A retrospective matched case–control comparison of non-fatal hanging to non-fatal self-poisoning in a sample of Australian men and women

Journal article

Ghani, Ayaz, Talbot, Daniel, Ma, Cassandra and Harris, Anthony. (2023). A retrospective matched case–control comparison of non-fatal hanging to non-fatal self-poisoning in a sample of Australian men and women. Australasian Psychiatry. 31(3), pp. 363-368. https://doi.org/10.1177/10398562231162240
AuthorsGhani, Ayaz, Talbot, Daniel, Ma, Cassandra and Harris, Anthony
Abstract

Objective
Our study examined the characteristics of individuals who survived attempted hanging and compared this group to a randomly selected comparison group of patients with non-fatal self-poisoning.

Method
Non-fatal hanging cases were identified from case files from an Australian public hospital. They were matched by age, sex, and month of presentation with double the number of non-fatal self-poisoning cases. Patients were compared on demographic and clinical characteristics, as well as length of stay in hospital and discharge plan.

Results
Most non-fatal hanging patients were males with medium suicidal intent, and a significant proportion misused alcohol. In this group, women were more likely than men to have past psychiatric care, and men were more likely to misuse alcohol and stimulants. In comparison to the self-poisoning group, the non-fatal hanging group had higher suicidal intent but proportionally lower history of self-harm and psychiatric care, or benzodiazepine misuse.

Conclusion
People who self-harm by hanging have higher suicidal intent, misuse alcohol more often, and are less likely to be in psychiatric care. They may benefit from a general community intervention, rather than one based upon interventions with people already in psychiatric care.

Keywordsnon-fatal hanging; suicide; matched case–control comparison; non-fatal poisoning; hanging
Year2023
JournalAustralasian Psychiatry
Journal citation31 (3), pp. 363-368
PublisherSAGE Publications
ISSN1039-8562
Digital Object Identifier (DOI)https://doi.org/10.1177/10398562231162240
PubMed ID36892555
Scopus EID2-s2.0-85150660219
Page range363-368
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online09 Mar 2023
Publication process dates
Deposited20 May 2025
Additional information

© The Royal Australian and New Zealand College of Psychiatrists 2023.

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