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Individual- and area-level predictors of self-harm repetition

机译：个体和区域自我伤害重复的预测因子

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Background No ecological studies have examined the relationship between area characteristics, individual characteristics and self-harm repetition. Aims To investigate the association between area-level factors and incidence and repetition of self-harm, and to identify which area-level factors are independently associated with repetition after adjustment for individual factors. Method Prospective cohort study using the Manchester Self-Harm database. Adults who were resident in Manchester and presented to an emergency department following self-harm between 1997 and 2002 were included ( n = 4743). The main outcome measure was repeat self-harm within 6 months of the index episode. Results Four individual factors (previous self-harm, previous psychiatric treatment, employment status, marital status) and one area-based factor (proportion of individuals who were of White ethnicity) were independently associated with repetition. Conclusions Repetition of self-harm may be more strongly related to individual factors than to area characteristics. We need to better understand the processes underlying ecological associations with suicidal behaviour before embarking on area-based interventions.
机译：背景技术没有生态学研究研究过区域特征，个体特征和自我伤害重复之间的关系。目的调查区域性因素与自我伤害的发生和重复之间的关联，并确定对各个因素进行调整后，哪些区域性因素与重复性独立相关。方法使用Manchester Self-Harm数据库进行前瞻性队列研究。在1997年至2002年之间因自残而在曼彻斯特居住并出现在急诊室的成年人也包括在内（n = 4743）。主要结局指标是指数发作后6个月内重复自我伤害。结果四个个体因素（先前的自我伤害，先前的精神病治疗，就业状况，婚姻状况）和一个基于区域的因素（白人种族个体的比例）独立地与重复相关。结论自我伤害的重复可能与个体因素比与区域特征更密切相关。在开展基于区域的干预措施之前，我们需要更好地了解具有自杀行为的生态关联的过程。

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