Table 2.
Comparison of individuals with deliberate self-harm by the different departments through which one received a psychiatric diagnosis.
| Variable | Psychiatric diagnosis from psychiatry (n=951, 16.86%) | Psychiatric diagnosis from other departments first, then psychiatry (n=1330, 23.58%) | Psychiatric diagnosis from psychiatry first, then other departments (n=1520, 26.95%) | Psychiatric diagnosis from other departments (n=775, 13.74%) | No psychiatric diagnosis (n=1064, 18.87%) | Total (N=5640) | P value | ||||||||||
| Survival status, n (%) | <.001 | ||||||||||||||||
|
|
Survived | 888 (93.4) | 1212 (91.13) | 1366 (89.87) | 675 (87.1) | 867 (81.48) | 5008 (88.79) |
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|
Death by suicide | 63 (6.6) | 118 (8.87) | 154 (10.13) | 100 (12.9) | 197 (18.52) | 632 (11.21) |
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| Self-harm severity, n (%) | <.001 | ||||||||||||||||
|
|
Fatal | 615 (64.7) | 877 (65.94) | 946 (62.24) | 381 (49.2) | 464 (43.61) | 2357 (41.79) |
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|
|
Nonfatal | 336 (35.3) | 453 (34.06) | 574 (37.76) | 394 (50.8) | 600 (56.39) | 3283 (58.21) |
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| Demographic factors | |||||||||||||||||
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|
Sex, n (%) | <.001 | |||||||||||||||
|
|
|
Male | 432 (45.4) | 504 (37.89) | 562 (36.97) | 406 (52.4) | 669 (62.88) | 2573 (45.62) |
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|
|
Female | 519 (54.6) | 826 (62.11) | 958 (63.03) | 369 (47.6) | 395 (37.12) | 3067 (54.38) |
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|
Age (years), median (range) | 32.0 (21.0-47.0) | 45.0 (30.0-59.0) | 52.0 (38.0-68.0) | 53.0 (40.0-66.0) | 43.0 (29.0-54.0) | 51.0 (40.0-64.0) | <.001 | |||||||||
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|
Age groups, n (%) | <.001 | |||||||||||||||
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|
10-19 | 178 (18.6) | 100 (7.52) | 64 (4.21) | 26 (3.3) | 123 (11.56) | 491 (8.71) |
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|
20-29 | 247 (25.8) | 227 (17.07) | 163 (10.72) | 64 (8.2) | 154 (14.47) | 855 (15.16) |
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|
30-39 | 170 (17.7) | 200 (15.04) | 191 (12.57) | 96 (12.4) | 192 (18.05) | 849 (15.05) |
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|
40-49 | 153 (16.0) | 241 (18.12) | 266 (17.50) | 143 (18.4) | 213 20.02) | 1016 (18.01) |
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|
50-59 | 101 (10.5) | 230 (17.29) | 311 (20.46) | 176 (22.7) | 200 (18.80) | 1018 (18.05) |
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|
60-69 | 54 (5.6) | 155 (11.65) | 180 (11.84) | 102 (13.1) | 88 (8.27) | 579 (10.27) |
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|
70-79 | 32 (3.3) | 113 (8.50) | 202 (13.29) | 89 (11.5) | 73 (6.86) | 509 (9.02) |
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>80 | 16 (1.7) | 64 (4.81) | 143 (9.41) | 79 (10.1) | 21 (1.97) | 323 (5.73) |
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|
Medical history–related factor | ||||||||||||||||
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|
|
Cancer, n (%) | 322 (33.9) | 641 (48.20) | 812 (53.42) | 350 (45.2) | 363 (34.12) | 2488 (44.11) | <.001 | ||||||||
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|
|
Charlson comorbidity index score, median (range) | 0.0 (0.0-1.0) | 1.0 (0.0-2.0) | 2.0 (0.0-3.0) | 2.0 (0.0-3.0) | 1.0 (0.0-2.0) | 2.0 (0.0-3.0) | <.001 | ||||||||
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|
Disability status, n (%) | <.001 | |||||||||||||||
|
|
|
Mild | 24 (2.5) | 106 (7.97) | 173 (11.38) | 83 (10.7) | 52 (4.89) | 438 (7.77) |
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|
|
Severe | 32 (3.3) | 103 (7.74) | 118 (7.76) | 35 (4.5) | 21 (1.97) | 309 (5.48) |
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|
|
No | 895 (94.1) | 1121 (84.29) | 1229 (80.86) | 657 (84.8) | 991 (93.14) | 4893 (86.76) |
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| Socioeconomic factors, n (%) | |||||||||||||||||
|
|
Smoking | <.001 | |||||||||||||||
|
|
|
Moderate | 278 (29.2) | 574 (43.16) | 772 (50.79) | 390 (50.3) | 403 (37.88) | 2417 (42.85) |
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|
|
Heavy | 163 (17.1) | 250 (18.80) | 291 (19.14) | 169 (21.8) | 252 (23.68) | 1125 (19.95) |
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|
|
N/Aa | 510 (53.6) | 506 (38.04) | 457 (30.07) | 216 (27.9) | 409 (38.44) | 2098 (37.20) |
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|
|
Drinking | <.001 | |||||||||||||||
|
|
|
Moderate | 250 (26.3) | 582 (43.76) | 775 (50.99) | 355 (45.8) | 376 (35.34) | 2338 (41.45) |
|
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|
|
|
Heavy | 192 (20.2) | 241 (18.12) | 284 (18.68) | 203 (26.2) | 278 (26.13) | 1198 (21.24) |
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|
|
|
N/A | 509 (53.5) | 507 (38.12) | 461 (30.33) | 217 (28.0) | 410 (38.53) | 2104 (37.30) |
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|
|
National Health Insurance | <.001 | |||||||||||||||
|
|
|
Employee or local | 928 (97.6) | 1160 (87.22) | 1273 (83.75) | 700 (90.3) | 1029 (96.71) | 5090 (90.25) |
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|
|
Medical benefit | 23 (2.4) | 170 (12.78) | 247 (16.25) | 75 (9.7) | 35 (3.29) | 550 (9.75) |
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aN/A: not applicable.