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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: Self-harm

261 codes in list

Code Coding system Description Entity type List name
14K1.00 Read Intentional overdose of prescription only medication diagnostic res36: Self-harm
SL...14 Read Overdose of biological substance diagnostic res36: Self-harm
SL...15 Read Overdose of drug diagnostic res36: Self-harm
SL90.00 Read Antidepressant poisoning diagnostic res36: Self-harm
SL90z00 Read Anti-depressant poisoning NOS diagnostic res36: Self-harm
SLHz.00 Read Drug and medicament poisoning NOS diagnostic res36: Self-harm
TK...00 Read Suicide and selfinflicted injury diagnostic res36: Self-harm
TK0..00 Read Suicide + selfinflicted poisoning by solid/liquid substances diagnostic res36: Self-harm
TK00.00 Read Suicide + selfinflicted poisoning by analgesic/antipyretic diagnostic res36: Self-harm
TK01.00 Read Suicide + selfinflicted poisoning by barbiturates diagnostic res36: Self-harm
TK01000 Read Suicide and self inflicted injury by Amylobarbitone diagnostic res36: Self-harm
TK01100 Read Suicide and self inflicted injury by Barbitone diagnostic res36: Self-harm
TK01400 Read Suicide and self inflicted injury by Phenobarbitone diagnostic res36: Self-harm
TK02.00 Read Suicide + selfinflicted poisoning by oth sedatives/hypnotics diagnostic res36: Self-harm
TK03.00 Read Suicide + selfinflicted poisoning tranquilliser/psychotropic diagnostic res36: Self-harm
TK04.00 Read Suicide + selfinflicted poisoning by other drugs/medicines diagnostic res36: Self-harm
TK05.00 Read Suicide + selfinflicted poisoning by drug or medicine NOS diagnostic res36: Self-harm
TK06.00 Read Suicide + selfinflicted poisoning by agricultural chemical diagnostic res36: Self-harm
TK07.00 Read Suicide + selfinflicted poisoning by corrosive/caustic subst diagnostic res36: Self-harm
TK0z.00 Read Suicide + selfinflicted poisoning by solid/liquid subst NOS diagnostic res36: Self-harm
TK1..00 Read Suicide + selfinflicted poisoning by gases in domestic use diagnostic res36: Self-harm
TK10.00 Read Suicide + selfinflicted poisoning by gas via pipeline diagnostic res36: Self-harm
TK...11 Read Cause of overdose - deliberate diagnostic res36: Self-harm
TK11.00 Read Suicide + selfinflicted poisoning by liquified petrol gas diagnostic res36: Self-harm
TK...12 Read Injury - self-inflicted diagnostic res36: Self-harm
TK...13 Read Poisoning - self-inflicted diagnostic res36: Self-harm
TK...14 Read Suicide and self harm diagnostic res36: Self-harm
TK...15 Read Attempted suicide diagnostic res36: Self-harm
TK...17 Read Para-suicide diagnostic res36: Self-harm
TK1y.00 Read Suicide and selfinflicted poisoning by other utility gas diagnostic res36: Self-harm
TK1z.00 Read Suicide + selfinflicted poisoning by domestic gases NOS diagnostic res36: Self-harm
TK2..00 Read Suicide + selfinflicted poisoning by other gases and vapours diagnostic res36: Self-harm
TK20.00 Read Suicide + selfinflicted poisoning by motor veh exhaust gas diagnostic res36: Self-harm
TK21.00 Read Suicide and selfinflicted poisoning by other carbon monoxide diagnostic res36: Self-harm
TK2z.00 Read Suicide + selfinflicted poisoning by gases and vapours NOS diagnostic res36: Self-harm
TK3..00 Read Suicide + selfinflicted injury by hang/strangulate/suffocate diagnostic res36: Self-harm
TK30.00 Read Suicide and selfinflicted injury by hanging diagnostic res36: Self-harm
TK31.00 Read Suicide + selfinflicted injury by suffocation by plastic bag diagnostic res36: Self-harm
TK3y.00 Read Suicide + selfinflicted inj oth mean hang/strangle/suffocate diagnostic res36: Self-harm
TK3z.00 Read Suicide + selfinflicted inj by hang/strangle/suffocate NOS diagnostic res36: Self-harm
TK4..00 Read Suicide and selfinflicted injury by drowning diagnostic res36: Self-harm
