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Research article:
Incidence, clinical management, and mortality risk following self-harm among children and adolescents: cohort study in primary care
Reference:
C Morgan, RT Webb, MJ Carr, E Kontopantelis, J Green, CA Chew-Graham, N Kapur, DM Ashcroft (2017) Incidence, clinical management, and mortality risk following self-harm among children and adolescents: cohort study in primary care. The BMJ, doi: doi.org/10.1136/bmj.j4351
- Link to fulltext article
- Abstract
- Abstract Objectives To examine temporal trends in sex and age specific incidence of self harm in children and adolescents, clinical management patterns, and risk of cause specific mortality following an index self harm episode at a young age. Design Population based cohort study. Setting UK Clinical Practice Research Datalink—electronic health records from 674 general practices, with practice level deprivation measured ecologically using the index of multiple deprivation. Patients from eligible English practices were linked to hospital episode statistics (HES) and Office for National Statistics (ONS) mortality records. Participants For the descriptive analytical phases we examined data pertaining to 16 912 patients aged 10-19 who harmed themselves during 2001-14. For analysis of cause specific mortality following self harm, 8638 patients eligible for HES and ONS linkage were matched by age, sex, and general practice with up to 20 unaffected children and adolescents (n=170 274). Main outcome measures In the first phase, temporal trends in sex and age specific annual incidence were examined. In the second phase, clinical management was assessed according to the likelihood of referral to mental health services and psychotropic drug prescribing. In the third phase, relative risks of all cause mortality, unnatural death (including suicide and accidental death), and fatal acute alcohol or drug poisoning were estimated as hazard ratios derived from stratified Cox proportional hazards models for the self harm cohort versus the matched unaffected comparison cohort. Results The annual incidence of self harm was observed to increase in girls (37.4 per 10 000) compared with boys (12.3 per 10 000), and a sharp 68% increase occurred among girls aged 13-16, from 45.9 per 10 000 in 2011 to 77.0 per 10 000 in 2014. Referrals within 12 months of the index self harm episode were 23% less likely for young patients registered at the most socially deprived practices, even though incidences were considerably higher in these localities. Children and adolescents who harmed themselves were approximately nine times more likely to die unnaturally during follow-up, with especially noticeable increases in risks of suicide (deprivation adjusted hazard ratio 17.5, 95% confidence interval 7.6 to 40.5) and fatal acute alcohol or drug poisoning (34.3, 10.2 to 115.7). Conclusions Gaining a better understanding of the mechanisms responsible for the recent apparent increase in the incidence of self harm among early-mid teenage girls, and coordinated initiatives to tackle health inequalities in the provision of services to distressed children and adolescents, represent urgent priorities for multiple public agencies.
- Author for correspondence
- Catharine Morgan
- Email for correspondence
- cathy.morgan@manchester.ac.uk
Code list: res59: Anxiety_disorder
302 codes in list
| Code | Coding system | Description | Entity type | List name | |||
|---|---|---|---|---|---|---|---|
| 2258.00 | Read | o/e - anxious | diagnostic | res59: Anxiety_disorder | |||
| 225J.00 | Read | o/e - panic attack | diagnostic | res59: Anxiety_disorder | |||
| 8G52.00 | Read | Antiphobic therapy | diagnostic | res59: Anxiety_disorder | |||
| 8G94.00 | Read | anxiety management training | diagnostic | res59: Anxiety_disorder | |||
| 8HHp.00 | Read | referral for guided self-help for anxiety | diagnostic | res59: Anxiety_disorder | |||
