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

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Young people who self-harm : a prospective 1-year follow-up study. / Majid, M; Tadros, M; Tadros, G; Singh, S; Broome, MR; Upthegrove, R.

In: Journal of Social Psychiatry and Psychiatric Epidemiology, Vol. 51, No. 2, 02.2016, p. 171-181.

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@article{bef48c3f8f104ad88239a543bb467608,
title = "Young people who self-harm: a prospective 1-year follow-up study",
abstract = "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.",
keywords = "Engagement, Repetition, Self-harm, Service provision, Young people",
author = "M Majid and M Tadros and G Tadros and S Singh and MR Broome and R Upthegrove",
year = "2016",
month = feb,
doi = "10.1007/s00127-015-1149-4",
language = "English",
volume = "51",
pages = "171--181",
journal = "Journal of Social Psychiatry and Psychiatric Epidemiology",
issn = "0933-7954",
publisher = "Springer",
number = "2",

}

RIS

TY - JOUR

T1 - Young people who self-harm

T2 - a prospective 1-year follow-up study

AU - Majid, M

AU - Tadros, M

AU - Tadros, G

AU - Singh, S

AU - Broome, MR

AU - Upthegrove, R

PY - 2016/2

Y1 - 2016/2

N2 - 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.

AB - 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.

KW - Engagement

KW - Repetition

KW - Self-harm

KW - Service provision

KW - Young people

UR - http://www.scopus.com/inward/record.url?scp=84957977411&partnerID=8YFLogxK

U2 - 10.1007/s00127-015-1149-4

DO - 10.1007/s00127-015-1149-4

M3 - Article

C2 - 26607729

VL - 51

SP - 171

EP - 181

JO - Journal of Social Psychiatry and Psychiatric Epidemiology

JF - Journal of Social Psychiatry and Psychiatric Epidemiology

SN - 0933-7954

IS - 2

ER -