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Association between epilepsy and attempted suicide

K Hawton, J Fagg, P Marsack

    Journal of Neurology, Neurosurgery, and Psychiatry
    |February 1, 1980
    PubMed
    Summary
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    Patients with epilepsy are five times more likely to attempt self-harm, especially males. Epilepsy patients frequently reattempt self-harm, often using anticonvulsants like barbiturates.

    Area of Science:

    • Clinical Medicine
    • Neurology
    • Psychiatry

    Background:

    • Epilepsy is a chronic neurological disorder affecting millions globally.
    • Self-harm, including self-poisoning and self-injury, is a significant public health concern.
    • Understanding the relationship between epilepsy and self-harm is crucial for targeted interventions.

    Purpose of the Study:

    • To investigate the prevalence of epilepsy among patients admitted for self-harm.
    • To identify specific demographic factors and patterns associated with self-harm in epilepsy patients.
    • To examine the methods used in self-harm attempts by individuals with epilepsy.

    Main Methods:

    • A two-year observational study was conducted.
    • Data collected from patients admitted to hospital following deliberate self-poisoning or self-injury.

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  • Prevalence rates of epilepsy in the study group were compared to general population data.

    • Main Results:

    • A fivefold excess of epilepsy patients was observed compared to general population rates.
    • Males with epilepsy were disproportionately represented among self-harm patients.
    • Patients with epilepsy demonstrated a higher propensity for repeat self-harm attempts.

    Conclusions:

    • Epilepsy is significantly over-represented in individuals who self-harm.
    • Targeted mental health support and monitoring are warranted for epilepsy patients at risk of self-harm.
    • Further research into the specific risk factors and effective interventions for this population is needed.