ClinicalCodes.org
An online clinical codes repository to improve validity and reproducibility of medical database research
Research article:
Clinical management following self-harm in a UK-wide primary care cohort
Reference:
Matthew J Carr, Darren M Ashcroft, Evan Kontopantelis, David While, Yvonne Awenat, Jayne Cooper, Carolyn Chew-Graham, Nav Kapur, Roger T Webb(2016) Clinical management following self-harm in a UK-wide primary care cohort. Journal of Affective Disorders, doi:
- Link to article
- Abstract
- Background: Little is known about the clinical management of patients in primary care following self-harm. Methods: A descriptive cohort study using data from 684 UK general practices that contributed to the Clinical Practice Research Datalink (CPRD) during 2001-2013. We identified 49,970 patients with a self-harm episode, 41,500 of whom had one complete year of follow-up. Results: Among those with complete follow-up, 26,065 (62.8%, 62.3-63.3) were prescribed psychotropic medication and 6,318 (15.2%, 14.9-15.6) were referred to mental health services; 4,105 (9.9%, CI 9.6-10.2) were medicated without an antecedent psychiatric diagnosis or referral, and 4,506 (10.9%, CI 10.6-11.2) had a diagnosis but were not subsequently medicated or referred. Patients registered at practices in the most deprived localities were 27.1% (CI 21.5-32.2) less likely to be referred than those in the least deprived. Despite a specifically flagged NICE ‘Do not do’ recommendation in 2011 against prescribing tricyclic antidepressants following self-harm because of their potentially lethal toxicity in overdose, 8.8% (CI 7.8-9.8) of individuals were issued a prescription in the subsequent year. The percentage prescribed Citalopram, an SSRI antidepressant with higher toxicity in overdose, fell sharply during 2012/2013 in the aftermath of a Medicines and Healthcare products Regulatory Agency (MHRA) safety alert issued in 2011. Conclusions: A relatively small percentage of these vulnerable patients are referred to mental health services, and reduced likelihood of referral in more deprived localities reflects a marked health inequality. National clinical guidelines have not yet been effective in reducing rates of tricyclic antidepressant prescribing for this high-risk group.
- Author for correspondence
- Matthew J Carr
- Email for correspondence
- matthew.carr@manchester.ac.uk
Code list: res36: Depot APDs
56 codes in list
| Code | Coding system | Description | Entity type | List name | |||
|---|---|---|---|---|---|---|---|
| 48900020 | Multilex | Depixol -conc 100mg/ml Injection (Lundbeck Ltd) | drug | res36: Depot APDs | |||
| 50445020 | Multilex | Modecate 25mg/ml Injection (Sanofi-Synthelabo Ltd) | drug | res36: Depot APDs | |||
| 53027020 | Multilex | Clopixol 200mg/ml Oily injection (Lundbeck Ltd) | drug | res36: Depot APDs | |||
| 53030020 | Multilex | Depixol 20mg/ml Injection (Lundbeck Ltd) | drug | res36: Depot APDs | |||
| 53031020 | Multilex | Depixol 40mg/2ml solution for injection ampoules (Lundbeck Ltd) | drug | res36: Depot APDs | |||
| 53053020 | Multilex | Modecate concentrate 100mg/ml Injection (Sanofi-Synthelabo Ltd) | drug | res36: Depot APDs | |||
| 53586020 | Multilex | Piportil 50mg/ml Depot injection (JHC Healthcare Ltd) | drug | res36: Depot APDs | |||
| 57938020 | Multilex | Depixol Low Volume 200mg/1ml solution for injection ampoules (Lundbeck Ltd) | drug | res36: Depot APDs | |||
| 58509020 | Multilex | Haldol decanoate 50mg/1ml solution for injection ampoules (Janssen-Cilag Ltd) | drug | res36: Depot APDs | |||
| 58510020 | Multilex | Haldol decanoate 100mg/1ml solution for injection ampoules (Janssen-Cilag Ltd) | drug | res36: Depot APDs | |||
| 61027020 | Multilex | Fluphenazine decanoate 25mg/1ml solution for injection ampoules (Hospira UK Ltd) | drug | res36: Depot APDs | |||
| 61511020 | Multilex | Zuclopenthixol decanoate 200mg/ml oily injection | drug | res36: Depot APDs | |||
| 61512020 | Multilex | Zuclopenthixol decanoate 500mg/1ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 62032020 | Multilex | Flupentixol decanoate 20mg/ml Injection | drug | res36: Depot APDs | |||
| 62033020 | Multilex | Flupentixol decanoate 100mg/ml Injection | drug | res36: Depot APDs | |||
| 62034020 | Multilex | Flupentixol 200mg/1ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 62048020 | Multilex | Fluphenazine decanoate 25mg/ml Injection | drug | res36: Depot APDs | |||
| 62049020 | Multilex | Fluphenazine decanoate 100mg/ml Injection | drug | res36: Depot APDs | |||