| E2...00 | Read | Neurotic, personality and other nonpsychotic disorders | diagnostic | res59: Anxiety_disorder | |||
| E20..00 | Read | Neurotic disorders | diagnostic | res59: Anxiety_disorder | |||
| E200.00 | Read | anxiety states | diagnostic | res59: Anxiety_disorder | |||
| E200000 | Read | anxiety state unspecified | diagnostic | res59: Anxiety_disorder | |||
| E200100 | Read | panic disorder | diagnostic | res59: Anxiety_disorder | |||
| E200111 | Read | panic attack | diagnostic | res59: Anxiety_disorder | |||
| E200200 | Read | generalised anxiety disorder | diagnostic | res59: Anxiety_disorder | |||
| E200300 | Read | anxiety with depression | diagnostic | res59: Anxiety_disorder | |||
| E200400 | Read | chronic anxiety | diagnostic | res59: Anxiety_disorder | |||
| E200500 | Read | recurrent anxiety | diagnostic | res59: Anxiety_disorder | |||
| E200z00 | Read | anxiety state nos | diagnostic | res59: Anxiety_disorder | |||
| E201.00 | Read | Hysteria | diagnostic | res59: Anxiety_disorder | |||
| E201000 | Read | Hysteria unspecified | diagnostic | res59: Anxiety_disorder | |||
| E201100 | Read | Hysterical blindness | diagnostic | res59: Anxiety_disorder | |||
| E201200 | Read | Hysterical deafness | diagnostic | res59: Anxiety_disorder | |||
| E201300 | Read | Hysterical tremor | diagnostic | res59: Anxiety_disorder | |||
| E201400 | Read | Hysterical paralysis | diagnostic | res59: Anxiety_disorder | |||
| E201500 | Read | Hysterical seizures | diagnostic | res59: Anxiety_disorder | |||
| E201511 | Read | Fit - hysterical | diagnostic | res59: Anxiety_disorder | |||
| E201600 | Read | Other conversion disorder | diagnostic | res59: Anxiety_disorder | |||
| E201611 | Read | Astasia - abasia, hysterical | diagnostic | res59: Anxiety_disorder | |||
| E201612 | Read | Globus hystericus | diagnostic | res59: Anxiety_disorder | |||
| E201700 | Read | Hysterical amnesia | diagnostic | res59: Anxiety_disorder | |||
| E201800 | Read | Hysterical fugue | diagnostic | res59: Anxiety_disorder | |||
| E201900 | Read | Multiple personality | diagnostic | res59: Anxiety_disorder | |||
| E201A00 | Read | Dissociative reaction unspecified | diagnostic | res59: Anxiety_disorder | |||
| E201B00 | Read | Compensation neurosis | diagnostic | res59: Anxiety_disorder | |||
| E201C00 | Read | Phantom pregnancy | diagnostic | res59: Anxiety_disorder | |||
| E201z00 | Read | Hysteria NOS | diagnostic | res59: Anxiety_disorder | |||
| E201z11 | Read | Aphonia - hysterical | diagnostic | res59: Anxiety_disorder | |||
| E201z12 | Read | Ataxia - hysterical | diagnostic | res59: Anxiety_disorder | |||
| E201z13 | Read | Ganser's syndrome - hysterical | diagnostic | res59: Anxiety_disorder | |||
| E202.00 | Read | Phobic disorders | diagnostic | res59: Anxiety_disorder | |||
| E202000 | Read | Phobia unspecified | diagnostic | res59: Anxiety_disorder | |||
| E202100 | Read | agoraphobia with panic attacks | diagnostic | res59: Anxiety_disorder | |||
| E202.11 | Read | Social phobic disorders | diagnostic | res59: Anxiety_disorder | |||
| E202.12 | Read | Phobic anxiety | diagnostic | res59: Anxiety_disorder | |||
| E202200 | Read | Agoraphobia without mention of panic attacks | diagnostic | res59: Anxiety_disorder | |||
| E202300 | Read | Social phobia, fear of eating in public | diagnostic | res59: Anxiety_disorder | |||
| E202400 | Read | Social phobia, fear of public speaking | diagnostic | res59: Anxiety_disorder | |||
| E202500 | Read | Social phobia, fear of public washing | diagnostic | res59: Anxiety_disorder | |||
| E202600 | Read | Acrophobia | diagnostic | res59: Anxiety_disorder | |||
| E202700 | Read | Animal phobia | diagnostic | res59: Anxiety_disorder | |||
| E202800 | Read | Claustrophobia | diagnostic | res59: Anxiety_disorder | |||
| E202900 | Read | Fear of crowds | diagnostic | res59: Anxiety_disorder | |||
