Geulayov G, Casey D, Bale L, et al. - Researchers performed a comparison of the risk of suicide following hospital presentation for self-harm according to patient characteristics, method of self-harm, and variations in area-level socioeconomic deprivation. Further, they determined the incidence of suicide by time after hospital attendance. In this ongoing Multicentre Study of Self-harm in England, individuals (aged at least 15 years) attending the emergency department of five general hospitals in Oxford, Manchester, and Derby after non-fatal self-harm between Jan 1, 2000, and Dec 31, 2013, were included. The study sample consisted of 49,783 individuals with 90,614 hospital presentations. Seven hundred three patients died by suicide by the end of follow-up on Dec 31, 2015. Observations revealed a high risk of suicide among patients attending hospital for self-harm, especially immediately after hospital attendance. Hospital presentations involving both self-injury and self-poisoning were associated with higher suicide risk relative to presentations after self-poisoning alone and presentations after self-injury alone. Similarly, greater risk of suicide was noted in correlation to attempted hanging or asphyxiation and traffic-related acts of self-injury relative to self-harm by self-poisoning alone. Increased suicide risk was also observed in correlation to self-cutting combined with self-poisoning. Further, living in areas of low socioeconomic deprivation can enhance patients' subsequent suicide risk. However, while there seemed a possible utility of integrating specific risk factors into the assessment process, poor utility of individual factors in predicting suicide was noted. So they recommend assessing the needs and risks of all patients to develop an appropriate aftercare plan, including early follow-up.