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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References
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Communities and Local Government
TL;DR: In this paper, the authors discuss the role of planning in supporting the Government's wider social, environmental, and economic objectives and for sustainable communities, and present a survey of the key roles played by planning.
Deliberate Self Harm in Adolescents: Self Report Survey in Schools in England
TL;DR: Deliberate self harm defined according to strict criteria is common in adolescents, especially females Associated factors include recent awareness of self harm in peers, self harm by family members, drug misuse, depression, anxiety, impulsivity, and low self esteem.
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Deliberate self harm in adolescents: self report survey in schools in England
TL;DR: In this article, the prevalence of deliberate self harm in adolescents and the factors associated with it was found to be more common in females than it was in males (11.2% v 3.2%) and only 12.6% of episodes had resulted in presentation to hospital.
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Suicides associated with the 2008-10 economic recession in England: time trend analysis
Ben Barr,David Taylor-Robinson,Alex Scott-Samuel,Michael McKee,David Stuckler,David Stuckler +5 more
TL;DR: Evidence is provided linking the recent increase in suicides in England with the financial crisis that began in 2008 as English regions with the largest rises in unemployment have had the largest increases in suicides, particularly among men.
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Hospital Presenting Self-Harm and Risk of Fatal and Non-Fatal Repetition: Systematic Review and Meta-Analysis
TL;DR: The incidence of repeat self-harm and suicide in this population has not changed in over 10 years and heterogeneity should be considered when evaluating interventions aimed at reducing non-fatal repeatSelf-harm.