ICU sedation, delirium & recovery
Outpatient Mental Health Follow-up and Recurrent Self-harm and Suicide Among Patients Admitted to the ICU for Self-harm: A Population-based Cohort Study
Authors' conclusion
Among adults admitted to the ICU for deliberate self-harm, mental health follow-up after discharge was not associated with reduced risk of recurrent ICU admission for self-harm or death resulting from suicide, and patients seeking outpatient follow-up may be those at highest risk of these outcomes.
Study context
- Population
- Consecutive adults (≥ 18 years) in Ontario, Canada, admitted to ICU for intentional self-harm, 2009–2017
- Participants
- 9,569 adults
- Exposure
- Early or late mental health follow-up vs no follow-up after discharge
- Outcome
- Recurrent ICU admission for self-harm
- Follow-up
- Within 1 year of discharge
Methodological detailscause-specific extended Cox regression model
- Cause-specific extended Cox regression model
Main finding
As reported in the abstract
Each group vs no follow-upHazard ratio (95% CI)
Early follow-up
1.37(1.07–1.75)
Late follow-up
1.69(1.22–2.35)
Observational data: associations, not effects.
Further findings
| Outcome | HR (95% CI) | |
|---|---|---|
| Death by suicideEarly follow-up vs No follow-up | 1.10 (0.70–1.73) | |
| Death by suicideLate follow-up vs No follow-up | 1.54 (0.84–2.83) | |
| 0.20.5125Hazard ratio (log scale) |
Original publication
Outpatient Mental Health Follow-up and Recurrent Self-harm and Suicide Among Patients Admitted to the ICU for Self-harm: A Population-based Cohort Study. Chest. Published 29 October 2022. doi:10.
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