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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What is Self-harm?
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TL;DR: The study strengths are that this is a randomised controlled trial in a sample size of over 100 and the participants were followed up over one year post-intervention, which is more generalisable than earlier trials of therapies for borderline personality disorder.
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Attitudes towards prisoners who self harm scale: a psychometric evaluation
Kerri Garbutt,Helen Casey +1 more
TL;DR: The measure demonstrated adequate levels of internal consistency, convergent validity and test-retest reliability and could be used to guide recruitment and training of prison officers that care for prisoners who self-harm and to evaluate the efficacy of their training.
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References
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