Does clinical management improve outcomes following self-harm? Results from the multicentre study of self-harm in England.

ABSTRACT:

Background

Evidence to guide clinical management of self-harm is sparse, trials have recruited selected samples, and psychological treatments that are suggested in guidelines may not be available in routine practice.

Aims

To examine how the management that patients receive in hospital relates to subsequent outcome.

Methods

We identified episodes of self-harm presenting to three UK centres (Derby, Manchester, Oxford) over a 10 year period (2000 to 2009). We used established data collection systems to investigate the relationship between four aspects of management (psychosocial assessment, medical admission, psychiatric admission, referral for specialist mental health follow up) and repetition of self-harm within 12 months, adjusted for differences in baseline demograph

SUBMITTER: Kapur N 

PROVIDER: S-EPMC3731259 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature