title: Alcohol and repeated deliberate self-harm: preliminary results of the French cohort study of risk for repeated incomplete suicides.
abstract: BACKGROUND
  Repeated episode(s) of deliberate self-harm (RDSH) is a major risk factor for suicide.
  
  
  OBJECTIVE
  To identify specific risk factors for RDSH among patients admitted following an episode of deliberate self-harm (DSH) through acute intoxication.
  
  
  METHODS
  A prospective 6-month study was conducted with 184 patients (71% female) admitted to the emergency room (ER) as a result of self-poisoning (SP).
  
  
  RESULTS
  Rate of RDSH stood at 18% after 6 months. The sociodemographic variables associated with repeated deliberate self-harm were to have no principal activity, consultation with a medical professional during the 6 months preceding the self-poisoning, and referral to psychiatric services upon release from the ER. The clinical variable associated with RDSH was alcohol addiction (OR=2.7; IC 95%=1.2-6.1, p<.05) as assessed at the time of the initial ER admission.
  
  
  CONCLUSIONS
  When patients are initially admitted to the ER as a result of self-poisoning, it is important to evaluate specific factors, particularly alcohol use, that could subsequently lead to repeated deliberate self-harm. The goal is to improve the targeting and referral of patients toward structures that can best respond to their needs.
authors: Toulouse University, UPS, Laboratoire du Stress Traumatique, Adult ER, Purpan Hospital, Toulouse, France.
authors: G
authors: G
authors: Riedi
authors: A
authors: A
authors: Mathur
authors: M
authors: M
authors: Séguin
authors: B
authors: B
authors: Bousquet
authors: P
authors: P
authors: Czapla
authors: S
authors: S
authors: Charpentier
authors: M
authors: M
authors: Genestal
authors: L
authors: L
authors: Cailhol
authors: P
authors: P
authors: Birmes
mesh_terms: D000437:Alcoholism / Q000523:psychology*; D015331:Cohort Studies; D004636:Emergency Service, Hospital; D000431:Ethanol / Q000506:poisoning*; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D010359:Patient Readmission; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000523:psychology*; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data
chemical_list: D000431:Ethanol