Fiona Brand

TL;DR: In this paper, a multisite prospective cohort study was conducted of adults aged 18 years and over referred to liaison psychiatry services following self-harm and evaluated the performance of risk scales (Manchester Self-Harm Rule, ReACT Self Harm Rule, SAD PERSONS scale, Modified SAD Persons scale, Barratt Impulsiveness Scale, etc.).

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.

TL;DR: The findings of a survey completed by 174 psychiatrists on the effects of patient suicide on their emotional well-being and clinical practice, and the support and resources they felt would be helpful are reported.

TL;DR: SADPERSONS failed to identify the majority of those either requiring psychiatric admission or community psychiatric aftercare, or to predict repetition of self- Harm, and should not be used to screen self-harm patients presenting to general hospitals.

TL;DR: In this paper, the authors investigated what factors related to the COVID-19 pandemic influenced hospital presentations following self-harm during lockdown in England and found that mental health issues, including new and worsening disorders, and cessation or reduction of services (including absence of face-to-face support), isolation and loneliness, reduced contact with key individuals, disruption to normal routine, and entrapment were relevant.