Rates of hospitalisation for self-harm, hospitalisation with a mental or somatic disorder diagnosis and mortality during the 3-year follow-up in adolescents and young adults hospitalised for a mental disorder in 2013–2014, compared with the non-affected control group without a mental disorder and matched for age and sex, and with the affected control group with a mental disorder but not hospitalised
During follow-up | Hospitalised patients (n=73 300) | Non-affected controls (n=219 900) | P value | Affected controls (n=9 683) | P value | |||
n | % | n | % | n | % | |||
Hospitalisation for self-harm | 7 266 | 9.9 | 148 | 0.1 | <0.0001 | 654 | 6.8 | <0.0001 |
Number of self-harm hospitalisation | <0.0001 | <0.0001 | ||||||
1 | 4 539 | 62.5 | 141 | 95.3 | 438 | 67.0 | ||
2 | 1 358 | 18.7 | 7 | 4.7 | 135 | 20.6 | ||
3 | 544 | 7.5 | 0 | 0 | 40 | 6.1 | ||
4+ | 825 | 11.4 | 0 | 0 | 41 | 6.3 | ||
Self-harm means | ||||||||
Poisoning | 6 015 | 82.8 | 126 | 85.1 | 0.45 | 527 | 80.6 | 0.2 |
Hanging | 301 | 4.1 | 2 | 1.4 | 0.09 | 33 | 5.1 | 0.3 |
Drowning | 26 | 0.4 | 0 | 0 | – | 2 | 0.3 | 1 |
Firearm | 12 | 0.2 | 0 | 0 | – | 1 | 0.2 | 1 |
Fire | 25 | 0.3 | 0 | 0 | – | 3 | 0.5 | 0.5 |
Sharp/blunt objects | 1 380 | 19.0 | 14 | 9.5 | 0.003 | 110 | 16.8 | 0.2 |
Jumping | 205 | 2.8 | 4 | 2.7 | 1 | 11 | 1.7 | 0.1 |
Vehicle | 39 | 0.5 | 0 | 0 | – | 5 | 0.8 | 0.4 |
Other or unspecified | 618 | 8.5 | 5 | 3.4 | 0.02 | 58 | 8.9 | 0.8 |
Hospitalisation with a somatic disorder diagnosis | 21 082 | 28.8 | 13 562 | 6.2 | <0.0001 | 2 105 | 21.7 | <0.0001 |
Hospitalisation with a mental disorder diagnosis | 42 196 | 57.6 | 633 | 0.3 | <0.0001 | 3 694 | 38.2 | <0.0001 |
Mortality (until 2017) | 573 | 0.8 | 99 | 0.05 | <0.0001 | 35 | 0.4 | <0.0001 |
Cause of death (until 2015) | 411 | 91 | 35 | |||||
Natural | 76 | 18.5 | 32 | 35.2 | 0.0005 | 12 | 34.3 | 0.6 |
Suicide | 176 | 42.8 | 7 | 7.7 | <0.0001 | 14 | 40.0 | 0.06 |
Accidental | 92 | 22.4 | 39 | 42.9 | <0.0001 | 6 | 17.1 | 0.09 |
Other or unknown | 67 | 16.3 | 13 | 14.3 | 0.8 | 3 | 8.6 | 0.06 |