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Young people who self-harm : a prospective 1-year follow-up study
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Majid, Madiha, Tadros, Maria, Tadros, George, Singh, Swaran P., Broome, Matthew R. and Upthegrove, Rachel (2016) Young people who self-harm : a prospective 1-year follow-up study. Social Psychiatry and Psychiatric Epidemiology, 51 (2). pp. 171-181. doi:10.1007/s00127-015-1149-4 ISSN 0933-7954.
An open access version can be found in:
Official URL: http://dx.doi.org/10.1007/s00127-015-1149-4
Abstract
URPOSE:
To explore repetition, service provision and service engagement following presentation of young people to emergency services with self-harm.
METHODS:
969 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.
RESULTS:
Young 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.
CONCLUSION:
Younger 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.
KEYWORDS:
Engagement; Repetition; Self-harm; Service provision; Young people
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Social Psychiatry and Psychiatric Epidemiology | ||||||
| Publisher: | Springer Medizin | ||||||
| ISSN: | 0933-7954 | ||||||
| Official Date: | February 2016 | ||||||
| Dates: |
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| Volume: | 51 | ||||||
| Number: | 2 | ||||||
| Page Range: | pp. 171-181 | ||||||
| DOI: | 10.1007/s00127-015-1149-4 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||
| Open Access Version: |
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