TK5..00 Read Suicide and selfinflicted injury by firearms and explosives diagnostic res36: Self-harm
TK51.00 Read Suicide and selfinflicted injury by shotgun diagnostic res36: Self-harm
TK52.00 Read Suicide and selfinflicted injury by hunting rifle diagnostic res36: Self-harm
TK54.00 Read Suicide and selfinflicted injury by other firearm diagnostic res36: Self-harm
TK5z.00 Read Suicide and selfinflicted injury by firearms/explosives NOS diagnostic res36: Self-harm
TK6..00 Read Suicide and selfinflicted injury by cutting and stabbing diagnostic res36: Self-harm
TK60.00 Read Suicide and selfinflicted injury by cutting diagnostic res36: Self-harm
TK60100 Read Self inflicted lacerations to wrist diagnostic res36: Self-harm
TK60111 Read Slashed wrists self inflicted diagnostic res36: Self-harm
TK61.00 Read Suicide and selfinflicted injury by stabbing diagnostic res36: Self-harm
TK6z.00 Read Suicide and selfinflicted injury by cutting and stabbing NOS diagnostic res36: Self-harm
TK7..00 Read Suicide and selfinflicted injury by jumping from high place diagnostic res36: Self-harm
TK70.00 Read Suicide+selfinflicted injury-jump from residential premises diagnostic res36: Self-harm
TK71.00 Read Suicide+selfinflicted injury-jump from oth manmade structure diagnostic res36: Self-harm
TK72.00 Read Suicide+selfinflicted injury-jump from natural sites diagnostic res36: Self-harm
TK7z.00 Read Suicide+selfinflicted injury-jump from high place NOS diagnostic res36: Self-harm
TKx..00 Read Suicide and selfinflicted injury by other means diagnostic res36: Self-harm
TKx0.00 Read Suicide + selfinflicted injury-jump/lie before moving object diagnostic res36: Self-harm
TKx0000 Read Suicide + selfinflicted injury-jumping before moving object diagnostic res36: Self-harm
TKx1.00 Read Suicide and selfinflicted injury by burns or fire diagnostic res36: Self-harm
TKx2.00 Read Suicide and selfinflicted injury by scald diagnostic res36: Self-harm
TKx3.00 Read Suicide and selfinflicted injury by extremes of cold diagnostic res36: Self-harm
TKx4.00 Read Suicide and selfinflicted injury by electrocution diagnostic res36: Self-harm
TKx5.00 Read Suicide and selfinflicted injury by crashing motor vehicle diagnostic res36: Self-harm
TKx6.00 Read Suicide and selfinflicted injury by crashing of aircraft diagnostic res36: Self-harm
TKx7.00 Read Suicide and selfinflicted injury caustic subst, excl poison diagnostic res36: Self-harm
TKxy.00 Read Suicide and selfinflicted injury by other specified means diagnostic res36: Self-harm
TKxz.00 Read Suicide and selfinflicted injury by other means NOS diagnostic res36: Self-harm
TKy..00 Read Late effects of selfinflicted injury diagnostic res36: Self-harm
TKz..00 Read Suicide and selfinflicted injury NOS diagnostic res36: Self-harm
U2...00 Read [X]Intentional self-harm diagnostic res36: Self-harm
U20..00 Read [X]Intentional self poisoning/exposure to noxious substances diagnostic res36: Self-harm
U200.00 Read [X]Intent self poison/exposure to nonopioid analgesic diagnostic res36: Self-harm
U200000 Read [X]Int self poison/exposure to nonopioid analgesic at home diagnostic res36: Self-harm
U200100 Read [X]Intent self poison nonopioid analgesic at res institut diagnostic res36: Self-harm
U200.11 Read [X]Overdose - paracetamol diagnostic res36: Self-harm
U200.12 Read [X]Overdose - ibuprofen diagnostic res36: Self-harm
U200.13 Read [X]Overdose - aspirin diagnostic res36: Self-harm
U200400 Read [X]Intent self pois nonopioid analgesic in street/highway diagnostic res36: Self-harm
U200500 Read [X]Intent self pois nonopioid analgesic trade/service area diagnostic res36: Self-harm
U200y00 Read [X]Int self poison nonopioid analgesic other spec place diagnostic res36: Self-harm
