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
The effects of interventions preventing self-harm and suicide in children and adolescents: an overview of systematic reviews
TL;DR: Moderate certainty evidence suggests that school-based interventions prevent suicidal ideation and attempts short term, and possibly with long term effects on suicide attempts, and low certainty evidence suggest that dialectical behavioural therapy and developmental group therapy are equally as effective on repetition of self-harm as enhanced treatment as usual.
Journal ArticleDOI
Repetition of intentional drug overdose: a population-based study.
Yaron Finkelstein,Erin M. Macdonald,Simon Hollands,Marco L.A. Sivilotti,Janine R. Hutson,Muhammad Mamdani,Gideon Koren,David N. Juurlink +7 more
TL;DR: Female sex, rural residence, lower socioeconomic status, ingestion of psychoactive drugs and younger age were weakly associated with repeat overdose, while several factors predict overdose repetition, none is particularly strong.
Journal ArticleDOI
Age-related differences in self-harm presentations and subsequent management of adolescents and young adults at the emergency department.
TL;DR: The large excess of females over males in young people's self-harm is only true at the younger age range, and older adolescents present with more severe acts of self- Harm, yet receive the lowest intensity of assessment and after care.
Book ChapterDOI
International perspectives on the epidemiology and aetiology of suicide and self-harm
Kirsten Windfuhr,Navneet Kapur +1 more
Journal ArticleDOI
Correlates of Nonsuicidal Self-Injury and Suicide Attempts Among Tertiary Care, Emergency Department Patients.
TL;DR: NSSI is associated with early life adversity and psychiatric comorbidity, and self-harm presentations seemed to change over time, and future studies should continue to clarify whether NSSI and SA have distinct risk profiles.
References
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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.
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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.
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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.
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