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Published on: November 4, 2010
Healthcare Utilization, Physical and Psychiatric Comorbidities Before Self-Injurious Behavior in Patients with
Yen-Hsun Huang1, Hsien-Chih Chiou1, Chun-Hung Pan1,2
1Taipei City Psychiatric Center, Taipei City Hospital, Taipei, Taiwan.
Background:
Patients with asthma experience more physical, psychological, and financial burdens; a link between asthma and suicidality has been reported in research.
Purpose:
This study analyzed the medical utilization and comorbidity before their self-injurious behavior in patients with asthma.
Methods:
We enrolled 186,862 patients newly diagnosed with asthma between 1999 and 2013 from the National Health Insurance Research Database in Taiwan. A total of 500 case subjects had ever conducted self-injurious behaviors during the study period. Based on a nested case-control study, each case was matched with 10 controls derived from the asthma cohort to analyze differences between them and their medical use models.
Results:
The results indicated that, compared to the control group, the cases presented higher frequencies of outpatient visits and hospitalizations. Regarding comorbidity, the cases had more cardiovascular diseases (adjusted odds ratio [aOR]=1.58; p<0.001), bipolar disorder (aOR=2.97; p<0.001), depression (aOR=4.44; p<0.001), and sleep disorder (aOR=1.83; p<0.001) than the controls.
Conclusion:
The evidence-based information serves as a reference for medical staff to reduce the occurrence of self-injurious behavior in patients with asthma.
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