| E202A00 | Read | Fear of flying | diagnostic | res59: Anxiety_disorder | |||
| E202B00 | Read | Cancer phobia | diagnostic | res59: Anxiety_disorder | |||
| E202C00 | Read | Dental phobia | diagnostic | res59: Anxiety_disorder | |||
| E202D00 | Read | Fear of death | diagnostic | res59: Anxiety_disorder | |||
| E202E00 | Read | Fear of pregnancy | diagnostic | res59: Anxiety_disorder | |||
| E202z00 | Read | Phobic disorder NOS | diagnostic | res59: Anxiety_disorder | |||
| E202z11 | Read | Weight fixation | diagnostic | res59: Anxiety_disorder | |||
| E205.00 | Read | Neurasthenia - nervous debility | diagnostic | res59: Anxiety_disorder | |||
| E205.11 | Read | Nervous exhaustion | diagnostic | res59: Anxiety_disorder | |||
| E205.12 | Read | Tired all the time | diagnostic | res59: Anxiety_disorder | |||
| E206.00 | Read | Depersonalisation syndrome | diagnostic | res59: Anxiety_disorder | |||
| E207.00 | Read | Hypochondriasis | diagnostic | res59: Anxiety_disorder | |||
| E20y.00 | Read | Other neurotic disorders | diagnostic | res59: Anxiety_disorder | |||
| E20y000 | Read | Somatization disorder | diagnostic | res59: Anxiety_disorder | |||
| E20y011 | Read | Briquet's disorder | diagnostic | res59: Anxiety_disorder | |||
| E20y100 | Read | Writer's cramp neurosis | diagnostic | res59: Anxiety_disorder | |||
| E20y200 | Read | Other occupational neurosis | diagnostic | res59: Anxiety_disorder | |||
| E20y300 | Read | Psychasthenic neurosis | diagnostic | res59: Anxiety_disorder | |||
| E20yz00 | Read | Other neurotic disorder NOS | diagnostic | res59: Anxiety_disorder | |||
| E20z.00 | Read | Neurotic disorder NOS | diagnostic | res59: Anxiety_disorder | |||
| E20z.11 | Read | Nervous breakdown | diagnostic | res59: Anxiety_disorder | |||
| E26..00 | Read | Physiological malfunction arising from mental factors | diagnostic | res59: Anxiety_disorder | |||
| E260.00 | Read | Psychogenic musculoskeletal symptoms | diagnostic | res59: Anxiety_disorder | |||
| E260000 | Read | Psychogenic paralysis | diagnostic | res59: Anxiety_disorder | |||
| E260100 | Read | Psychogenic torticollis | diagnostic | res59: Anxiety_disorder | |||
| E260z00 | Read | Psychogenic musculoskeletal symptoms NOS | diagnostic | res59: Anxiety_disorder | |||
| E261.00 | Read | Psychogenic respiratory symptoms | diagnostic | res59: Anxiety_disorder | |||
| E261000 | Read | Psychogenic air hunger | diagnostic | res59: Anxiety_disorder | |||
| E261100 | Read | Psychogenic cough | diagnostic | res59: Anxiety_disorder | |||
| E261200 | Read | Psychogenic hiccough | diagnostic | res59: Anxiety_disorder | |||
| E261300 | Read | Psychogenic hyperventilation | diagnostic | res59: Anxiety_disorder | |||
| E261400 | Read | Psychogenic yawning | diagnostic | res59: Anxiety_disorder | |||
| E261500 | Read | Psychogenic aphonia | diagnostic | res59: Anxiety_disorder | |||
| E261z00 | Read | Psychogenic respiratory symptom NOS | diagnostic | res59: Anxiety_disorder | |||
| E262.00 | Read | Psychogenic cardiovascular symptoms | diagnostic | res59: Anxiety_disorder | |||
| E262000 | Read | Cardiac neurosis | diagnostic | res59: Anxiety_disorder | |||
| E262200 | Read | Neurocirculatory asthenia | diagnostic | res59: Anxiety_disorder | |||
| E262300 | Read | Psychogenic cardiovascular disorder | diagnostic | res59: Anxiety_disorder | |||
| E262z00 | Read | Psychogenic cardiovascular symptom NOS | diagnostic | res59: Anxiety_disorder | |||
| E263.00 | Read | Psychogenic skin symptoms | diagnostic | res59: Anxiety_disorder | |||
| E263000 | Read | Psychogenic pruritus | diagnostic | res59: Anxiety_disorder | |||
| E263z00 | Read | Psychogenic skin symptoms NOS | diagnostic | res59: Anxiety_disorder | |||
| E264.00 | Read | Psychogenic gastrointestinal tract symptoms | diagnostic | res59: Anxiety_disorder | |||
| E264000 | Read | Psychogenic aerophagy | diagnostic | res59: Anxiety_disorder | |||
