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

To explore repetition, service provision and service engagement following presentation of young people to emergency services with self-harm.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, clin...

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Main Authors: Majid, M, Tadros, M, Tadros, G, Singh, S, Broome, M, Upthegrove, R
Format: Journal article
Language:English
Published: Springer 2016
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author Majid, M
Tadros, M
Tadros, G
Singh, S
Broome, M
Upthegrove, R
author_facet Majid, M
Tadros, M
Tadros, G
Singh, S
Broome, M
Upthegrove, R
author_sort Majid, M
collection OXFORD
description To explore repetition, service provision and service engagement following presentation of young people to emergency services with self-harm.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.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.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.
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spelling oxford-uuid:8b94c862-f5d1-479b-9957-a4ee2993e3322022-03-26T22:39:05ZYoung people who self-harm: a prospective 1-year follow-up study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8b94c862-f5d1-479b-9957-a4ee2993e332EnglishSymplectic Elements at OxfordSpringer2016Majid, MTadros, MTadros, GSingh, SBroome, MUpthegrove, RTo explore repetition, service provision and service engagement following presentation of young people to emergency services with self-harm.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.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.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.
spellingShingle Majid, M
Tadros, M
Tadros, G
Singh, S
Broome, M
Upthegrove, R
Young people who self-harm: a prospective 1-year follow-up study.
title Young people who self-harm: a prospective 1-year follow-up study.
title_full Young people who self-harm: a prospective 1-year follow-up study.
title_fullStr Young people who self-harm: a prospective 1-year follow-up study.
title_full_unstemmed Young people who self-harm: a prospective 1-year follow-up study.
title_short Young people who self-harm: a prospective 1-year follow-up study.
title_sort young people who self harm a prospective 1 year follow up study
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AT broomem youngpeoplewhoselfharmaprospective1yearfollowupstudy
AT upthegrover youngpeoplewhoselfharmaprospective1yearfollowupstudy