Search results for ‘Subject term:"self-harm"’ Sort:
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Fatal and non-fatal repetition of self-harm: systematic review
- Authors:
- OWENS David, HORROCKS Judith, HOUSE Allan
- Journal article citation:
- British Journal of Psychiatry, 181, September 2002, pp.193-199.
- Publisher:
- Cambridge University Press
Non-fatal self-harm frequently leads to non-fatal repetition and sometimes to suicide. Reports on a systematic review to estimate rates of fatal and non-fatal repetition of self-harm. Four electronic databases were searched and 90 studies met the inclusion criteria. Median proportions for repetition 1 year later were: 16 percent non-fatal and 2 percent fatal; after more than 9 years, around 7 percent of patients had died by suicide. The UK studies found particularly low rates of subsequent suicide. Concludes that after suicide risk among self-harm patients is hundreds of times higher than in the general population.
Establishing a clinical database for hospital attendances because of self-harm
- Authors:
- HORROCKS Judith, HOUSE Allan, OWENS David
- Journal article citation:
- Psychiatric Bulletin, 28(4), April 2004, pp.137-139.
- Publisher:
- Royal College of Psychiatrists
Self-harm is a major risk factor for suicide with around a quarter of suicides preceded by non-fatal self-harm in the previous year. Strategies for suicide prevention should include accurate monitoring of health service contacts due to self-harm. Unfortunately, the published literature points to few practical steps for ensuring this accuracy. We offer an account of running a database, to assist
Self-injury attendances in the accident and emergency department
- Authors:
- HORROCKS Judith, et al
- Journal article citation:
- British Journal of Psychiatry, 183(7), July 2003, pp.34-39.
- Publisher:
- Cambridge University Press
Self-injury is a neglected area of self-harm research and we know little about its epidemiology, hospital care and outcome. Data were collected on all self-harm attendances to the general hospitals in Leeds over an 18-month period. People attending hospital for self-injury or self-poisoning do not form mutually exclusive groups. There were higher proportions of self-injury episodes compared with self-poisoning, where a history of self-harm or contact with mental health services had been recorded. Fewer psychosocial assessments were carried out after episodes of self-injury compared with self-poisoning but, when they were, follow-up was recommended more often. The clinical importance of self-injury is not mirrored by the level of psychosocial assessment and after-care provided.