| E264011 | Read | Air swallowing - excessive | diagnostic | res59: Anxiety_disorder | |||
| E264.11 | Read | Globus abdominalis | diagnostic | res59: Anxiety_disorder | |||
| E264200 | Read | Cyclical vomiting - psychogenic | diagnostic | res59: Anxiety_disorder | |||
| E264300 | Read | Psychogenic diarrhoea | diagnostic | res59: Anxiety_disorder | |||
| E264311 | Read | Spurious diarrhoea | diagnostic | res59: Anxiety_disorder | |||
| E264400 | Read | Psychogenic dyspepsia | diagnostic | res59: Anxiety_disorder | |||
| E264500 | Read | Psychogenic constipation | diagnostic | res59: Anxiety_disorder | |||
| E264z00 | Read | Psychogenic gastrointestinal tract symptom NOS | diagnostic | res59: Anxiety_disorder | |||
| E265.00 | Read | Psychogenic genitourinary tract symptoms | diagnostic | res59: Anxiety_disorder | |||
| E265100 | Read | Psychogenic vaginismus | diagnostic | res59: Anxiety_disorder | |||
| E265200 | Read | Psychogenic dysmenorrhea | diagnostic | res59: Anxiety_disorder | |||
| E265300 | Read | Psychogenic dysuria | diagnostic | res59: Anxiety_disorder | |||
| E265z00 | Read | Psychogenic genitourinary tract symptom NOS | diagnostic | res59: Anxiety_disorder | |||
| E267.00 | Read | Psychogenic symptom of special sense organ | diagnostic | res59: Anxiety_disorder | |||
| E26y.00 | Read | Other psychogenic malfunction | diagnostic | res59: Anxiety_disorder | |||
| E26y000 | Read | Bruxism (teeth grinding) | diagnostic | res59: Anxiety_disorder | |||
| E26yz00 | Read | Other psychogenic malfunction NOS | diagnostic | res59: Anxiety_disorder | |||
| E26z.00 | Read | Psychosomatic disorder NOS | diagnostic | res59: Anxiety_disorder | |||
| E278.00 | Read | Psychalgia | diagnostic | res59: Anxiety_disorder | |||
| E278000 | Read | Psychogenic pain unspecified | diagnostic | res59: Anxiety_disorder | |||
| E278100 | Read | Tension headache | diagnostic | res59: Anxiety_disorder | |||
| E278111 | Read | Muscular headache | diagnostic | res59: Anxiety_disorder | |||
| E278200 | Read | Psychogenic backache | diagnostic | res59: Anxiety_disorder | |||
| E278z00 | Read | Psychalgia NOS | diagnostic | res59: Anxiety_disorder | |||
| E28..00 | Read | Acute reaction to stress | diagnostic | res59: Anxiety_disorder | |||
| E280.00 | Read | acute panic state due to acute stress reaction | diagnostic | res59: Anxiety_disorder | |||
| E281.00 | Read | Acute fugue state due to acute stress reaction | diagnostic | res59: Anxiety_disorder | |||
| E28..11 | Read | Combat fatigue | diagnostic | res59: Anxiety_disorder | |||
| E282.00 | Read | Acute stupor state due to acute stress reaction | diagnostic | res59: Anxiety_disorder | |||
| E283.00 | Read | Other acute stress reactions | diagnostic | res59: Anxiety_disorder | |||
| E283000 | Read | Acute situational disturbance | diagnostic | res59: Anxiety_disorder | |||
| E283100 | Read | Acute posttrauma stress state | diagnostic | res59: Anxiety_disorder | |||
| E283z00 | Read | Other acute stress reaction NOS | diagnostic | res59: Anxiety_disorder | |||
| E284.00 | Read | Stress reaction causing mixed distrurbance of emotion/conduct | diagnostic | res59: Anxiety_disorder | |||
| E28z.00 | Read | Acute stress reaction NOS | diagnostic | res59: Anxiety_disorder | |||
| E28z.11 | Read | Examination fear | diagnostic | res59: Anxiety_disorder | |||
| E28z.12 | Read | Flying phobia | diagnostic | res59: Anxiety_disorder | |||
| E28z.13 | Read | Stage fright | diagnostic | res59: Anxiety_disorder | |||
| E29..00 | Read | Adjustment reaction | diagnostic | res59: Anxiety_disorder | |||
| E290000 | Read | Grief reaction | diagnostic | res59: Anxiety_disorder | |||
| E290011 | Read | Bereavement reaction | diagnostic | res59: Anxiety_disorder | |||
| E292.00 | Read | Adjustment reaction, predominant disturbance other emotions | diagnostic | res59: Anxiety_disorder | |||
| E292000 | Read | separation anxiety disorder | diagnostic | res59: Anxiety_disorder | |||
| E292100 | Read | Adolescent emancipation disorder | diagnostic | res59: Anxiety_disorder | |||
| E292200 | Read | Early adult emancipation disorder | diagnostic | res59: Anxiety_disorder | |||
| E292300 | Read | Specific academic or work inhibition | diagnostic | res59: Anxiety_disorder | |||
| E292311 | Read | Specific academic or work inhibition | diagnostic | res59: Anxiety_disorder | |||
| E292312 | Read | Specific work inhibition | diagnostic | res59: Anxiety_disorder | |||
| E292400 | Read | Adjustment reaction with anxious mood | diagnostic | res59: Anxiety_disorder | |||
| E292500 | Read | Culture shock | diagnostic | res59: Anxiety_disorder | |||
| E292y00 | Read | Adjustment reaction with mixed disturbance of emotion | diagnostic | res59: Anxiety_disorder | |||
| E292z00 | Read | Adjustment reaction with disturbance of other emotion NOS | diagnostic | res59: Anxiety_disorder | |||
| E293000 | Read | Adjustment reaction with aggression | diagnostic | res59: Anxiety_disorder | |||
| E293100 | Read | Adjustment reaction with antisocial behaviour | diagnostic | res59: Anxiety_disorder | |||
| E293200 | Read | Adjustment reaction with destructiveness | diagnostic | res59: Anxiety_disorder | |||
| E294.00 | Read | Adjustment reaction with disturbance emotion and conduct | diagnostic | res59: Anxiety_disorder | |||
| E29y.00 | Read | Other adjustment reactions | diagnostic | res59: Anxiety_disorder | |||
| E29y000 | Read | Concentration camp syndrome | diagnostic | res59: Anxiety_disorder | |||
| E29y100 | Read | Other post-traumatic stress disorder | diagnostic | res59: Anxiety_disorder | |||
| E29y200 | Read | Adjustment reaction with physical symptoms | diagnostic | res59: Anxiety_disorder | |||
| E29y300 | Read | Elective mutism due to an adjustment reaction | diagnostic | res59: Anxiety_disorder | |||
| E29y400 | Read | Adjustment reaction due to hospitalisation | diagnostic | res59: Anxiety_disorder | |||
| E29y500 | Read | Other adjustment reaction with withdrawal | diagnostic | res59: Anxiety_disorder | |||
| E29yz00 | Read | Other adjustment reactions NOS | diagnostic | res59: Anxiety_disorder | |||
| E29z.00 | Read | Adjustment reaction NOS | diagnostic | res59: Anxiety_disorder | |||
| E2D0.00 | Read | disturbance of anxiety and fearfulness childhood/adolescent | diagnostic | res59: Anxiety_disorder | |||
| E2D0000 | Read | childhood and adolescent overanxiousness disturbance | diagnostic | res59: Anxiety_disorder | |||
| E2D0z00 | Read | disturbance anxiety and fearfulness childhood/adolescent nos | diagnostic | res59: Anxiety_disorder | |||
| E2y..00 | Read | Other specified neuroses or other mental disorders | diagnostic | res59: Anxiety_disorder | |||
| E2z..00 | Read | Neuroses or other mental disorder NOS | diagnostic | res59: Anxiety_disorder | |||
| Eu05400 | Read | [X]Organic anxiety disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu34114 | Read | [x]persistant anxiety depression | diagnostic | res59: Anxiety_disorder | |||
| Eu4..00 | Read | [X]Neurotic, stress - related and somoform disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu40.00 | Read | [x]phobic anxiety disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu40000 | Read | [X]Agoraphobia | diagnostic | res59: Anxiety_disorder | |||
| Eu40011 | Read | [X]Agoraphobia without history of panic disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu40012 | Read | [x]panic disorder with agoraphobia | diagnostic | res59: Anxiety_disorder | |||
| Eu40100 | Read | [X]Social phobias | diagnostic | res59: Anxiety_disorder | |||
| Eu40112 | Read | [X]Social neurosis | diagnostic | res59: Anxiety_disorder | |||
| Eu40200 | Read | [X]Specific (isolated) phobias | diagnostic | res59: Anxiety_disorder | |||
| Eu40211 | Read | [X]Acrophobia | diagnostic | res59: Anxiety_disorder | |||
| Eu40212 | Read | [X]Animal phobias | diagnostic | res59: Anxiety_disorder | |||
| Eu40213 | Read | [X]Claustrophobia | diagnostic | res59: Anxiety_disorder | |||
| Eu40214 | Read | [X]Simple phobia | diagnostic | res59: Anxiety_disorder | |||
| Eu40300 | Read | [X]Needle phobia | diagnostic | res59: Anxiety_disorder | |||
| Eu40y00 | Read | [x]other phobic anxiety disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu40z00 | Read | [x]phobic anxiety disorder, unspecified | diagnostic | res59: Anxiety_disorder | |||
| Eu40z11 | Read | [X]Phobia NOS | diagnostic | res59: Anxiety_disorder | |||
| Eu40z12 | Read | [X]Phobic state NOS | diagnostic | res59: Anxiety_disorder | |||
| Eu41.00 | Read | [x]other anxiety disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu41000 | Read | [x]panic disorder [episodic paroxysmal anxiety] | diagnostic | res59: Anxiety_disorder | |||
| Eu41011 | Read | [x]panic attack | diagnostic | res59: Anxiety_disorder | |||
| Eu41012 | Read | [x]panic state | diagnostic | res59: Anxiety_disorder | |||
| Eu41100 | Read | [x]generalized anxiety disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu41111 | Read | [x]anxiety neurosis | diagnostic | res59: Anxiety_disorder | |||
| Eu41112 | Read | [x]anxiety reaction | diagnostic | res59: Anxiety_disorder | |||
| Eu41113 | Read | [x]anxiety state | diagnostic | res59: Anxiety_disorder | |||
| Eu41200 | Read | [x]mixed anxiety and depressive disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu41211 | Read | [x]mild anxiety depression | diagnostic | res59: Anxiety_disorder | |||
| Eu41300 | Read | [x]other mixed anxiety disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu41y00 | Read | [x]other specified anxiety disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu41y11 | Read | [x]anxiety hysteria | diagnostic | res59: Anxiety_disorder | |||
| Eu41z00 | Read | [x]anxiety disorder, unspecified | diagnostic | res59: Anxiety_disorder | |||
| Eu41z11 | Read | [x]anxiety nos | diagnostic | res59: Anxiety_disorder | |||
| Eu43.00 | Read | [X]Reaction to severe stress, and adjustment disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu43000 | Read | [X]Acute stress reaction | diagnostic | res59: Anxiety_disorder | |||
| Eu43011 | Read | [X]Acute crisis reaction | diagnostic | res59: Anxiety_disorder | |||
| Eu43012 | Read | [X]Acute reaction to stress | diagnostic | res59: Anxiety_disorder | |||
| Eu43013 | Read | [X]Combat fatigue | diagnostic | res59: Anxiety_disorder | |||
| Eu43014 | Read | [X]Crisis state | diagnostic | res59: Anxiety_disorder | |||
| Eu43015 | Read | [X]Psychic shock | diagnostic | res59: Anxiety_disorder | |||
| Eu43100 | Read | [X]Post - traumatic stress disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu43111 | Read | [X]Traumatic neurosis | diagnostic | res59: Anxiety_disorder | |||
| Eu43200 | Read | [X]Adjustment disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu43211 | Read | [X]Culture shock | diagnostic | res59: Anxiety_disorder | |||
| Eu43212 | Read | [X]Grief reaction | diagnostic | res59: Anxiety_disorder | |||
| Eu43213 | Read | [X]Hospitalism in children | diagnostic | res59: Anxiety_disorder | |||
| Eu43300 | Read | [X]Acute post-traumatic stress disorder follow military comb | diagnostic | res59: Anxiety_disorder | |||
| Eu43400 | Read | [X]Chron post-traumatic stress disorder follow military comb | diagnostic | res59: Anxiety_disorder | |||
| Eu43y00 | Read | [X]Other reactions to severe stress | diagnostic | res59: Anxiety_disorder | |||
| Eu43z00 | Read | [X]Reaction to severe stress, unspecified | diagnostic | res59: Anxiety_disorder | |||
| Eu44.00 | Read | [X]Dissociative [conversion] disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu44000 | Read | [X]Dissociative amnesia | diagnostic | res59: Anxiety_disorder | |||
| Eu44100 | Read | [X]Dissociative fugue | diagnostic | res59: Anxiety_disorder | |||
| Eu44.11 | Read | [X]Conversion hysteria | diagnostic | res59: Anxiety_disorder | |||
