Deliberate Self-Harm: A Follow-Up Study of 279 Patients

1976 ◽  
Vol 128 (4) ◽  
pp. 361-368 ◽  
Author(s):  
H. Gethin Morgan ◽  
Jacqueline Barton ◽  
Susan Pottle ◽  
Helen Pocock ◽  
Christopher J. Burns-Cox
Keyword(s):  
Clinical Management ◽  
Psychiatric Care ◽  
Psychiatric Treatment ◽  
Criminal Record ◽  
Deliberate Self Harm ◽  
Follow Up Study ◽  
Patient Appointment ◽  
Self Harm ◽  
Initial Episode

SummaryTwo-hundred-and-seventy-nine patients (103 men, 176 women) were followed-up 1–2 years after an act of non-fatal deliberate self-harm. Of 155 patients offered a psychiatric out-patient appointment at the time, only 68 completed the treatment. A further act of deliberate self-harm was committed by 26 men and 41 women within twelve months. The factors most highly associated with repetition were previous psychiatric treatment, a previous act of deliberate self-harm, and a criminal record. These factors held good for a separate series of patients. Significantly more repeaters received prolonged psychiatric care after the initial episode of deliberate self-harm. The implications of these findings for the clinical management of such patients are discussed.

scholarly journals Repetition of deliberate self-harm and subsequent suicide risk: Long-term follow-up study of 11 583 patients

2004 ◽  
Vol 185 (1) ◽  
pp. 70-75 ◽  
Author(s):  
Daniel Louis Zahl ◽  
Keith Hawton
Keyword(s):  
Relative Risk ◽  
Suicide Risk ◽  
Single Episode ◽  
Deliberate Self Harm ◽  
Young Females ◽  
Follow Up Study ◽  
Increased Risk ◽  
Self Harm

BackgroundRepetition of deliberate self-harm (DSH) is a risk factor for suicide. Little information is available on the risk for specific groups of people who deliberately harm themselves repeatedly.AimsTo investigate the long-term risk of suicide associated with repetition of DSH by gender, age and frequency of repetition.MethodA mortality follow-up study to the year 2000 was conducted on 11583 people who presented to the general hospital in Oxford between 1978 and 1997. Repetition of DSH was determined from reported episodes prior to the index episode and episodes presenting to the same hospital during the follow-up period. Deaths were identified through national registers.ResultsThirty-nine percent of patients repeated the DSH. They were at greater relative risk of suicide than the single-episode DSH group (2.24; 95% CI 1.77–2.84). The relative risk of suicide in the repeated DSH group compared with the single-episode DSH group was greater in females (3.5; 95% C11.3–2.4) than males (1.8; 95% C1 2.3–5.3) and was inversely related to age (up to 54 years). Suicide risk increased further with multiple repeat episodes of DSH in females.ConclusionsRepetition of DSH is associated with an increased risk of suicide in males and females. Repetition may be a better indicator of risk in females, especially young females.

Early predictors of deliberate self-harm among adolescents. A prospective follow-up study from age 3 to age 15

2006 ◽  
Vol 93 (1-3) ◽  
pp. 87-96 ◽  
Author(s):  
Andre Sourander ◽  
Minna Aromaa ◽  
Leena Pihlakoski ◽  
Antti Haavisto ◽  
Päivi Rautava ◽  
...  
Keyword(s):  
Deliberate Self Harm ◽  
Follow Up Study ◽  
Early Predictors ◽  
Self Harm

Hostility, hopelessness and deliberate self-harm: a prospective follow-up study

1990 ◽  
Vol 81 (3) ◽  
pp. 280-283 ◽  
Author(s):  
A. D. Brittlebank ◽  
A. Cole ◽  
F. Hassanyeh ◽  
M. Kenny ◽  
D. Simpson ◽  
...  
Keyword(s):  
Deliberate Self Harm ◽  
Follow Up Study ◽  
Self Harm

Optional thinking ability among hospital-treated deliberate self-harm patients: A 1-year follow-up study

2008 ◽  
Vol 47 (1) ◽  
pp. 43-58 ◽  
Author(s):  
Carmel. McAuliffe ◽  
Paul. Corcoran ◽  
Portia. Hickey ◽  
Breda C. McLeavey
Keyword(s):  
Deliberate Self Harm ◽  
Follow Up Study ◽  
Thinking Ability ◽  
Self Harm

scholarly journals Emergency Department Use and Inpatient Admissions and Costs Among Adolescents With Deliberate Self-Harm: A Five-Year Follow-Up Study

2020 ◽  
Vol 71 (2) ◽  
pp. 136-143 ◽  
Author(s):  
Sidra Goldman-Mellor ◽  
Dwena Phillips ◽  
Paul Brown ◽  
Paul Gruenewald ◽  
Magdalena Cerdá ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Department Use ◽  
Deliberate Self Harm ◽  
Follow Up Study ◽  
Self Harm

Deliberate Self-harm and Predictors of Out-patient Attendance

1987 ◽  
Vol 150 (2) ◽  
pp. 246-247 ◽  
Author(s):  
G. O'Brien ◽  
A. R. Holton ◽  
K. Hurren ◽  
L. Watt ◽  
F. Hassanyeh
Keyword(s):  
Personality Disorder ◽  
Psychiatric Treatment ◽  
Psychiatric Practice ◽  
Deliberate Self Harm ◽  
Self Harm ◽  
Psychiatric Intervention ◽  
Patient Attendance

Kreitman (1979) reported that up to one-half of patients given out-patient appointments one week after an episode of deliberate self-harm (DSH) fail to attend, and gave a number of possible explanations for this. Firstly, parasuicide is often the result of a crisis which may have resolved (albeit temporarily) by the end of a further week. Secondly, someone in a state of heightened tension may find one week too long to wait, and may resort to other strategies to deal with his problems. Thirdly, many parasuicides may find a psychiatric label unacceptable in the context of their problems, and fourthly, an appoint ment made for a fixed day and a fixed hour may not fit the need for immediate action which the subjects subculture had inculcated in him as a habit pattern. Morgan et al (1976) reported that up to 40% of their DSH patients either did not attend any appointment or failed to complete their treatment. Two possible explanations for this were that they either felt that they did not need psychiatric treatment, or else believed that psychiatric treatment was not an answer to their problems. Kessel and Lee (1962), probably in line with much psychiatric practice, did not give a follow-up appointment to 40% of their self-poisoners; this was for two reasons. Firstly, these patients did not have a problem for which psychiatric treatment was appropriate and secondly, many of these patients had an entrenched personality disorder, which made it unlikely that psychiatric intervention would be beneficial.

scholarly journals Antecedents of hospital admission for deliberate self-harm from a 14-year follow-up study using data-linkage

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Francis Mitrou ◽  
Jennifer Gaudie ◽  
David Lawrence ◽  
Sven R Silburn ◽  
Fiona J Stanley ◽  
...  
Keyword(s):  
Hospital Admission ◽  
Data Linkage ◽  
Deliberate Self Harm ◽  
Follow Up Study ◽  
Self Harm ◽  
Using Data

scholarly journals Deaths from all causes in a long-term follow-up study of 11583 deliberate self-harm patients

2006 ◽  
Vol 36 (3) ◽  
pp. 397-405 ◽  
Author(s):  
K. HAWTON ◽  
L. HARRISS ◽  
D. ZAHL
Keyword(s):  
Deliberate Self Harm ◽  
Risk Of Death ◽  
Follow Up Study ◽  
Increased Risk ◽  
Wide Range ◽  
Long Term Follow Up ◽  
Physical Disorders ◽  
Self Harm ◽  
Care Costs

Background. Deliberate self-harm (DSH) may be associated with increased risk of death from a variety of causes, not just suicide.Method. A follow-up study of 11583 DSH patients who presented to a general hospital over a 20-year period was conducted to examine risk of death from a range of causes during a follow-up period of between 3 and 23 years. Deaths were identified through national death registries. Expected numbers of deaths were calculated from national death statistics.Results. The number of deaths (1185, 10·2%) was 2·2 times the expected number, the excess being significantly greater in males than females. Suicides were 17 times more frequent than expected and undetermined causes of death and accidental poisonings 15 times more frequent. Significantly more than expected numbers of deaths from most natural causes were found, including respiratory disease, circulatory, neurological, endocrine, digestive, skin and musculoskeletal and connective tissue disorders, and symptoms, signs and ill-defined conditions. Deaths due to accidents other than poisoning were more frequent than expected in both genders and homicides more frequent in males.Conclusions. In addition to increased risk of suicide, DSH patients are at increased risk of dying from a wide range of other causes. Possible explanations include lifestyle factors, physical disorders contributing to initial risk of DSH, and social disadvantage. The findings are relevant to clinical management and evaluation of outcome and health-care costs associated with DSH.

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