Suicide and Self Harm
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Suicide and all-cause mortality following routine hospital management of self-harm: Propensity score analysis using multicentre cohort data
(2018)BACKGROUND: Observational studies are suited to examining links between the routine hospital management of self-harm and future suicide and all-cause mortality due to their large scale. However, care must be taken when ... -
Relative toxicity of mood stabilisers and antipsychotics: case fatality and fatal toxicity associated with self-poisoning
(2018)Background: Bipolar and other psychiatric disorders are associated with considerably increased risk of suicidal behaviour, which may include self-poisoning with medication used to treat the disorder. Therefore, choice of ... -
Relative toxicity of benzodiazepines and hypnotics commonly used for self-poisoning: An epidemiological study of fatal toxicity and case fatality
(2018)The relative toxicity of anxiolytic and hypnotic drugs commonly used for self-poisoning was assessed using data on suicides, prescriptions and non-fatal self-poisonings in England, 2005-2012. Data on suicide by self-poisoning ... -
Relative toxicity of analgesics commonly used for intentional self-poisoning: A study of case fatality based on fatal and non-fatal overdoses
(2019)Background: Analgesics are used most frequently in fatal and non-fatal medicinal self-poisonings. Knowledge about their relative toxicity in overdose is important for clinicians and regulatory agencies. Method(s): Using ... -
Predictive accuracy of risk scales following self-harm: Multicentre, prospective cohort study
(2017)Background Scales are widely used in psychiatric assessments following self-harm. Robust evidence for their diagnostic use is lacking. Aims To evaluate the performance of risk scales (Manchester Self-Harm Rule, ReACT ... -
Incidence of suicide, hospital-presenting non-fatal self-harm, and community-occurring non-fatal self-harm in adolescents in England (the iceberg model of self-harm): a retrospective study
(2018)Background: Little is known about the relative incidence of fatal and non-fatal self-harm in young people. We estimated the incidence of suicide, hospital-presenting non-fatal self-harm, and community-occurring non-fatal ... -
High-Volume Repeaters of Self-Harm
(2016)BACKGROUND: Repetition of self-harm is common and is strongly associated with suicide. Despite this, there is limited research on high-volume repetition.AIM: To investigate individuals with high-volume repeat self-harm ... -
Alcohol misuse and self-harm: an opportunity for early intervention in the emergency department
(2017)Both alcohol-related and self-harm-related hospital presentations place substantial demands on frontline clinical services. Every year, in England, there are over 200 000 emergency department attendances after self-harm. -
Accuracy of risk scales for predicting repeat self-harm and suicide: A multicentre, population-level cohort study using routine clinical data
(2018)Background: Risk scales are used widely in the management of patients presenting to hospital following self-harm. However, there is evidence that their diagnostic accuracy in predicting repeat self-harm is limited. Their ... -
A descriptive study of feelings of arrested escape (entrapment) and arrested anger in people presenting to an emergency department following an episode of self-harm
(2016)To explore the role of elevated feelings of anger and desires to escape (fight/flight), which are experienced as inhibited, blocked, and arrested (i.e., arrested anger and arrested flight/escape leading to feelings of ... -
Does clinical management improve outcomes following self-harm? Results from the multicentre study of self-harm in England.
(2013)Background: Evidence to guide clinical management of self-harm is sparse, trials have recruited selected samples, and psychological treatments that are suggested in guidelines may not be available in routine practice. Aims: ... -
Risk factors associated with repetition of self-harm in black and minority ethnic (BME) groups: A multi-centre cohort study.
(2013)Background: Little information is available to inform clinical assessments on risk of self-harm repetition in ethnic minority groups. Methods: In a prospective cohort study, using data collected from six hospitals in England ... -
Self-harm is common in adolescents in England
(2013)Question: What are the epidemiology and characteristics of self-harm in adolescents in England? Population: In total, 5205 children and adolescents aged up to 18 presenting with self-harm to general hospital emergency ... -
Suicide and self-injury: a recovery based approach.
(2013)This article describes a new training programme for clinical staff working with those who present with self-injurious and suicidal behaviour using a recovery focused approach to promote safety and manage risk. The two-day ... -
Alcohol-related mortality following self-harm: A multicentre cohort study.
(2014)Objectives: To assess alcohol-related premature death in people who self-harm compared to the general population, including variation by socioeconomic deprivation. Design: A retrospective longitudinal cohort analysis from ... -
Variation by ethnic group in premature mortality risk following self-harm: A multicentre cohort study in England.
(2015)Background: Incidence and risk factors for self-harm vary according to ethnicity. People who self-harm have been shown to have increased risk of premature death, but little is known about mortality following self-harm in ... -
Switching methods of self-harm at repeat episodes: Findings from a multicentre cohort study
(2015)BACKGROUND: Self-poisoning and self-injury have widely differing incidences in hospitals and in the community, which has led to confusion about the concept of self-harm. Categorising self-harm simply by a method may be ... -
Alcohol use and misuse, self-harm and subsequent mortality: An epidemiological and longitudinal study from the multicentre study of self-harm in England.
(2015)Objectives: Alcohol use and misuse are strongly associated with self-harm and increased risk of future self-harm and suicide. The UK general population prevalence of alcohol use, misuse and alcoholattributable harm has ... -
Hospital management of suicidal behaviour and subsequent mortality: A prospective cohort study.
(2015)Background: Self-poisoning and self-injury are associated with a high risk of suicide or death from any cause but the effect of routine aspects of hospital management on mortality risk is unknown. Methods: We did a prospective ... -
Suicide following self-harm: Findings from the Multicentre Study of self-harm in England, 2000-2012
(2015)Background Self-harm is a key risk factor for suicide and it is important to have contemporary information on the extent of risk. Methods Mortality follow-up to 2012 of 40,346 self-harm patients identified in the three ...
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