Probable self-harm - Events of undetermined intent (aged>=15 years)
Codelist metadata
- Coding system
- SNOMED CT (UK Clinical Edition)
- Coding system release
- unknown
- Author
- Harriet Forbes
- Codelist ID
- user/hjforbes/undetermined-intent-self-harm-aged15-years
- Version ID
- 52d5ada5
About
Description
Includes events of undetermined intent that are likely unidentified self-harm events in those aged 15 years and over. Note there is an additional code list for intentional self-harm (https://www.opencodelists.org/codelist/user/hjforbes/intentional-self-harm-aged10-years/6be520da/). In those aged 15 years and over, both intentional self-harm and probable self-harm code lists should be used to define self-harm events.
Methodology
We included the events of undetermined intent for hanging, strangulation and suffocation; rifle shotgun and larger firearm discharges; other and unspecified firearm discharges; falling, and jumping from a high place in those 15 years of age and older as they are likely unidentified self-harm. When intent is not explicitly recorded (neither ‘intentional’ nor ‘undetermined’), we include events of overdose of drug, biological substance or medicament (without further substance specification), and poisoning and overdose of antidepressants (commonly implicated in suicide) also for those 15 years of age and older, as they are also likely unidentified self-harm events.
Events of poisoning and overdose with analgesics, although commonly implicated in suicidal behaviours as well, were not included as they are often accidental. The list of codes is based on validated, published and comparable lists (Thomas et. al. 2014; Marchant et. al. 2020) and reviewed by a clinician in the study team (Prof Ann John).
References
- Self-harm presentation across healthcare settings by sex in young people: an e-cohort study using routinely collected linked healthcare data in Wales, UK.
- Validation of suicide and self‐harm records in the Clinical Practice Research Datalink
Codelists are developed by a broad community of users for individual study purposes, which may or may not meet the needs of other studies. They should not be thought of as universal definitions of a particular condition.
We don't offer any guarantees about what they do or don't identify. Users should carefully check that any codelist meets their needs, and seek clinical input where appropriate.
code | term |
---|---|
219328003 | Hanging, strangulation or suffocation of unknown intent |
219334005 | Injury of unknown intent by firearms and explosives |
219336007 | Injury of unknown intent by shotgun |
219337003 | Injury of unknown intent by hunting rifle |
219338008 | Injury of unknown intent by military firearm |
219342006 | Injury of unknown intent by sharp instrument |
219343001 | Injury of unknown intent by cutting instrument |
219344007 | Injury of unknown intent by stabbing instrument |
219346009 | Injury of unknown intent due to fall from height |
219359001 | Injury of unknown intent by electrocution |
222759003 | [X]Hanging, strangulation and suffocation undetermined intent |
222793004 | [X]Rifle, shotgun and larger firearm discharge, undetermined intent |
222804005 | [X]Other and unspecified firearm discharge, undetermined intent |
269688005 | Accidental poisoning caused by drugs, medicines and biologicals |
269735005 | Injury undetermined whether accidentally or purposely inflicted |
275385007 | Poisoning caused by biological substance |
290923004 | Trazodone poisoning |
295830007 | Overdose of antidepressant drug |
295835002 | Amitriptyline overdose |
295918002 | Selective serotonin re-uptake inhibitor overdose |
390867000 | History of repeated overdose |
473128000 | Suspected drug overdose |
55680006 | Drug overdose |
65425009 | Poisoning caused by imipramine |
676361000000101 | Drug and medicament poisoning NOS |
75478009 | Poisoning |
78695006 | Poisoning caused by amitriptyline |
7895008 | Poisoning caused by drug AND/OR medicinal substance |
82276009 | Poisoning caused by antidepressant |
9291000 | Poisoning caused by monoamine oxidase inhibitor |