| Eu44.12 | Read | [X]Conversion reaction | diagnostic | res59: Anxiety_disorder | |||
| Eu44.13 | Read | [X]Hysteria | diagnostic | res59: Anxiety_disorder | |||
| Eu44200 | Read | [X]Dissociative stupor | diagnostic | res59: Anxiety_disorder | |||
| Eu44300 | Read | [X]Trance and possession disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu44400 | Read | [X]Dissociative motor disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu44411 | Read | [X]Psychogenic aphonia | diagnostic | res59: Anxiety_disorder | |||
| Eu44412 | Read | [X]Psychogenic dysphonia | diagnostic | res59: Anxiety_disorder | |||
| Eu44500 | Read | [X]Dissociative convulsions | diagnostic | res59: Anxiety_disorder | |||
| Eu44511 | Read | [X]Pseudoseizures | diagnostic | res59: Anxiety_disorder | |||
| Eu44600 | Read | [X]Dissociative anaesthesia and sensory loss | diagnostic | res59: Anxiety_disorder | |||
| Eu44611 | Read | [X]Psychogenic deafness | diagnostic | res59: Anxiety_disorder | |||
| Eu44700 | Read | [X]Mixed dissociative [conversion] disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu44y00 | Read | [X]Other dissociative [conversion] disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu44y11 | Read | [X]Ganser's syndrome | diagnostic | res59: Anxiety_disorder | |||
| Eu44y12 | Read | [X]Multiple personality | diagnostic | res59: Anxiety_disorder | |||
| Eu44y13 | Read | [X]Psychogenic confusion | diagnostic | res59: Anxiety_disorder | |||
| Eu44y14 | Read | [X]Psychogenic twilight state | diagnostic | res59: Anxiety_disorder | |||
| Eu44z00 | Read | [X]Dissociative [conversion] disorder, unspecified | diagnostic | res59: Anxiety_disorder | |||
| Eu45.00 | Read | [X]Somatoform disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu45000 | Read | [X]Somatization disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu45011 | Read | [X]Multiple psychosomatic disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu45012 | Read | [X]Briquet's syndrome | diagnostic | res59: Anxiety_disorder | |||
| Eu45100 | Read | [X]Undifferentiated somatoform disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu45111 | Read | [X]Undifferentiated psychosomatic disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu45200 | Read | [X]Hypochondriacal disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu45211 | Read | [X]Body dysmorphic disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu45212 | Read | [X]Dysmorphophobia nondelusional | diagnostic | res59: Anxiety_disorder | |||
| Eu45213 | Read | [X]Hypochondriacal neurosis | diagnostic | res59: Anxiety_disorder | |||
| Eu45214 | Read | [X]Hypochondriasis | diagnostic | res59: Anxiety_disorder | |||
| Eu45215 | Read | [X]Nosophobia | diagnostic | res59: Anxiety_disorder | |||
| Eu45300 | Read | [X]Somatoform autonomic dysfunction | diagnostic | res59: Anxiety_disorder | |||
| Eu45311 | Read | [X]Cardiac neurosis | diagnostic | res59: Anxiety_disorder | |||
| Eu45312 | Read | [X]Da Costa's syndrome | diagnostic | res59: Anxiety_disorder | |||
| Eu45313 | Read | [X]Gastric neurosis | diagnostic | res59: Anxiety_disorder | |||
| Eu45314 | Read | [X]Neurocirculatory asthenia | diagnostic | res59: Anxiety_disorder | |||
| Eu45316 | Read | [X]Psychogenic cough | diagnostic | res59: Anxiety_disorder | |||
| Eu45317 | Read | [X]Psychogenic diarrhoea | diagnostic | res59: Anxiety_disorder | |||
| Eu45318 | Read | [X]Psychogenic dyspepsia | diagnostic | res59: Anxiety_disorder | |||
| Eu45319 | Read | [X]Psychogenic dysuria | diagnostic | res59: Anxiety_disorder | |||
| Eu45320 | Read | [X]Psychogenic flatulence | diagnostic | res59: Anxiety_disorder | |||
| Eu45321 | Read | [X]Psychogenic hiccough | diagnostic | res59: Anxiety_disorder | |||
| Eu45322 | Read | [X]Psychogenic hyperventilat | diagnostic | res59: Anxiety_disorder | |||
| Eu45323 | Read | [X]Psychogenic freq micturit | diagnostic | res59: Anxiety_disorder | |||
