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Suicide is more likely to occur after a previous self-harm episode or hospital discharge, although it is rare, with ≤3% of individuals dying by suicide in the year after self-harm. Still, epidemiologically, almost 15% of those who die by suicide received treatment for self-harm in the previous year. To better delineate suicide risk after self-harm, investigators used data from a Medicaid database covering 45 states in 2001–2007 (N=61,297 patients with self-harm histories) and two other U.S. databases.
Analyses examined demographics and clinical variables including self-harm events, treatment for specific psychiatric or substance use disorders, inpatient or outpatient treatment, and violence of methods. In 20% of patients, initial nonlethal s…