U200z00 Read [X]Intent self poison nonopioid analgesic unspecif place diagnostic res36: Self-harm
U201.00 Read [X]Intent self poison/exposure to antiepileptic diagnostic res36: Self-harm
U201000 Read [X]Int self poison/exposure to antiepileptic at home diagnostic res36: Self-harm
U20..11 Read [X]Deliberate drug overdose / other poisoning diagnostic res36: Self-harm
U201z00 Read [X]Intent self poison antiepileptic unspecif place diagnostic res36: Self-harm
U202.00 Read [X]Intent self poison/exposure to sedative hypnotic diagnostic res36: Self-harm
U202000 Read [X]Int self poison/exposure to sedative hypnotic at home diagnostic res36: Self-harm
U202.11 Read [X]Overdose - sleeping tabs diagnostic res36: Self-harm
U202.12 Read [X]Overdose - diazepam diagnostic res36: Self-harm
U202.13 Read [X]Overdose - temazepam diagnostic res36: Self-harm
U202.15 Read [X]Overdose - nitrazepam diagnostic res36: Self-harm
U202.16 Read [X]Overdose - benzodiazepine diagnostic res36: Self-harm
U202.17 Read [X]Overdose - barbiturate diagnostic res36: Self-harm
U202.18 Read [X]Overdose - amobarbital diagnostic res36: Self-harm
U202400 Read [X]Intent self pois sedative hypnotic in street/highway diagnostic res36: Self-harm
U202y00 Read [X]Int self poison sedative hypnotic other spec place diagnostic res36: Self-harm
U202z00 Read [X]Intent self poison sedative hypnotic unspecif place diagnostic res36: Self-harm
U204.00 Read [X]Intent self poison/exposure to psychotropic drug diagnostic res36: Self-harm
U204000 Read [X]Int self poison/exposure to psychotropic drug at home diagnostic res36: Self-harm
U204100 Read [X]Intent self poison psychotropic drug at res institut diagnostic res36: Self-harm
U204.11 Read [X]Overdose - antidepressant diagnostic res36: Self-harm
U204.12 Read [X]Overdose - amitriptyline diagnostic res36: Self-harm
U204.13 Read [X]Overdose - SSRI diagnostic res36: Self-harm
U204y00 Read [X]Int self poison psychotropic drug other spec place diagnostic res36: Self-harm
U204z00 Read [X]Intent self poison psychotropic drug unspecif place diagnostic res36: Self-harm
U205.00 Read [X]Intent self poison/exposure to narcotic drug diagnostic res36: Self-harm
U205000 Read [X]Int self poison/exposure to narcotic drug at home diagnostic res36: Self-harm
U205y00 Read [X]Int self poison narcotic drug other spec place diagnostic res36: Self-harm
U205z00 Read [X]Intent self poison narcotic drug unspecif place diagnostic res36: Self-harm
U206.00 Read [X]Intent self poison/exposure to hallucinogen diagnostic res36: Self-harm
U206400 Read [X]Intent self pois hallucinogen in street/highway diagnostic res36: Self-harm
U207.00 Read [X]Intent self poison/exposure to oth autonomic drug diagnostic res36: Self-harm
U207000 Read [X]Int self poison/exposure to oth autonomic drug at home diagnostic res36: Self-harm
U207z00 Read [X]Intent self poison oth autonomic drug unspecif place diagnostic res36: Self-harm
U208.00 Read [X]Int self poison/exposure to other/unspec drug/medicament diagnostic res36: Self-harm
U208000 Read [X]Int self poison/exposure to oth/unsp drug/medicam home diagnostic res36: Self-harm
U208400 Read [X]Intent self pois oth/unsp drug/medic in street/highway diagnostic res36: Self-harm
U208y00 Read [X]Int self poison oth/unsp drug/medic other spec place diagnostic res36: Self-harm
U208z00 Read [X]Intent self poison oth/unsp drug/medic unspecif place diagnostic res36: Self-harm
U209.00 Read [X]Intent self poison/exposure to alcohol diagnostic res36: Self-harm
U209y00 Read [X]Int self poison alcohol other spec place diagnostic res36: Self-harm
U209z00 Read [X]Intent self poison alcohol unspecif place diagnostic res36: Self-harm
U20A.00 Read [X]Intentional self poison organ solvent,halogen hydrocarb diagnostic res36: Self-harm