| Eu45324 | Read | [X]Psychogenic IBS | diagnostic | res59: Anxiety_disorder | |||
| Eu45325 | Read | [X]Psychogenic pylorospasm | diagnostic | res59: Anxiety_disorder | |||
| Eu45400 | Read | [X]Persistent somatoform pain disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu45411 | Read | [X]Psychalgia | diagnostic | res59: Anxiety_disorder | |||
| Eu45412 | Read | [X]Psychogenic backache | diagnostic | res59: Anxiety_disorder | |||
| Eu45413 | Read | [X]Psychogenic headache | diagnostic | res59: Anxiety_disorder | |||
| Eu45414 | Read | [X]Somatoform pain disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu45500 | Read | [X]Globus pharyngeus | diagnostic | res59: Anxiety_disorder | |||
| Eu45511 | Read | [X]Globus hystericus | diagnostic | res59: Anxiety_disorder | |||
| Eu45y00 | Read | [X]Other somatoform disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu45y11 | Read | [X]Psychogenic dysmenorrhoea | diagnostic | res59: Anxiety_disorder | |||
| Eu45y12 | Read | [X]Globus hystericus | diagnostic | res59: Anxiety_disorder | |||
| Eu45y13 | Read | [X]Psychogenic pruritis | diagnostic | res59: Anxiety_disorder | |||
| Eu45y14 | Read | [X]Psychogenic torticollis | diagnostic | res59: Anxiety_disorder | |||
| Eu45y15 | Read | [X]Teeth-grinding | diagnostic | res59: Anxiety_disorder | |||
| Eu45z00 | Read | [X]Somatoform disorder, unspecified | diagnostic | res59: Anxiety_disorder | |||
| Eu45z11 | Read | [X]Psychosomatic disorder NOS | diagnostic | res59: Anxiety_disorder | |||
| Eu46.00 | Read | [X]Other neurotic disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu46000 | Read | [X]Neurasthenia | diagnostic | res59: Anxiety_disorder | |||
| Eu46011 | Read | [X]Fatigue syndrome | diagnostic | res59: Anxiety_disorder | |||
| Eu46100 | Read | [X]Depersonalization - derealization syndrome | diagnostic | res59: Anxiety_disorder | |||
| Eu46y00 | Read | [X]Other specified neurotic disorders | diagnostic | res59: Anxiety_disorder | |||
| Eu46y11 | Read | [X]Briquet's disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu46y12 | Read | [X]Dhat syndrome | diagnostic | res59: Anxiety_disorder | |||
| Eu46y13 | Read | [X]Occupational neurosis, including writer's cramp | diagnostic | res59: Anxiety_disorder | |||
| Eu46y14 | Read | [X]Psychasthenia | diagnostic | res59: Anxiety_disorder | |||
| Eu46y15 | Read | [X]Psychasthenia neurosis | diagnostic | res59: Anxiety_disorder | |||
| Eu46y16 | Read | [X]Psychogenic syncope | diagnostic | res59: Anxiety_disorder | |||
| Eu46z00 | Read | [X]Neurotic disorder, unspecified | diagnostic | res59: Anxiety_disorder | |||
| Eu46z11 | Read | [X]Neurosis NOS | diagnostic | res59: Anxiety_disorder | |||
| Eu51511 | Read | [X]Dream anxiety disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu60600 | Read | [x]anxious [avoidant] personality disorder | diagnostic | res59: Anxiety_disorder | |||
| Eu93000 | Read | [x]separation anxiety disorder of childhood | diagnostic | res59: Anxiety_disorder | |||
| Eu93100 | Read | [X]Phobic anxiety disorder of childhood | diagnostic | res59: Anxiety_disorder | |||
| Eu93200 | Read | [X]Social anxiety disorder of childhood | diagnostic | res59: Anxiety_disorder | |||
| Eu93211 | Read | [X]Avoidant disorder childhood | diagnostic | res59: Anxiety_disorder | |||
| Eu93y12 | Read | [x]childhood overanxious disorder | diagnostic | res59: Anxiety_disorder | |||
| Z4I7.00 | Read | acknowledging anxiety | diagnostic | res59: Anxiety_disorder | |||
| Z4L1.00 | Read | anxiety counselling | diagnostic | res59: Anxiety_disorder | |||
| ZS7C700 | Read | Post-traumatic mutism | diagnostic | res59: Anxiety_disorder |
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Code list links:
ClinicalCodes is a project at the University of Manchester Institute of Population Health
The ClinicalCodes project is funded by the National Institute for Health Research (NIHR) School for Primary Care Research (SPCR)