| 62954020 | Multilex | Fluphenazine decanoate 25mg/ml Injection (Antigen Pharmaceuticals) | drug | res36: Depot APDs | |||
| 63123020 | Multilex | Haloperidol decanoate 50mg/1ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 63124020 | Multilex | Haloperidol decanoate 100mg/1ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 65842020 | Multilex | Pipotiazine palmitate 50mg/ml depot injection | drug | res36: Depot APDs | |||
| 67405020 | Multilex | Clopixol Conc 500mg/1ml solution for injection ampoules (Lundbeck Ltd) | drug | res36: Depot APDs | |||
| 68096020 | Multilex | Flupentixol 40mg/2ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 89970020 | Multilex | Flupentixol 50mg/0.5ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 89972020 | Multilex | Flupentixol 100mg/1ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 89974020 | Multilex | Depixol Conc 50mg/0.5ml solution for injection ampoules (Lundbeck Ltd) | drug | res36: Depot APDs | |||
| 89976020 | Multilex | Depixol Conc 100mg/1ml solution for injection ampoules (Lundbeck Ltd) | drug | res36: Depot APDs | |||
| 91582020 | Multilex | Flupentixol 20mg/1ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 91584020 | Multilex | Depixol 20mg/1ml solution for injection ampoules (Lundbeck Ltd) | drug | res36: Depot APDs | |||
| 91592020 | Multilex | Zuclopenthixol decanoate 200mg/1ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 91596020 | Multilex | Clopixol 200mg/1ml solution for injection ampoules (Lundbeck Ltd) | drug | res36: Depot APDs | |||
| 91981020 | Multilex | Pipotiazine 50mg/1ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 91985020 | Multilex | Pipotiazine 100mg/2ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 91987020 | Multilex | Piportil Depot 50mg/1ml solution for injection ampoules (Sanofi) | drug | res36: Depot APDs | |||
| 91989020 | Multilex | Piportil Depot 100mg/2ml solution for injection ampoules (Sanofi) | drug | res36: Depot APDs | |||
| 92200020 | Multilex | Fluphenazine decanoate 12.5mg/0.5ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 92202020 | Multilex | Fluphenazine decanoate 25mg/1ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 92204020 | Multilex | Fluphenazine decanoate 50mg/2ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 92206020 | Multilex | Modecate 12.5mg/0.5ml solution for injection ampoules (Sanofi) | drug | res36: Depot APDs | |||
| 92208020 | Multilex | Modecate 25mg/1ml solution for injection ampoules (Sanofi) | drug | res36: Depot APDs | |||
| 92210020 | Multilex | Modecate 50mg/2ml solution for injection ampoules (Sanofi) | drug | res36: Depot APDs | |||
| 92212020 | Multilex | Fluphenazine decanoate 50mg/0.5ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 92214020 | Multilex | Fluphenazine decanoate 100mg/1ml solution for injection ampoules | drug | res36: Depot APDs | |||
| 92216020 | Multilex | Modecate Concentrate 50mg/0.5ml solution for injection ampoules (Sanofi) | drug | res36: Depot APDs | |||
| 92218020 | Multilex | Modecate Concentrate 100mg/1ml solution for injection ampoules (Sanofi) | drug | res36: Depot APDs | |||
| 98278020 | Multilex | Olanzapine embonate 210mg powder and solvent for suspension for injection vials | drug | res36: Depot APDs | |||
| 98329020 | Multilex | Olanzapine embonate 300mg powder and solvent for suspension for injection vials | drug | res36: Depot APDs | |||
| 99841020 | Multilex | Paliperidone 50mg/0.5ml suspension for injection pre-filled syringes | drug | res36: Depot APDs | |||
| 99843020 | Multilex | Paliperidone 75mg/0.75ml suspension for injection pre-filled syringes | drug | res36: Depot APDs | |||
| 99845020 | Multilex | Paliperidone 100mg/1ml suspension for injection pre-filled syringes | drug | res36: Depot APDs | |||
| 99847020 | Multilex | Paliperidone 150mg/1.5ml suspension for injection pre-filled syringes | drug | res36: Depot APDs | |||
| 99849020 | Multilex | Xeplion 50mg/0.5ml suspension for injection pre-filled syringes (Janssen-Cilag Ltd) | drug | res36: Depot APDs | |||
| 99851020 | Multilex | Xeplion 75mg/0.75ml suspension for injection pre-filled syringes (Janssen-Cilag Ltd) | drug | res36: Depot APDs | |||
| 99853020 | Multilex | Xeplion 100mg/1ml suspension for injection pre-filled syringes (Janssen-Cilag Ltd) | drug | res36: Depot APDs | |||
| 99855020 | Multilex | Xeplion 150mg/1.5ml suspension for injection pre-filled syringes (Janssen-Cilag Ltd) | drug | res36: Depot APDs |
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