Self‐Harm

Arensman, Ella; and, Eve Griffin; Corcoran, Paul

doi:10.1002/9781118903223.ch3

Cited by 10 publications

(5 citation statements)

References 54 publications

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“…Few countries have reliable data on self-harm and not many have focused on Asian populations when examining repetition. 3 The reported 12-month risk of repetition is higher than previously reported for the region (approximately 10%) 1 and more similar to estimates from European countries. The authors suggest that this may be due in part to the profile of methods of self-harm in Hong Kong, as well having less bias regarding loss to follow-up than other regional registries.…”

supporting

confidence: 77%

Timing of supports and interventions following self-harm is crucial

Griffin

2020

The Lancet Regional Health - Western Pacific

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supporting

confidence: 77%

Timing of supports and interventions following self-harm is crucial

Griffin

2020

The Lancet Regional Health - Western Pacific

Self Cite

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“…To date, the most consistent predictor of a future suicide attempt is history of a previous suicide attempt [ 7 ], or having engaged in non-suicidal self-injury (NSSI) [ 8 ]. Previous research suggests that around half of those who take their own lives have self-harmed in the past [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Adverse Childhood Experiences and Hospital-Treated Self-Harm

Cleare

Wetherall

Clark

et al. 2018

IJERPH

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Adverse childhood experiences (ACEs) have been implicated in a range of negative health outcomes in adulthood, including increased suicide mortality. In this study, we explored the relationship between ACEs and hospital-treated self-harm. Specifically, we investigated whether those who had a history of repeat self-harm reported more ACEs than those who had self-harmed for the first time. Patients (n = 189) admitted to two hospitals in Glasgow (UK) following first-time (n = 41) or repeated (n = 148) self-harm completed psychosocial measures. Univariate analyses revealed that those presenting with repeat self-harm reported higher depressive symptoms, anxiety symptoms, intent to die, and ACEs, and lower dependent attachment style. However, only ACEs, along with female gender and depressive symptoms, significantly differentiated between the repeat self-harm group and the first-time self-harm group in the multivariate model. Controlling for all other psychosocial variables, participants who reported 4+ ACEs were significantly more likely to be in the repeat self-harm group as compared to those who experienced 0–3 ACEs. This finding highlights the pernicious effect of exposure to multiple ACEs. Further research is urgently required to better understand the mechanisms that explain this relationship. Clinicians should be aware of the extent of the association between ACEs and repeat self-harm.

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“…Given that repeat self-harm is most likely to occur within months of an index episode, 24 a 6 month follow-up is optimal to capture the majority of incidences of repetition. We were also interested to identify whether the VHS affected the time to re-presentation and the extent to which it was cost effective.…”

Section: Introductionmentioning

confidence: 99%

“…In this study, we aimed to investigate whether the administration of a VHS was associated with a reduction in re-presentation to hospital with self-harm (in terms of number of patients and number of re-presentations per patient) in the 6 months following an index suicide attempt. Given that repeat self-harm is most likely to occur within months of an index episode, 24 a 6 month follow-up is optimal to capture the majority of incidences of repetition. We were also interested to identify whether the VHS affected the time to re-presentation and the extent to which it was cost effective.…”

Section: Introductionmentioning

confidence: 99%

A brief psychological intervention to reduce repetition of self-harm in patients admitted to hospital following a suicide attempt: a randomised controlled trial

O’Connor

Ferguson

Scott

et al. 2017

The Lancet Psychiatry

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SummaryBackgroundWe investigated whether a volitional helpsheet (VHS), a brief psychological intervention, could reduce repeat self-harm in the 6 months following a suicide attempt.MethodsWe did a prospective, single-site, randomised controlled trial. Patients admitted to a hospital in Edinburgh, UK, after a suicide attempt were deemed eligible for the study if they were over the age of 16 years, had a self-reported history of self-harm, were fluent in English, were medically fit to interview, and were not participating in other research studies within the hospital. Eligible patients were randomly assigned (1:1), via web-based randomisation, to receive either VHS plus usual treatment (intervention group) or only treatment as usual (control group). Randomisation was stratified by sex and self-reported past self-harm history. The Information Services Division of the National Health Service (NHS-ISD) staff and those extracting data from medical notes were masked to the study group the participant was allocated to. Clinical staff working within the hospital were also masked to participants' randomisation status. There were three primary outcomes: the proportion of paticipants who re-presented to hospital with self-harm during the 6-month follow-up period; the number of times a participant re-presented to hospital with self-harm during the 6-month follow-up period; and cost-effectiveness of the VHS as measured by estimated incremental cost per self-harm event averted. Primary outcomes were analysed in all randomised patients. Follow-up data collection was extracted from the Information Services Division of the NHS and from patient medical records. The trial is registered with International Standard Randomised Controlled Trial Number Registry, number ISRCTN99488269.FindingsBetween May 9, 2012, and Feb 24, 2014, we assessed 1308 people for eligibility. Of these, 259 patients were randomly assigned to the intervention group and 259 to the control group. We obtained complete follow-up data on 512 (99%) of 518 patients (five participants were lost to follow-up in the intervention group and one in the control group). 11 patients assigned to the intervention group did not complete the VHS in hospital. Overall, the intervention did not affect the number of people who re-presented with self-harm (67 [26%] of 254 patients in the intervention group vs 71 [28%] of 258 patients in the control group, odds ratio [OR] 0·90, 95% CI 0·58–1·39, p=0·63). The intervention had no effect on the number of re-presentations per patient (mean 0·67 [SD 2·55] re-presentations for the intervention group vs 0·85 [2·79] for the control group, incident rate ratio [IRR] 1·65, 95% CI 0·74–3·67, p=0·21). Mean total costs per person for NHS hospital services in the VHS intervention group over the 6 months were £513 versus £561 in the control group but this difference was not significant (95% CI–£353 to £257, p=0·76). Three patients died by suicide in the 6 months following their index suicide attempt (one in the intervention group and two in the control ...

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Self‐Harm

Cited by 10 publications

References 54 publications

Timing of supports and interventions following self-harm is crucial

Timing of supports and interventions following self-harm is crucial

Adverse Childhood Experiences and Hospital-Treated Self-Harm

A brief psychological intervention to reduce repetition of self-harm in patients admitted to hospital following a suicide attempt: a randomised controlled trial

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