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題名:Incidence and Risk Factors of Self-harm among Patients with Schizophrenia in Taiwan: A 12-year Retrospective Cohort Study
書刊名:Taiwanese Journal of Psychiatry
作者:馬家豪陳宜明廖士程謝明憲高淑芬李明濱吳其炘
作者(外文):Ma, Chia-haoChen, I-mingLiao, Shih-chengHsieh, Ming H.Gau, Susan Shur-fenLee, Ming-beenWu, Chi-shin
出版日期:2016
卷期:30:4
頁次:頁269-278+a7
主題關鍵詞:思覺失調症自傷行為危險因子發生率SchizophreniaSelf-harmRisk factorsIncidence
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:4
  • 點閱點閱:5
Objectives: Patients with schizophrenia have higher risk of self-harm and suicide. Previous reviews revealed that previous self-harm, depressive symptoms, and substance abuse increase self-harm risk, but the incidence of self-harm of patients with schizophrenia in Taiwan has rarely been reported. In this study, we intended to explore the incidence, the self-harm methods, associated comorbidities, and socio-demographic factors. Methods: We used National Health Insurance Research Database. We included subjects who had at least two ambulatory claims or one admission with diagnosis of schizophrenia-spectrum disorder and at least one antipsychotic agent prescription during 2001-2012. Excluded were those who were too young or too old at diagnosis, diagnosed before 2001, and having missing data. We also recruited age- and sex-matched comparison group. The outcome was defined as the first hospitalization, emergency department visits, or outpatient visits due to self-harm. Results: Patients with schizophrenia were in higher risk of history of self-harm, mood disorders, anxiety disorder, and substance use disorder. Poisoning by substance was the most common self-harm method. The incidence of self-harm for patients with schizophrenia was 5.6 per 1,000 person-years, and the adjusted hazard ratio was 9.4 (95% confidence interval = 8.3 - 10.7, p < 0.001). History of self-harm was the most significant predictors of self-harm (adjusted HR = 18.56; 95% CI = 16.92 - 20.36, p < 0.001), followed by comorbid psychiatric disorders. Conclusion: Our study revealed that patients with schizophrenia had higher self-harm risk and more associated risk factors. We suggest that further public attention should be paid to self-harm prevention.
期刊論文
1.Harris, E. C.、Barraclough, B.(1997)。Suicide as an outcome for mental disorders. A meta-analysis。British Journal of Psychiatry,170,205-228。  new window
2.Siris, S. G.(2001)。Suicide and schizophrenia。Journal of Psychopharmacology,15(2),127-135。  new window
3.Hwu, H. G.、Yeh, E. K.、Chang, L. Y.(1989)。Prevalence of psychiatric disorders in Taiwan defined by the Chinese Diagnostic Interview Schedule。Acta Psychiatrica Scandinavica,79(2),136-147。  new window
4.Liu, C. Y.、Bai, Y. M.、Yang, Y. Y.、Lin, C. C.、Sim, C. B.、Lee, C. H.(1996)。Suicide and parasuicide in psychiatric inpatients: ten years experience at a general hospital in Taiwan。Psychological Reports,79(2),683-690。  new window
5.Chang, S. S.、Sterne, J. A. C.、Lu, T. H.、Gunnell, D.(2010)。'Hidden' suicides amongst deaths certified as undetermined intent, accident by pesticide poisoning and accident by suffocation in Taiwan。Social Psychiatry and Psychiatric Epidemiology,45(2),143-152。  new window
6.Weissman, M. M.、Bland, R. C.、Canino, G. J.、Greenwald, S.、Hwu, H. G.、Joyce, P. R.、Karam, E. G.、Lee, C. K.、Lellouch, J.、Lepine, J. P.、Newman, S. C.、Rubio-Stipec, M.、Wells, J. E.、Wickramaratn, P. J.、Wittchen, H. U.、Yeh, E. K.(1999)。Prevalence of suicide ideation and suicide attempts in nine countries。Psychological Medicine,29,9-17。  new window
7.Saha, S.、Chant, D.、McGrath, J.(2007)。A systematic review of mortality in schizophrenia: Is the differential mortality gap worsening over time?。Archives of General Psychiatry,64(10),1123-1131。  new window
