Young people who self-harm: a prospective 1-year follow-up study

M Majid, M Tadros, G Tadros, S Singh, MR Broome, R Upthegrove*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
197 Downloads (Pure)


Purpose: 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.

Original languageEnglish
Pages (from-to)171-181
Number of pages11
JournalJournal of Social Psychiatry and Psychiatric Epidemiology
Issue number2
Early online date25 Nov 2015
Publication statusPublished - Feb 2016


  • Engagement
  • Repetition
  • Self-harm
  • Service provision
  • Young people

ASJC Scopus subject areas

  • Epidemiology
  • Health(social science)
  • Social Psychology
  • Psychiatry and Mental health


Dive into the research topics of 'Young people who self-harm: a prospective 1-year follow-up study'. Together they form a unique fingerprint.

Cite this