support the recommendation that people with a history of recent self-harm should be a major target for suicide prevention programmes.
authors.affiliation: Department of Psychiatry, Chung San Medical University Hospital and School of Medicine, Chung Shan Medical University, Taichung, Taiwan.
authors.forename: Vincent C H
authors.initials: VC
authors.lastname: Chen
authors.forename: Happy K L
authors.initials: HK
authors.lastname: Tan
authors.forename: Chung-Ying
authors.initials: CY
authors.lastname: Chen
authors.forename: Tony H H
authors.initials: TH
authors.lastname: Chen
authors.forename: Long-Ren
authors.initials: LR
authors.lastname: Liao
authors.forename: Charles T C
authors.initials: CT
authors.lastname: Lee
authors.forename: Michael
authors.initials: M
authors.lastname: Dewey
authors.forename: Robert
authors.initials: R
authors.lastname: Stewart
authors.forename: Martin
authors.initials: M
authors.lastname: Prince
authors.forename: Andrew T A
authors.initials: AT
authors.lastname: Cheng
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016728:Self-Injurious Behavior / Q000401:mortality*; D012737:Sex Factors; D013405:Suicide / Q000706:statistics & numerical data* / Q000639:trends; D013624:Taiwan / Q000453:epidemiology