Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Jul;37(4):256-264.
doi: 10.1027/0227-5910/a000391. Epub 2016 Jun 9.

Incidence Rates of Deliberate Self-Harm in Denmark 1994-2011

Affiliations

Incidence Rates of Deliberate Self-Harm in Denmark 1994-2011

Britt Reuter Morthorst et al. Crisis. 2016 Jul.

Erratum in

  • Correction to Morthorst et al., 2016.
    [No authors listed] [No authors listed] Crisis. 2016 Jul;37(4):316. doi: 10.1027/0227-5910/a000431. Epub 2016 Jun 24. Crisis. 2016. PMID: 27338293 No abstract available.

Abstract

Background: The validity and reliability of suicide statistics have been questioned and few nationwide studies of deliberate self-harm have been presented.

Aim: To calculate rates of deliberate self-harm in Denmark in order to investigate trends and assess the reliability of hospital records.

Method: A register study based on all individuals recorded with an episode of deliberate self-harm or probable deliberate self-harm in nationwide registers during 1994-2011.

Results: A substantial difference in the rates of deliberate self-harm and probable deliberate self-harm was noted for both genders. The average incidence rate of deliberate self-harm for women and men was 130.7 (95% CI = 129.6-131.8) per 100,000 and 86.9 (95% CI = 86.0-87.8) per 100,000, respectively. The rates of deliberate self-harm for women increased from 137.6 (95% CI = 132.9-142.3) per 100,000 in 1994 to 152.7 (95% CI = 147.8-157.5) in 2011. For a subgroup of younger women aged 15-24 years, an almost threefold increase was observed, IRR = 2.5 (95% CI = 2.4-2.7). The most frequently used method was self-poisoning.

Conclusion: The rates of deliberate self-harm and probable deliberate self-harm differed significantly. An increased incidence of deliberate self-harm among young Danish women was observed, despite detection bias. An improved registration procedure of suicidal behavior is needed.

Keywords: deliberate self-harm; hospital records; incidence rates; nationwide; suicidal behavior.

PubMed Disclaimer

Figures

Figure 1
Figure 1. lncidence rates by calendar year of registered episodes of deliberate self-harm and probable deliberate self-harm for women and men aged 10+ living in Denmark during 1994–2011.
Figure 2
Figure 2. lncidence rates by age of registered episodes of deliberate self-harm and probable deliberate self-harm for women and men aged 10+ living in Denmark during 1994–2011.
Figure 3
Figure 3. lncidence rates by age group and calendar year of deliberate self-harm and probable deliberate self-harm for women living in Denmark during 1994–2011.
Figure 4
Figure 4. Incidence rates pr. 100.000 by means of deliberately self-harming methods for women and men in all age groups as well as for those aged 15-24 years living in Denmark during 1994–2011*Note. Other include drowning, jumping, moving objects, weapon, and unspecific means

References

    1. Alander S. W., Dowd M. D., Bratton S. L., & Kearns G. L. (2000). Pediatric acetaminophen overdose: Risk factors associated with hepatocellular injury. Archives of Pediatrics & Adolescent Medicine, , 346–350. - PubMed
    1. Bergen H., Hawton K., Waters K., Cooper J., & Kapur N. (2010). Epidemiology and trends in non-fatal self-harm in three centres in England, 2000 to 2007. British Journal of Psychiatry, , 493–498. - PubMed
    1. Bertolote J. M., & Fleischmann A. (2005). Suicidal behavior prevention: WHO perspectives on research. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, , 8–12. - PubMed
    1. Bertolote J. M., & Fleischmann A. (2009). Suicide thoughts, suicide plans and attempts in the general population on different continents In Wasserman D. & Wasserman C. (Eds.), The Oxford textbook of suicidology and suicide prevention: A global perspective, (pp. 99–104). Oxford, UK: Oxford University Press.
    1. Borges G., Nock M. K., Haro Abad J. M., Hwang I., Sampson N. A., Alonso J., … Kessler R. C. (2010). Twelve-month prevalence of and risk factors for suicide attempts in the World Health Organization World Mental Health Surveys. The Journal of Clinical Psychiatry, , 1617–1628. - PMC - PubMed