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Deliberate self-harm: service development in Kettering

  • Catherine Gordon and Andrew Blewett (a1)
Abstract

Services for deliberate self-harm patients in the general hospital are unsatisfactory in many respects. A survey of activity and quality in a district general hospital confirmed recent trends observed elsewhere and highlights areas in which service provision can be improved.

High rates of deliberate self-harm (DSH) are a public health problem. A study in Oxford showed rising rates among young women during the late 1980s, and a threefold increase in the proportion due to paracetamol poisoning between 1976 and 1990 (Hawton & Fagg, 1992). A multicentre European study found a trend of increasing peak age, a declining female to male ratio, and unexplained differences between regions (Platt, 1992). In the year following DSH, 9% repeat (Hawton & Fagg, 1992); and suicide rates reach 1.1 to 1.3% of patients in the three years following an episode of DSH (Owens et al. 1991).

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence: Dr Andrew Blewett, Kettering District Consultation Liaison Psychiatry Service, The Redcliffe Centre, 51 Hatton Park Road, Wellingborough, Northants NN8 5AH, England
References
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Black, D. & Creed, F. (1988) Assessment of self-poisoning by psychiatrists and junior medical staff. Journal of the Royal Society of Medicine, 81, 9799.
Ennis, J., Barnes, R., Kennedy, S. et al (1989) Depression in self-harm patients. British Journal of Psychiatry, 154, 4147.
Hawton, K. & Fagg, J. (1992) Trends in deliberate self poisoning and self injury in Oxford, 1976–90. British Medical Journal 304, 14091411.
O'Dwyer, F. G., D'Alton, A. & Pearce, J. B. (1991) Adolescent self harm patients: audit of assessment in an accident and emergency department. British Medical Journal 303, 629630.
Owens, D. (1990) Self-harm patients not admitted to hospital. Journal of the Royal College of Physicians of London, 24, 281283.
Owens, D. Dennis, M., Jones, S. et al (1991) Self-poisoning patients discharged from accident and emergency: risk factors and outcome. Journal of the Royal College of Physicians of London, 25, 218222.
Owens, D. & Jones, S. J. (1988) The accident and emergency department management of deliberate self-poisoning. British Journal of Psychiatry, 157, 830833.
Plait, S. (1992) Parasuicide in Europe: the WHO/EURO multicentre study on parasuicide. 1. Introduction and preliminary analysis for 1989. Acta Psychiatrica Scandinavica, 85, 97104.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Deliberate self-harm: service development in Kettering

  • Catherine Gordon and Andrew Blewett (a1)
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