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Non-fatal self-harm in Scottish military veterans: a retrospective cohort study of 57,000 veterans and 173,000 matched non-veterans
- Source :
- Social Psychiatry and Psychiatric Epidemiology
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
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
- 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
Subjects
Details
- ISSN :
- 14339285 and 09337954
- Volume :
- 54
- Database :
- OpenAIRE
- Journal :
- Social Psychiatry and Psychiatric Epidemiology
- Accession number :
- edsair.doi.dedup.....2fc0c86dbabe39a34807f1368745c9d7