2016
DOI: 10.1016/j.genhosppsych.2016.08.001
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Is there a difference between hospital-verified and self-reported self-harm? Implications for repetition

Abstract: 20Objective: Repeated intentional self-harm (SH) is associated with economic costs and 21 increased risk of suicide. Estimates of repetition vary and are limited to short follow-ups. In 22 addition some sources use hospital records and others self-reported self-harm. Our aim was to 23 examine the relationship between self-reported self-harm (SRSH) and hospital verified self-24 harm (HVSH) and later repetition of SH (predictive validity). We also aimed to examine 25 whether rates of SH repetition differ between… Show more

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Cited by 8 publications
(3 citation statements)
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“…The thinker Alex Mitchell considered that identity is an integrated system of physical, psychological, moral and social data involving a pattern of cognitive integration processes ( Mitchell et al., 2016 , pp12-16). It is characterized by its unity, which is embodied in the inner spirit, and has the characteristic of the sense of identity and intelligence ( Mitchell et al., 2016 , pp127-138).…”
Section: Introductionmentioning
confidence: 99%
“…The thinker Alex Mitchell considered that identity is an integrated system of physical, psychological, moral and social data involving a pattern of cognitive integration processes ( Mitchell et al., 2016 , pp12-16). It is characterized by its unity, which is embodied in the inner spirit, and has the characteristic of the sense of identity and intelligence ( Mitchell et al., 2016 , pp127-138).…”
Section: Introductionmentioning
confidence: 99%
“…Third, all participants recruited in this cohort were registered by hospital medical records, other suicide attempters who were not treated in hospital were not included who may have differing characteristics. 34 Fourth, we did not obtain information of categories of pesticide used in the index and repeated episodes, such as toxicity, lethality, or formulations. Fifth, more than 20% registered patients with self-harm were not included in our cohort, potentially biasing the findings.…”
Section: Discussionmentioning
confidence: 99%
“…Rather than using retrospective self-report measures, which would under-represent self-harm due to shame and recall bias, the current study overcame this limitation by using a prospective cohort design and extracting verified hospital records. This measure has been found to produce more valid and reliable reports of past self-harm than self-report measures (Mitchell et al, 2016).…”
Section: Strengths and Limitationsmentioning
confidence: 97%