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
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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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Rapid response pathway united to reduce self-harm (RUSH): a case study of a pilot pathway for children and young people
Molly Cross,Timothy Clarke +1 more
TL;DR: In response to elevated local self-harm and suicide rates, and the lack of a dedicated pathway for children and young people who selfharm, a rapid response pathway united to reduce selfharm (RUSH) was developed and implemented within Norwich (Norfolk, England) as discussed by the authors .
Journal ArticleDOI
Services for assessment, aftercare, and psychological treatment following self-harm
Rachael Lilley,David Owens +1 more
TL;DR: A little of the evidence for some potentially beneficial interventions following self-harm, including recent developments in research evidence and implications for future research are set out.
References
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Deliberate self harm in adolescents: self report survey in schools in England
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