Self-Harm by nurses and midwives: a study of hospital presentations

Abstract

Background: Nursing professionals are an occupational group at increased risk of suicide, but little is known about self-harm in this population. Aims: To investigate the characteristics of nurses and midwives who present to hospital following self-harm. Method: We used data from the Oxford Monitoring System for Self-Harm to identify nurses and midwives who presented to the general hospital in Oxford during 2010-2020 following an episode of self-harm and received a psychosocial assessment. Results: During the eleven-year study period, 107 presentations of self-harm involving 81 nurses and midwives were identified. Self-poisoning was the most common self-harm method, with antidepressants and paracetamol most frequently involved. A large proportion had consumed alcohol prior to or during the self-harm act. Some individuals had high suicide intent. Common issues preceding self-harm included problems with a partner, psychiatric disorder, problems with employment, and alcohol misuse. A range of aftercare options were offered following hospital presentation. Limitations: This study was limited to data from a single hospital. Conclusion: Prevention and management of self-harm within this occupational group requires preventative strategies and availability of interventions addressing the range of factors that may contribute to self-harm, especially relationship problems, psychiatric disorders, employment problems, and alcohol misuse.