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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Incidence, clinical management, and mortality risk following self harm among children and adolescents: cohort study in primary care.
Catharine Morgan,Roger T. Webb,Matthew J. Carr,Evangelos Kontopantelis,Jonathan Green,Carolyn Chew-Graham,Nav Kapur,Darren M. Ashcroft +7 more
TL;DR: Gaining a better understanding of the mechanisms responsible for the recent apparent increase in the incidence of self harm among early-mid teenage girls, and coordinated initiatives to tackle health inequalities in the provision of services to distressed children and adolescents, represent urgent priorities for multiple public agencies.
Journal ArticleDOI
Psychosocial 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: There was a significant treatment effect for CBT-based psychotherapy compared to TAU at final follow-up in terms of fewer participants repeating SH, but for interventions typically delivered to individuals with a history of multiple episodes of SH/probable personality disorder, group-based emotion-regulation psychotherapy and mentalisation were associated with significantly reduced repetition.
Journal ArticleDOI
Prevalence of non-suicidal self-harm and service contact in England, 2000–14: repeated cross-sectional surveys of the general population
Sally McManus,David Gunnell,David Gunnell,Claudia Cooper,Paul Bebbington,Louise M. Howard,Traolach S. Brugha,Rachel Jenkins,Angela Hassiotis,Scott Weich,Louis Appleby +10 more
TL;DR: The prevalence of non-suicidal self-harm (NSSH) has increased in England, but resultant service contact remains low and there are potential lifelong implications of NSSH, such as an increased frequency of suicide, especially if the behaviours are adopted as a long-term coping strategy.
Journal ArticleDOI
National Trends in Suicide Attempts Among Adults in the United States
Mark Olfson,Carlos Blanco,Melanie M. Wall,Shang-Min Liu,Tulshi D. Saha,Roger P. Pickering,Bridget F. Grant +6 more
TL;DR: A recent overall increase in suicide attempts among adults in the United States has disproportionately affected younger adults with less formal education and those with antisocial personality disorder, anxiety disorders, depressive disorders, and a history of violence.
Journal ArticleDOI
Incidence of suicide, hospital-presenting non-fatal self-harm, and community-occurring non-fatal self-harm in adolescents in England (the iceberg model of self-harm): a retrospective study
Galit Geulayov,Deborah Casey,Keltie McDonald,Pauline Foster,Kirsty Pritchard,Claudia Wells,Caroline Clements,Navneet Kapur,Jennifer Ness,Keith Waters,Keith Hawton +10 more
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.
References
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Journal ArticleDOI
Clinical and social outcomes of adolescent self harm: population based birth cohort study
Becky Mars,Jon Heron,Catherine Crane,Keith Hawton,Glyn Lewis,John Macleod,Kate Tilling,David Gunnell +7 more
TL;DR: Adolescents who self harm seem to be vulnerable to a range of adverse outcomes in early adulthood, with stronger associations for suicidal self harm than for non-suicidal self harm.
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Epidemiology and trends in non-fatal self-harm in three centres in England: 2000-2007.
TL;DR: There were decreasing rates of non-fatal self-harm over the study period that paralleled trends in suicide in England, reflected mainly in a decline in emergency department presentations for self-poisoning.
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Suicide and the 2008 economic recession: Who is most at risk? Trends in suicide rates in England and Wales 2001–2011
Caroline Coope,David Gunnell,William Hollingworth,Keith Hawton,Nav Kapur,Vanessa Fearn,Claudia Wells,Chris Metcalfe +7 more
TL;DR: Investigation of trends in indicators of the 2008 economic recession and trends in suicide rates in England and Wales in men and women of working age for the period 2001–2011 found no clear evidence of an association between trends in female suicide rates and indicators of economic recession, but there were small post-recession increases in the proportion of suicides in men in higher management/professional, small employer/self-employed occupations and fulltime education.
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Hospital care and repetition following self-harm: multicentre comparison of self-poisoning and self-injury
Rachael Lilley,David Owens,Judith Horrocks,Allan House,Rachael Noble,Helen A. Bergen,Keith Hawton,Deborah Casey,Sue Simkin,Elizabeth Murphy,Jayne Cooper,Navneet Kapur +11 more
TL;DR: Hospital services offer less to people who have cut themselves, although they are far more likely to repeat, than to those who have self-poisoned, and attendance at hospital should result in psychosocial assessment of needs regardless of method of self-harm.