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The Early Repetition of Deliberate Self Harm

The objective was to determine the pattern of repeated deliberate self harm (DSH) in a busy inner-city teaching hospital. We undertook a retrospective cohort analytical study for all 1,576 DSH patients seen for assessment over a two-year period. Age, sex and previous DSH were noted at index episode...

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Detalles Bibliográficos
Autores principales: Gilbody, Simon, House, Allan, Owens, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Royal College of Physicians of London 1997
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5420906/
https://www.ncbi.nlm.nih.gov/pubmed/9131517
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author Gilbody, Simon
House, Allan
Owens, David
author_facet Gilbody, Simon
House, Allan
Owens, David
author_sort Gilbody, Simon
collection PubMed
description The objective was to determine the pattern of repeated deliberate self harm (DSH) in a busy inner-city teaching hospital. We undertook a retrospective cohort analytical study for all 1,576 DSH patients seen for assessment over a two-year period. Age, sex and previous DSH were noted at index episode (562 (36%) reported a previous history). Each patient was followed up for 12 months and repetition of DSH was recorded. DSH was repeated by 193 (12%) within one year, 138 (72%) once and 55 (28%) more than once. Repetition was more common and occurred much more quickly in those with a previous history than those without (relative risk: 3.4). Median time to repetition was 12 weeks but about 10% repeated within a week. The results were similar for men and women. This implies that previous history is the single most useful predictor in the repetition of DSH. Repetition occurs quickly and most rapidly in those who have previously harmed themselves. Intervention aimed at reducing repetition of self harm must be delivered within days, not weeks.
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spelling pubmed-54209062019-01-22 The Early Repetition of Deliberate Self Harm Gilbody, Simon House, Allan Owens, David J R Coll Physicians Lond Original Papers The objective was to determine the pattern of repeated deliberate self harm (DSH) in a busy inner-city teaching hospital. We undertook a retrospective cohort analytical study for all 1,576 DSH patients seen for assessment over a two-year period. Age, sex and previous DSH were noted at index episode (562 (36%) reported a previous history). Each patient was followed up for 12 months and repetition of DSH was recorded. DSH was repeated by 193 (12%) within one year, 138 (72%) once and 55 (28%) more than once. Repetition was more common and occurred much more quickly in those with a previous history than those without (relative risk: 3.4). Median time to repetition was 12 weeks but about 10% repeated within a week. The results were similar for men and women. This implies that previous history is the single most useful predictor in the repetition of DSH. Repetition occurs quickly and most rapidly in those who have previously harmed themselves. Intervention aimed at reducing repetition of self harm must be delivered within days, not weeks. Royal College of Physicians of London 1997 /pmc/articles/PMC5420906/ /pubmed/9131517 Text en © Journal of the Royal College of Physicians of London 1997 http://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) , which permits non-commercial use and redistribution provided that the original author and source are credited.
spellingShingle Original Papers
Gilbody, Simon
House, Allan
Owens, David
The Early Repetition of Deliberate Self Harm
title The Early Repetition of Deliberate Self Harm
title_full The Early Repetition of Deliberate Self Harm
title_fullStr The Early Repetition of Deliberate Self Harm
title_full_unstemmed The Early Repetition of Deliberate Self Harm
title_short The Early Repetition of Deliberate Self Harm
title_sort early repetition of deliberate self harm
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5420906/
https://www.ncbi.nlm.nih.gov/pubmed/9131517
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