U20A000 Read [X]Intent self pois organ solvent,halogen hydrocarb, home diagnostic res36: Self-harm
U20A.11 Read [X]Self poisoning from glue solvent diagnostic res36: Self-harm
U20A400 Read [X]Int self poison org solvent,halogen hydrocarb,in highway diagnostic res36: Self-harm
U20Az00 Read [X]Int self pois org solv,halogen hydrocarb, unspec place diagnostic res36: Self-harm
U20B.00 Read [X]Intent self poison/exposure to other gas/vapour diagnostic res36: Self-harm
U20B000 Read [X]Int self poison/exposure to other gas/vapour at home diagnostic res36: Self-harm
U20B.11 Read [X]Self carbon monoxide poisoning diagnostic res36: Self-harm
U20B200 Read [X]Int self poison other gas/vapour school/pub admin area diagnostic res36: Self-harm
U20By00 Read [X]Int self poison other gas/vapour other spec place diagnostic res36: Self-harm
U20Bz00 Read [X]Intent self poison other gas/vapour unspecif place diagnostic res36: Self-harm
U20C.00 Read [X]Intent self poison/exposure to pesticide diagnostic res36: Self-harm
U20C000 Read [X]Int self poison/exposure to pesticide at home diagnostic res36: Self-harm
U20C.11 Read [X]Self poisoning with weedkiller diagnostic res36: Self-harm
U20C.12 Read [X]Self poisoning with paraquat diagnostic res36: Self-harm
U20Cy00 Read [X]Int self poison pesticide other spec place diagnostic res36: Self-harm
U20y.00 Read [X]Intent self poison/exposure to unspecif chemical diagnostic res36: Self-harm
U20y000 Read [X]Int self poison/exposure to unspecif chemical at home diagnostic res36: Self-harm
U20y200 Read [X]Int self poison unspecif chemical school/pub admin area diagnostic res36: Self-harm
U20yz00 Read [X]Intent self poison unspecif chemical unspecif place diagnostic res36: Self-harm
U21..00 Read [X]Intent self harm by hanging strangulation / suffocation diagnostic res36: Self-harm
U210.00 Read [X]Intent self harm by hanging strangulat/suffocat occ home diagnostic res36: Self-harm
U2...11 Read [X]Self inflicted injury diagnostic res36: Self-harm
U211.00 Read [X]Intent self harm by hangng strangult/suffoct resid instit diagnostic res36: Self-harm
U2...12 Read [X]Injury - self-inflicted diagnostic res36: Self-harm
U212.00 Read [X]Inten slf harm hang strang/suffc sch oth ins/pub adm area diagnostic res36: Self-harm
U2...13 Read [X]Suicide diagnostic res36: Self-harm
U2...14 Read [X]Attempted suicide diagnostic res36: Self-harm
U2...15 Read [X]Para-suicide diagnostic res36: Self-harm
U216.00 Read [X]Intent self harm by hang strangl/suffc indust/constr area diagnostic res36: Self-harm
U21y.00 Read [X]Intent self harm by hangng strangul/suffoct oth spec plce diagnostic res36: Self-harm
U21z.00 Read [X]Intent self harm by hangng strangul/suffoct unspecif plce diagnostic res36: Self-harm
U22..00 Read [X]Intentional self harm by drowning and submersion diagnostic res36: Self-harm
U220.00 Read [X]Intent self harm by drowning/submersion occurrn at home diagnostic res36: Self-harm
U221.00 Read [X]Intent self harm by drowning/submersn occ resid instit'n diagnostic res36: Self-harm
U22y.00 Read [X]Intent self harm by drown/submersn occ oth specif place diagnostic res36: Self-harm
U22z.00 Read [X]Intent self harm by drown/submersn occ unspecified place diagnostic res36: Self-harm
U24..00 Read [X]Intent self harm by rifle shotgun/larger firearm disch diagnostic res36: Self-harm
U241.00 Read [X]Int self harm rifl s'gun/lrg frarm disch occ resid instit diagnostic res36: Self-harm
U242.00 Read [X]Int slf hrm rifl s'gun/lrg frarm dis sch/ins/pub adm area diagnostic res36: Self-harm
U25..00 Read [X]Intent self harm by other/unspecified firearm discharge diagnostic res36: Self-harm
U250.00 Read [X]Intent self harm oth/unspecif firearm disch occ at home diagnostic res36: Self-harm
U26..00 Read [X]Intentional self harm by explosive material diagnostic res36: Self-harm
