1. Non-fatal self-harm in Scottish military veterans: a retrospective cohort study of 57,000 veterans and 173,000 matched non-veterans
- Author
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Beverly P Bergman, Daniel J. Smith, Daniel F. Mackay, and Jill P. Pell
- Subjects
Adult ,Male ,medicine.medical_specialty ,Time Factors ,Health (social science) ,Social Psychology ,Epidemiology ,Population ,Poison control ,Comorbidity ,Suicide prevention ,Occupational safety and health ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Early service leavers ,medicine ,Humans ,Self-harm ,030212 general & internal medicine ,education ,health care economics and organizations ,Aged ,Proportional Hazards Models ,Retrospective Studies ,Veterans ,Original Paper ,education.field_of_study ,business.industry ,Age Factors ,Retrospective cohort study ,Middle Aged ,humanities ,030227 psychiatry ,Occupational Diseases ,Psychiatry and Mental health ,Scotland ,Case-Control Studies ,Cohort ,Female ,Military veterans ,Retrospective cohort studies ,business ,Self-Injurious Behavior ,Demography ,Cohort study - Abstract
Purpose: \ud Although suicide risk in veterans has been widely studied, there is little information on the risk of non-fatal self-harm in this population. We used data from the Scottish Veterans Health Study to conduct an epidemiological analysis of self-harm in veterans, in comparison with people who have never served.\ud \ud Methods: \ud We conducted a retrospective, 30-year cohort study of 56,205 veterans born 1945–1985, and 172,741 people with no record of military service, and used Cox proportional hazard models to examine the association between veteran status and cumulative risk of non-fatal self-harm, overall and stratified by birth cohort, sex and length of service. We also examined mental and physical comorbidities, and association of suicide with prior self-harm.\ud \ud Results: \ud There were 1620 (2.90%) first episodes of self-harm in veterans, compared with 4212 (2.45%) in non-veterans. The difference was statistically significant overall (unadjusted HR 1.27, 95% CI 1.21–1.35, p
- Published
- 2018