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Discriminating levels of alcohol use associated with self-harm in individuals presenting to a district general hospital

  • Nicholas Holdsworth (a1), Hugh Griffiths (a1) and David Crawford (a1)
Abstract
Aims and method

Although alcohol is reported as commonly associated with self-harm, there is nothing in the literature that bases the association on validated screening tools. We sought to discern the different types of alcohol use as discriminated by the Alcohol Use Disorders Identification Test (AUDIT). Completed AUDITs from a 2-year period were analysed, all relating to people who had presented to a district general hospital in Northumberland following self-harm.

Results

The proportion of dependent, harmful and hazardous drinkers identified using AUDIT was many times higher than previously estimated in similar studies that had not used a validated alcohol screening tool.

Clinical implications

The routine use of an alcohol screening tool should be part of any standard psychosocial assessment of self-harm, to guide appropriate interventions for problematic alcohol use that might otherwise be overlooked.

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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
Nicholas Holdsworth (nick.holdsworth@ntw.nhs.uk)
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 Borges, G, Cherpitel, C, Orozco, R, Bond, J, Ye, Y, Macdonald, S, et al. Multicentre study of acute alcohol use and non-fatal injuries: data from the WHO collaborative study on alcohol and injuries. Bull World Health Organ 2006; 84: 453–60.
2 Department of Health. Mental Illness: Key Area Handbook (Health of the Nation). HMSO Books, 1993.
3 Prime Minister's Strategy Unit. Alcohol Harm Reduction Strategy for England. Cabinet Office, 2004.
4 Department of Health. Alcohol Misuse Interventions: Guidance on Developing a Local Programme of Improvement. National Treatment Agency for Substance Misuse, 2005.
5 Metzer, H, Lader, D, Corbin, T, Singleton, N, Jenkins, R, Brugha, T. Non-fatal Suicidal Behaviour Among Adults Aged 16 to 74 in Great Britain. TSO (The Stationery Office), 2002.
6 Cooper, J, Kapir, N, Webb, R, Lawlor, R, Guthrie, E, Mackway-Jones, K, et al. Suicide after deliberate self-harm: a 4-year cohort study. Am J Psychiatry 2005; 162: 297303.
7 Department of Health. National Suicide Prevention Strategy for England. Department of Health, 2002.
8 Anderson, M, Jenkins, R. The national suicide prevention strategy for England: the reality of a national strategy for the nursing profession. J Psychiatr Ment Health Nurs 2006; 13: 641–50.
9 Brady, J. The association between alcohol misuse and suicidal behaviour. Alcohol Alcohol 2006; 41: 473–8.
10 Wilkinson, S, Taylor, G, Templeton, L, Mistral, W, Salter, E, Bennett, P. Admission to hospital for deliberate self-harm in England 1995–2000: an analysis of Hospital Episodes Statistics. J Public Health Med 2002; 24: 179–83.
11 Haw, C, Hawton, K, Casey, D, Bale, E, Shepherd, A. Alcohol dependence, excessive drinking and deliberate self-harm: trends and patterns in Oxford, 1989–2002. Soc Psychiatry Psychiatr Epidemiol 2005; 40: 964–71.
12 Babor, TF, Higgins-Biddle, JC, Saunders, JB, Monteiro, MG. AUDIT: The Alcohol Use Disorders Identification Test – Guidelines for Use in Primary Care. World Health Organization, 2001.
13 Association of Public Health Observatories. Health Profile 2007: Northumberland. APHO, 2007.
14 Saunders, JB, Aasland, OG, Babor, TF, De La Fuente, JR, Grant, M. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption II. Addiction 2002; 88: 791804.
15 Maisto, SA, Carey, MP, Carey, KB, Gordon, CM, Gleason, JR. Use of the AUDIT and the DAST-10 to identify alcohol and drug use disorders among adults with a severe and persistent mental illness. Psychol Assessment 2002; 12: 186–92.
16 Allen, JP, Litten, RZ, Fertig, JB, Babor, T. A review of research on the Alcohol Use Disorders Identification Test (AUDIT). Alcohol Clin Exp Res 1997; 21: 613–9.
17 Hawton, K, Fagg, J, McKewon, S. Alcoholism, alcohol and attempted suicide. Alcohol Alcohol 1989; 24: 39.
18 British Medical Association, Royal Pharmaceutical Society of Great Britain. British National Formulary 56. RPS Publishing, 2008.
19 Association of Public Health Observatories. Health Profile 2007: Oxfordshire. APHO, 2007.
20 Association of Public Health Observatories. Health Profile 2007: Oxford. APHO, 2007.
21 Association of Public Health Observatories. Health Profile 2007: Blyth. APHO, 2007.
22 Association of Public Health Observatories. Health Profile 2007: Wansbeck. APHO, 2007.
23 Craig, R, Mindell, J. Health Survey for England 2006 Latest Trends. The Information Centre, 2008 (http://www.ic.nhs.uk/webfiles/publications/HSE06/Health%20Survey%20for%20England%202006%20Latest%20Trends.pdf).
24 NHS Quality Improvement Scotland. Harmful Drinking Three: Alcohol And Self-Harm. Scottish Emergency Department Alcohol Audit. NHS Quality Improvement Scotland, 2007.
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Discriminating levels of alcohol use associated with self-harm in individuals presenting to a district general hospital

  • Nicholas Holdsworth (a1), Hugh Griffiths (a1) and David Crawford (a1)
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