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
Non-suicidal reasons for self-harm: A systematic review of self-reported accounts.
TL;DR: A number of themes that are relatively neglected in discussions about self-harm are identified as self- Harm as a positiveexperience and defining the self, which may be important in understanding and responding especially to repeated acts of self- harm.
Journal ArticleDOI
The incidence and repetition of hospital-treated deliberate self harm: findings from the world's first national registry.
TL;DR: The Irish National Registry of Deliberate Self Harm as discussed by the authors collected data on DSH presentations to all 40 hospital emergency departments in Ireland between 2003 and 2009 and reported a significant increase in the male rate in 2008 and 2009.
Journal ArticleDOI
Postcards from the EDge: 24-month outcomes of a randomised controlled trial for hospital-treated self-poisoning.
TL;DR: A postcard intervention halved self-poisoning events and reduced psychiatric admissions by a third after 5 years and substantial savings occurred in general hospital and psychiatric hospital bed days.
Journal ArticleDOI
Self-injury in Australia: a community survey.
TL;DR: Objective: To understand self‐injury and its correlates in the Australian population and its impact on mental health and physical well-being.
References
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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.
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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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