Self-harm and ethnicity: A systematic review

Al-Sharifi, Ali; Krynicki, Carl R; Upthegrove, Rachel

doi:10.1177/0020764015573085

Cited by 70 publications

(47 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There is some evidence that rates of self-harm differ by ethnicity [18], however previous literature does not make it clear which direction such an association might be expected to be in. Rates have been found to be higher in some non-white ethnic-minority groups [18], including South Asian [19] and Black Caribbean [20] women, compared to the white population in other UK settings.…”

Section: Discussionmentioning

confidence: 99%

Spatial patterning of self-harm rates within urban areas

Polling

Bakolis

Hotopf

et al. 2018

Soc Psychiatry Psychiatr Epidemiol

View full text Add to dashboard Cite

PurposeUrban areas are usually found to have higher rates of self-harm, with deprivation the strongest predictor at area-level. We use a disease mapping approach to examine how self-harm is patterned within an urban area and its associations with deprivation, urbanness and ethnicity.MethodsData from clinical records on individuals admitted for self-harm for 725 small areas in South East London were included. Bayesian hierarchical models explored the spatio-temporal patterns of self-harm admission rates and potential associations with proximity to city centre, population density, percentage greenspace and non-white ethnic-minority populations. All models were adjusted for area-level deprivation, social fragmentation and hospital of admission.ResultsThere were 8327 first admissions for self-harm during the study period. Self-harm admission rates varied fourfold across the study area, with lower rates close to the city centre [adjusted standardised admission ratio, closest versus furthest quartile 0.71(95% CrI 0.54–0.96)]. Deprivation was associated with self-harm but partially masked rather than explained the spatial pattern, which strengthened after adjustment. After adjustment for deprivation, hospital of admission and social fragmentation, greenspace, population density and ethnicity were not associated with self-harm rates.ConclusionProximity to the city centre was associated with lower rates of self-harm, but the usual operationalisations of urbanness, population density and greenspace, were not. Deprivation did not explain the spatial patterning, nor did ethnicity. While nationally self-harm rates are higher in urban and deprived areas, this cannot be extrapolated to mean that within cities the inner-city is the highest risk area nor that risk will be principally patterned according to deprivation.Electronic supplementary materialThe online version of this article (10.1007/s00127-018-1601-3) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

Spatial patterning of self-harm rates within urban areas

Polling

Bakolis

Hotopf

et al. 2018

Soc Psychiatry Psychiatr Epidemiol

View full text Add to dashboard Cite

show abstract

“…We also reported that younger individuals were more likely to be from black and minority ethnic (BME) groups than the over 25 age group; this may reflect population demographics which show a significant young BME population in Birmingham. Whilst BME groups may be less likely to self-harm or seek help despite increased incidences of mental illness [ 31 , 32 ], this may not reflect a young BME sample and there is evidence that some younger BME groups, such as Asian women, are at increased risk of self-harm [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Young people who self-harm: a prospective 1-year follow-up study

Majid

Tadros

et al. 2015

Soc Psychiatry Psychiatr Epidemiol

Self Cite

View full text Add to dashboard Cite

PurposeTo explore repetition, service provision and service engagement following presentation of young people to emergency services with self-harm.Methods969 patients who presented to accident and emergency services after self-harm were followed up prospectively for a period of 1 year. Data on rates, method, clinical history, initial service provision, engagement and repetition (defined as re-presenting to emergency services with further self-harm) were gathered from comprehensive electronic records.ResultsYoung people were less likely to repeat self-harm compared to those aged 25 and above. A psychiatric history and a history of childhood trauma were significant predictors of repetition. Young people were more likely to receive self-help as their initial service provision, and less likely to receive acute psychiatric care or a hospital admission. There were no differences in engagement with services between young people and those aged 25 and above.ConclusionYounger individuals may be less vulnerable to repetition, and are less likely to represent to services with repeated self-harm. All young people who present with self-harm should be screened for mental illness and asked about childhood trauma. Whilst young people are less likely to be referred to psychiatric services, they do attend when referred. This may indicate missed opportunity for intervention.

show abstract

“…Recent research has demonstrated that immigrants may be at a higher risk for suicidal behaviour [ 10 , 11 ]. Several authors have also suggested that suicide risk may vary among ethnic minorities [ 12 ], and they may have different and more specific risk factors for suicidal behaviour than the general population, such as acculturative stress [ 13 ]. As suggested by Wyatt and colleagues [ 13 ], acculturation (a process by which subjects acquire the attitudes, values, customs, beliefs, and behaviours of a different culture) may play a role in the development of a suicidal crisis among migrants and ethnic minorities, besides classical psychosocial and psychopathological risk and protective factors [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Suicide Risk among Immigrants and Ethnic Minorities: A Literature Overview

Forte

Trobia

Gualtieri

et al. 2018

IJERPH

126

View full text Add to dashboard Cite

Recent studies have demonstrated that immigrants and ethnic minorities may be at higher risk of suicidal behaviour as compared to the general population. We conducted a literature search to identify studies in English from 1980 to 2017 related to suicide risk among immigrants and ethnic minorities. Six hundred and seventy-eight reports were screened, and 43 articles were included in the qualitative synthesis of the review. Some studies reported lower rates of suicide attempts, while other findings suggested higher rates of suicidal behaviour and deaths among immigrants as compared to the native population. Also, a positive correlation was found between suicidal behaviour and specific countries of origin. Non-European immigrant women were at the highest risk for suicide attempts, a group which included young women of South Asian and black African origin. Risk factors among migrants and ethnic minorities were found to be: language barriers, worrying about family back home, and separation from family. The lack of information on health care system, loss of status, loss of social network, and acculturation were identified as possible triggers for suicidal behaviour. Overall, results suggest that specific migrant populations and ethnic minorities present a higher risk of suicidal behaviour than native populations, as well as a higher risk of death by suicide.

show abstract

Self-harm and ethnicity: A systematic review

Cited by 70 publications

References 35 publications

Spatial patterning of self-harm rates within urban areas

Spatial patterning of self-harm rates within urban areas

Young people who self-harm: a prospective 1-year follow-up study

Suicide Risk among Immigrants and Ethnic Minorities: A Literature Overview

Contact Info

Product

Resources

About