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
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
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Journal ArticleDOI
A comparison of methods of self-harm without intent to die: Cutting versus self-poisoning.
TL;DR: People who engage in non-suicidal self-harm have high rates of mental disorders and the method that people use to harm themselves does not appear to distinguish these groups; they appear to be similar on most demographic and diagnostic correlates.
Journal ArticleDOI
Assessment Rates and Compliance With Assertive Follow-up After Self-Harm: Cohort Study
Elizabeth Murphy,Sarah Steeg,Jayne Cooper,Ricci Chang,Clive Turpin,Else Guthrie,Navneet Kapur +6 more
TL;DR: It was found that receipt of treatment was determined by patient factors, and attendance was associated with depressive psychopathology and existing treatment in primary care.
Journal ArticleDOI
[Self-harm - what approach should we take?].
Lars Mehlum,Kristin Holseth +1 more
TL;DR: An overview of clinical approaches towards self-harming adolescents with an emphasis on assessments and interventions that should be applied by physicians working in somatic medicine in hospitals and primary health care is provided.
Journal ArticleDOI
The significance of site of cut in self-harm in young people.
Kathryn Jane Gardner,Harriet Bickley,Pauline Turnbull,Nav Kapur,Peter J. Taylor,Caroline Clements +5 more
TL;DR: There are meaningful differences in characteristics associated with location of cut based on whether site of cut was visible or concealed in young people, and it is recommended that all young people who present to hospital following self-harm receive a psychosocial assessment.
Journal ArticleDOI
A prospective study of repetition of self-harm following deliberate self-poisoning in rural Sri Lanka.
P. H. G. J. Pushpakumara,S. U. B. Thennakoon,Thilini Rajapakse,Ranil Abeysinghe,Andrew H. Dawson +4 more
TL;DR: The comparatively low rates of repetition in rural Sri Lanka was not explained by higher rates of suicide, access to more lethal means or differences in study methodology.
References
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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
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