Objective:

To investigate the association between hidradenitis suppurativa (HS) and rates of self-harm and suicide.

Approach:

Key Findings:

• 3.3% of HS patients experienced self-harm compared to 1.1% of controls.
• HS patients had a higher hazard of self-harm and suicide than controls.
• 0.2% of HS patients died by suicide compared to 0.1% of controls.
• 41.7% of HS patients who died by suicide had a history of prior self-harm.

Interpretation:

The study highlights a significant mental health burden associated with HS, emphasizing the need for clinician awareness in managing these patients.

Limitations:

• Absence of clinical measures of HS severity.
• Reliance on hospital-based HS diagnoses may not capture all cases.

Conclusion:

The findings underscore the importance of mental health considerations in patients with HS and the need for multidisciplinary care.

Sources:

• JAMA Dermatology
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