Deborah Casey

TL;DR: Multicentre monitoring of self-harm in England has demonstrated similar overall patterns ofSelf- Harm in Oxford, Manchester and Leeds, with some differences reflecting local suicide rates.

TL;DR: The findings emphasise the need for well resourced community and hospital-based mental health services for adolescents, with greater investment in school-based prevention, as well as highlighting a particularly large number of females reporting self-harm in the community.

TL;DR: No overall association between assessment and self-harm repetition is found, but there were differences between hospitals--assessments were protective in one hospital but associated with an increased risk of repetition in another.

TL;DR: Men were three times more likely than women to die by suicide after self-harm and age was positively related to suicide risk in both genders, with a 3% increase in risk for every one-year increase in age at hospital presentation.

TL;DR: The estimated overall annual cost of general hospital management of self-harm is £162 million per year and more use of psychosocial assessment and other preventive measures, especially for young people and against self-poisoning, could potentially lower future cost pressures in the NHS.