Accuracy of ICD-10-CM encounter diagnoses from health records for identifying self-harm events.
Gregory E SimonSusan M ShortreedJennifer M BoggsGregory N ClarkeRebecca C RossomJulie E RichardsArne BeckBrian K AhmedaniKaren J ColemanBhumi BhaktaChristine C StewartStacy SterlingMichael SchoenbaumR Yates ColeyMarc StoneAndrew D MosholderZimri S YaseenPublished in: Journal of the American Medical Informatics Association : JAMIA (2022)
Among patients at high risk, nearly 90% of injuries and poisonings with ICD-10-CM coding of self-harm have documentation of self-harm intent. Reliance on ICD-10-CM coding of intent to identify self-harm would fail to include a small proportion of true self-harm events.