8.戴月明、楊立光、楊蕙年(20160600)。Substance Uses Mediate Differently in Relation between ADHD and Suicidality: Study among New Soldiers in Taiwan。Taiwanese Journal of Psychiatry,30(2),111-119+a7。new window  new window
9.Hor, K.、Taylor, M.(2010)。Suicide and schizophrenia: a systematic review of rates and risk factors。Journal of Psychopharmacology,24,81-90。  new window
10.Haw, C.、Hawton, K.、Sutton, L.、Sinclair, J.、Deeks, J.(2005)。Schizophrenia and deliberate self-harm: a systematic review of risk factors。Suicide and Life-Threatening Behavior,35(1),50-62。  new window
11.Olfson, M.、Gerhard, T.、Huang, C.、Crystal, S.、Stroup, T. S.(2015)。Premature mortality among adults with schizophrenia in the United States。JAMA Psychiatry,72,1172-1181。  new window
12.Reutfors, J.、Brandt, L.、Jonsson, E. G.、Ekbom, A.、Sparen, P.、Osby, U.(2009)。Risk factors for suicide in schizophrenia: findings from a Swedish population-based case-control study。Schizophrenia Research,108,231-237。  new window
13.Qin, P.、Nordentoft, M.(2005)。Suicide risk in relation to psychiatric hospitalization: evidence based on longitudinal registers。Archives Of General Psychiatry,62,427-432。  new window
14.Patrick, A. R.、Miller, M.、Barber, C. W.、Wang, P. S.、Canning, C. F.、Schneeweiss, S.(2010)。Identification of hospitalizations for intentional self-harm when E-codes are incompletely recorded。Pharmacoepidemiology and Drug Safety,19,1263-1275。  new window
15.Schneeweiss, S.、Maclure, M.(2000)。Use of comorbidity scores for control of confounding in studies using administrative databases。International Journal of Epidemiology,29,891-898。  new window
16.Skegg, K.(2005)。Self-harm。Lancet,366,1471-1483。  new window
17.Mork, E.、Mehlum, L.、Barrett, E. A.(2012)。Self-harm in patients with schizophrenia spectrum disorders。Archives of Suicide Research,16,111-123。  new window
18.Pluck, G.、Lekka, N. P.、Sarkar, S.(2013)。Clinical and neuropsychological aspects of non-fatal self-harm in schizophrenia。European Psychiatry,28,344-348。  new window
19.Mork, E.、Walby, F. A.、Harkavy-Friedman, J. M.(2013)。Clinical characteristics in schizophrenia patients with or without suicide attempts and non-suicidal self-harm--a cross-sectional study。BMC psychiatry,13。  new window
20.Harvey, S. B.、Dean, K.、Morgan, C.(2008)。Self-harm in first-episode psychosis。The British Journal of Psychiatry,192,178-184。  new window
21.Challis, S.、Nielssen, O.、Harris, A.、Large, M.(2013)。Systematic meta-analysis of the risk factors for deliberate selfharm before and after treatment for first-episode psychosis。Acta Psychiatrica Scandinavica,127,442-454。  new window
22.Turecki, G.、Brent, D. A.(2013)。Suicide and suicidal behaviour。Lancet,387,1227-1239。  new window
23.Restifo, K.、Harkavy-Friedman, J. M.、Shrout, P. E.(2009)。Suicidal behavior in schizophrenia: a test of the demoralization hypothesis。The Journal of Nervous and Mental Disease,197,147-153。  new window
24.楊皓名、戴月明(20150600)。The Association between Sleep Problems and Suicidality of Military Recruits: Focusing on Mediation Effects of Anxiety and Depression。Taiwanese Journal of Psychiatry,29(2),109-118+a8。new window  new window
25.Hartz, S. M.、Pato, C. N.、Medeiros, H.(2014)。Comorbidity of severe psychotic disorders with measures of substance use。JAMA Psychiatry,71,248-254。  new window
26.Swendsen, J. D.、Merikangas, K. R.(2000)。The comorbidity of depression and substance use disorders。Clinical Psychology Review,20,173-189。  new window
27.Chesney, E.、Goodwin, G. M.、Fazel, S.(2014)。Risks of all-cause and suicide mortality in mental disorders: a meta-review。World Psychiatry,13,153-160。  new window
28.Lu, T. H.(2012)。Using National Health Insurance claims data to establish injury surveillance in Taiwan。Injury Prevention,18,A233。  new window
 
 
 
 
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