Risk factors for self-harm in people with epilepsy

Hayley C. Gorton, Roger T. Webb, W. Owen Pickrell, Matthew J. Carr, Darren M. Ashcroft

Research output: Contribution to journalArticle

Abstract

Objective: To estimate the risk of self-harm in people with epilepsy and identify factors which influence this risk. Methods: We identified people with incident epilepsy in the Clinical Practice Research Datalink, linked to hospitalization and mortality data, in England (01/01/1998–03/31/2014). In Phase 1, we estimated risk of self-harm among people with epilepsy, versus those without, in a matched cohort study using a stratified Cox proportional hazards model. In Phase 2, we delineated a nested case–control study from the incident epilepsy cohort. People who had self-harmed (cases) were matched with up to 20 controls. From conditional logistic regression models, we estimated relative risk of self-harm associated with mental and physical illness comorbidity, contact with healthcare services and antiepileptic drug (AED) use. Results: Phase 1 included 11,690 people with epilepsy and 215,569 individuals without. We observed an adjusted hazard ratio of 5.31 (95% CI 4.08–6.89) for self-harm in the first year following epilepsy diagnosis and 3.31 (95% CI 2.85–3.84) in subsequent years. In Phase 2, there were 273 cases and 3790 controls. Elevated self-harm risk was associated with mental illness (OR 4.08, 95% CI 3.06–5.42), multiple general practitioner consultations, treatment with two AEDs versus monotherapy (OR 1.84, 95% CI 1.33–2.55) and AED treatment augmentation (OR 2.12, 95% CI 1.38–3.26). Conclusion: People with epilepsy have elevated self-harm risk, especially in the first year following diagnosis. Clinicians should adequately monitor these individuals and be especially vigilant to self-harm risk in people with epilepsy and comorbid mental illness, frequent healthcare service contact, those taking multiple AEDs and during treatment augmentation.

Original languageEnglish
Pages (from-to)3009-3016
Number of pages8
JournalJournal of Neurology
Volume265
Issue number12
Early online date24 Oct 2018
DOIs
Publication statusPublished - 1 Dec 2018
Externally publishedYes

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Gorton, H. C., Webb, R. T., Pickrell, W. O., Carr, M. J., & Ashcroft, D. M. (2018). Risk factors for self-harm in people with epilepsy. Journal of Neurology, 265(12), 3009-3016. https://doi.org/10.1007/s00415-018-9094-2