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
Reads0
Chats0
TLDR
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.Abstract:
Background
Quantitative research about self-harm largely deals with self-poisoning, despite the high incidence of self-injury.
Aims
We compared patterns of hospital care and repetition associated with self-poisoning and self-injury.
Method
Demographic and clinical data were collected in a multicentre, prospective cohort study, involving 10 498 consecutive episodes of self-harm at six English teaching hospitals.
Results
Compared with those who self-poisoned, people who cut themselves were more likely to have self-harmed previously and to have received support from mental health services, but they were far less likely to be admitted to the general hospital or receive a psychosocial assessment. Although only 17% of people repeated self-harm during the 18 months of study, survival analysis that takes account of all episodes revealed a repetition rate of 33% in the year following an episode: 47% after episodes of self-cutting and 31% after self-poisoning ( P <0.001). Of those who repeated, a third switched method of self-harm.
Conclusions
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. Attendance at hospital should result in psychosocial assessment of needs regardless of method of self-harm.read more
Citations
More filters
Journal ArticleDOI
Non-suicidal self-injury v. attempted suicide: new diagnosis or false dichotomy?
TL;DR: What self-harm research can tell us about the concept of NSSI is considered and the potential pitfalls of introducing N SSI into clinical practice are examined.
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
Interventions for self‐harm in children and adolescents
Keith Hawton,Katrina Witt,Tatiana Taylor Salisbury,Ella Arensman,David Gunnell,Ellen Townsend,Kees van Heeringen,Philip Hazell +7 more
TL;DR: This is an update of a broader Cochrane review on psychosocial and pharmacological treatments for deliberate SH and finds that mentalisation therapy was associated with fewer adolescents scoring above the cut-off for repetition of SH based on the Risk-Taking and Self-Harm Inventory 12 months post-intervention.
Journal ArticleDOI
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
TL;DR: A substantial increase in self-injury occurred in the latter part of the study period, especially marked for self-cutting/stabbing and hanging/asphyxiation.
Journal ArticleDOI
Risk factors for fatal and nonfatal repetition of suicide attempts: a literature review.
TL;DR: It is difficult to find predictors for repetition of nonfatal suicide attempts, and even more difficult to identify predictors of completed suicide.
References
More filters
Journal ArticleDOI
Cognitive-Behavioral Treatment of Chronically Parasuicidal Borderline Patients
TL;DR: Subjects who received dialectical behavior therapy had fewer incidences of parasuicide and less medically severe parasuicides, were more likely to stay in individual therapy, and had fewer inpatient psychiatric days.
Journal ArticleDOI
Two-Year Randomized Controlled Trial and Follow-up of Dialectical Behavior Therapy vs Therapy by Experts for Suicidal Behaviors and Borderline Personality Disorder
Marsha M. Linehan,Katherine Anne Comtois,Angela Murray,Milton Z. Brown,Robert Gallop,Heidi L. Heard,Kathryn E. Korslund,Darren A. Tutek,Sarah K. Reynolds,Noam Lindenboim +9 more
TL;DR: In this article, Dialectical behavior therapy (DBT) was shown to be more effective in reducing suicidal behavior and borderline personality disorder compared with non-behavioral psychotherapy experts.
Journal ArticleDOI
Fatal and non-fatal repetition of self-harm. Systematic review.
TL;DR: In this paper, a systematic review of published follow-up data from observational and experimental studies was conducted to estimate rates of fatal and non-fatal repetition of self-harm.
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.
Journal ArticleDOI
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.
Related Papers (5)
Fatal and non-fatal repetition of self-harm. Systematic review.
Repetition of deliberate self-harm and subsequent suicide risk: long-term follow-up study of 11 583 patients
Daniel Louis Zahl,Keith Hawton +1 more