U27..00 Read [X]Intentional self harm by smoke, fire and flames diagnostic res36: Self-harm
U270.00 Read [X]Intention self harm by smoke fire/flames occurrn at home diagnostic res36: Self-harm
U274.00 Read [X]Intent self harm by smoke fire/flame occ street/highway diagnostic res36: Self-harm
U27z.00 Read [X]Intent self harm by smoke fire/flames occ unspecif place diagnostic res36: Self-harm
U28..00 Read [X]Intentional self harm by steam hot vapours / hot objects diagnostic res36: Self-harm
U280.00 Read [X]Intent self harm by steam hot vapour/hot obj occ at home diagnostic res36: Self-harm
U28z.00 Read [X]Intent self harm by steam hot vapour/obj occ unspec place diagnostic res36: Self-harm
U29..00 Read [X]Intentional self harm by sharp object diagnostic res36: Self-harm
U290.00 Read [X]Intentional self harm by sharp object occurrence at home diagnostic res36: Self-harm
U291.00 Read [X]Intent self harm by sharp object occ resident instit'n diagnostic res36: Self-harm
U294.00 Read [X]Intention self harm by sharp object occ street/highway diagnostic res36: Self-harm
U29y.00 Read [X]Intention self harm by sharp object occ oth specif place diagnostic res36: Self-harm
U29z.00 Read [X]Intentional self harm by sharp object occ unspecif place diagnostic res36: Self-harm
U2A..00 Read [X]Intentional self harm by blunt object diagnostic res36: Self-harm
U2A0.00 Read [X]Intentional self harm by blunt object occurrence at home diagnostic res36: Self-harm
U2A1.00 Read [X]Intent self harm by blunt object occ resident instit'n diagnostic res36: Self-harm
U2A3.00 Read [X]Intent self harm by blunt object occ sports/athlet area diagnostic res36: Self-harm
U2B..00 Read [X]Intentional self harm by jumping from a high place diagnostic res36: Self-harm
U2B0.00 Read [X]Intent self harm by jumping from high place occ at home diagnostic res36: Self-harm
U2B4.00 Read [X]Intent self harm by jump from high place occ street/h'way diagnostic res36: Self-harm
U2B6.00 Read [X]Int self harm by jump from high place indust/constr area diagnostic res36: Self-harm
U2By.00 Read [X]Int self harm by jump from high place occ oth specif plce diagnostic res36: Self-harm
U2Bz.00 Read [X]Int self harm by jump from high place occ unspecif place diagnostic res36: Self-harm
U2C..00 Read [X]Intent self harm by jumping / lying before moving object diagnostic res36: Self-harm
U2C1.00 Read [X]Int self harm jump/lying befr mov obje occ resid instit'n diagnostic res36: Self-harm
U2C4.00 Read [X]Int self harm jump/lying befr mov obje occ street/highway diagnostic res36: Self-harm
U2Cy.00 Read [X]Int self harm jump/lying bef mov obje occ oth specif plce diagnostic res36: Self-harm
U2D..00 Read [X]Intentional self harm by crashing of motor vehicle diagnostic res36: Self-harm
U2D0.00 Read [X]Intent self harm by crash of motor vehicl occurrn at home diagnostic res36: Self-harm
U2D4.00 Read [X]Intent self harm by crash motor vehicl occ street/highway diagnostic res36: Self-harm
U2D6.00 Read [X]Intent self harm crash motor vehic occ indust/constr area diagnostic res36: Self-harm
U2E..00 Read [X]Self mutilation diagnostic res36: Self-harm
U2y..00 Read [X]Intentional self harm by other specified means diagnostic res36: Self-harm
U2y0.00 Read [X]Intentionl self harm by oth specif means occurrn at home diagnostic res36: Self-harm
U2y1.00 Read [X]Intent self harm by oth specif means occ resid instit'n diagnostic res36: Self-harm
U2yz.00 Read [X]Intent self harm by oth specif means occ unspecif place diagnostic res36: Self-harm
U2z..00 Read [X]Intentional self harm by unspecified means diagnostic res36: Self-harm
U2z0.00 Read [X]Intentional self harm by unspecif means occurrn at home diagnostic res36: Self-harm
U2z2.00 Read [X]Intent self harm by unspec mean occ sch/ins/pub adm area diagnostic res36: Self-harm
U2zy.00 Read [X]Intent self harm by unspecif means occ oth specif place diagnostic res36: Self-harm
U2zz.00 Read [X]Intent self harm by unspecif means occ at unspecif place diagnostic res36: Self-harm
U30..11 Read [X]Deliberate drug poisoning diagnostic res36: Self-harm
U41..00 Read [X]Hanging strangulation + suffocation undetermined intent diagnostic res36: Self-harm
U44..00 Read [X]Rifle shotgun+larger firearm discharge undetermin intent diagnostic res36: Self-harm
U45..00 Read [X]Other+unspecified firearm discharge undetermined intent diagnostic res36: Self-harm
U4B..00 Read [X]Falling jumping/pushed from high place undeterm intent diagnostic res36: Self-harm
U4Bz.00 Read [X]Fall jump/push frm high plce undt intnt occ unspecif plce diagnostic res36: Self-harm
U72..00 Read [X]Sequel intentn self-harm assault+event of undeterm intent diagnostic res36: Self-harm
U720.00 Read [X]Sequelae of intentional self-harm diagnostic res36: Self-harm
ZRLfC12 Read HoNOS item 2 - non-accidental self injury diagnostic res36: Self-harm
ZRn3.00 Read Suicide intent score subscale - attempt circumstances diagnostic res36: Self-harm
ZX...00 Read Self-harm diagnostic res36: Self-harm
ZX1..00 Read Self-injurious behaviour diagnostic res36: Self-harm
ZX...11 Read Self-damage diagnostic res36: Self-harm
ZX11.00 Read Biting self diagnostic res36: Self-harm
ZX11.11 Read Bites self diagnostic res36: Self-harm
ZX1..12 Read SIB - Self-injurious behaviour diagnostic res36: Self-harm
ZX1..13 Read Deliberate self-harm diagnostic res36: Self-harm
ZX12.00 Read Burning self diagnostic res36: Self-harm
ZX13.00 Read Cutting self diagnostic res36: Self-harm
ZX13100 Read Cutting own wrists diagnostic res36: Self-harm
ZX13.11 Read Cuts self diagnostic res36: Self-harm
ZX15.00 Read Drowning self diagnostic res36: Self-harm
ZX18.00 Read Hanging self diagnostic res36: Self-harm
ZX19.00 Read Hitting self diagnostic res36: Self-harm
ZX19100 Read Punching self diagnostic res36: Self-harm
ZX19200 Read Slapping self diagnostic res36: Self-harm
ZX1B.00 Read Jumping from height diagnostic res36: Self-harm
ZX1B100 Read Jumping from building diagnostic res36: Self-harm
ZX1B200 Read Jumping from bridge diagnostic res36: Self-harm
ZX1B300 Read Jumping from cliff diagnostic res36: Self-harm
ZX1C.00 Read Nipping self diagnostic res36: Self-harm
ZX1E.00 Read Pinching self diagnostic res36: Self-harm
ZX1G.00 Read Scratches self diagnostic res36: Self-harm
ZX1H.00 Read Self-asphyxiation diagnostic res36: Self-harm
ZX1H100 Read Self-strangulation diagnostic res36: Self-harm
ZX1H200 Read Self-suffocation diagnostic res36: Self-harm
ZX1I.00 Read Self-scalding diagnostic res36: Self-harm
ZX1J.00 Read Self-electrocution diagnostic res36: Self-harm
ZX1K.00 Read Self-incineration diagnostic res36: Self-harm
ZX1K.11 Read Setting fire to self diagnostic res36: Self-harm
ZX1K.12 Read Setting self alight diagnostic res36: Self-harm
ZX1L.00 Read Self-mutilation diagnostic res36: Self-harm
ZX1L100 Read Self-mutilation of hands diagnostic res36: Self-harm
ZX1L200 Read Self-mutilation of genitalia diagnostic res36: Self-harm
ZX1L300 Read Self-mutilation of penis diagnostic res36: Self-harm
ZX1L600 Read Self-mutilation of ears diagnostic res36: Self-harm
ZX1LD00 Read [X]Self mutilation diagnostic res36: Self-harm
ZX1M.00 Read Shooting self diagnostic res36: Self-harm
ZX1N.00 Read Stabbing self diagnostic res36: Self-harm
ZX1Q.00 Read Throwing self in front of train diagnostic res36: Self-harm
ZX1Q.11 Read Jumping under train diagnostic res36: Self-harm
ZX1R.00 Read Throwing self in front of vehicle diagnostic res36: Self-harm
ZX1S.00 Read Throwing self onto floor diagnostic res36: Self-harm

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