Epidemiology and trends in non-fatal self-harm in three centres in England, 2000–2012: findings from the Multicentre Study of Self-harm in England
Galit Geulayov,Navneet Kapur,Pauline Turnbull,Caroline Clements,Keith Waters,Jennifer Ness,Ellen Townsend,Keith Hawton +7 more
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TLDR
A substantial increase in self-injury occurred in the latter part of the study period, especially marked for self-cutting/stabbing and hanging/asphyxiation.Abstract:
Objectives Self-harm is a major health problem in many countries, with potential adverse outcomes including suicide and other causes of premature death. It is important to monitor national trends in this behaviour. We examined trends in non-fatal self-harm and its management in England during the 13-year period, 2000–2012. Design and setting This observational study was undertaken in the three centres of the Multicentre Study of Self-harm in England. Information on all episodes of self-harm by individuals aged 15 years and over presenting to five general hospitals in three cities (Oxford, Manchester and Derby) was collected through face-to-face assessment or scrutiny of emergency department electronic databases. We used negative binomial regression models to assess trends in rates of self-harm and logistic regression models for binary outcomes (eg, assessed vs non-assessed patients). Participants During 2000–2012, there were 84 378 self-harm episodes (58.6% by females), involving 47 048 persons. Results Rates of self-harm declined in females (incidence rate ratio (IRR) 0.98; 95% CI 0.97 to 0.99, p Conclusions Trends in rates of self-harm and suicide may be closely related; therefore, self-harm can be a useful mental health indicator. Despite national guidance, many patients still do not receive psychosocial assessment, especially those who self-injure.read more
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Journal Article
Predictive accuracy of risk scales following self-harm
TL;DR: Risk scales following self-harm have limited clinical utility and may waste valuable resources and in line with national guidelines, should not be used to determine patient management or predict self- Harm.
Journal ArticleDOI
Rates of self-harm presenting to general hospitals: a comparison of data from the Multicentre Study of Self-Harm in England and Hospital Episode Statistics.
Caroline Clements,Pauline Turnbull,Keith Hawton,Galit Geulayov,Keith Waters,Jennifer Ness,Ellen Townsend,Kazem Khundakar,Navneet Kapur +8 more
TL;DR: There was a consistent underestimation of presentations for self-harm recorded by HES emergency department data, and fluctuations in year-on-year figures.
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Pharmacological interventions for self-harm in adults
Keith Hawton,Katrina Witt,Tatiana Taylor Salisbury,Ella Arensman,David Gunnell,Philip Hazell,Ellen Townsend,Kees van Heeringen +7 more
TL;DR: The overall quality of evidence for the primary outcome was appraised for each intervention using the GRADE approach, and the small number of trials identified made it not possible to make firm conclusions regarding pharmacological interventions in SH patients.
Journal ArticleDOI
General hospital costs in England of medical and psychiatric care for patients who self-harm: a retrospective analysis.
Apostolos Tsiachristas,David McDaid,Deborah Casey,Fiona Brand,Jose Leal,A-La Park,Galit Geulayov,Keith Hawton,Keith Hawton +8 more
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.
Journal ArticleDOI
Mortality in children and adolescents following presentation to hospital after non-fatal self-harm in the Multicentre Study of Self-harm: a prospective observational cohort study
Keith Hawton,Keith Hawton,Liz Bale,Fiona Brand,Fiona Brand,Ellen Townsend,Jennifer Ness,Keith Waters,Caroline Clements,Nav Kapur,Galit Geulayov +10 more
TL;DR: The 12-month incidence of suicide in this cohort was more than 30 times higher than the expected rate in the general population of individuals aged 10-18 years in England and switching of method between self-harm and suicide was common, especially from self-poisoning to hanging or asphyxiation.
References
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