Rates of self-harm presenting to general hospitals: a comparison of data from the Multicentre Study of Self-Harm in England and Hospital Episode Statistics by Clements, C, Turnbull, P, Hawton, K, Geulayov, G, Waters, K, Ness, J, Townsend, E, Khundakar, K, Kapur, N

“…Nationally, routine HES data underestimated overall rates of self-harm by approximately 60% compared with rates based on Multicentre Study data (rate ratio for HES emergency department data, 0.41 (95% CI 0.35 to 0.49); rate ratio for HES admission data, 0.42 (95% CI 0.36 to 0.49)). …”

High-volume repeaters of self-harm by Ness, J, Hawton, K, Bergen, H, Waters, K, Kapur, N, Cooper, J, Steeg, S, Clarke, M

“…</p><p> AIM: To investigate individuals with high-volume repeat self-harm attendances to the emergency department (ED), including their patterns of attendance and mortality.…”

"Well it's like someone at the other end cares about you." A qualitative study exploring the views of users and providers of care of contact-based interventions following self-harm... by Cooper, J, Hunter, C, Owen-Smith, A, Gunnell, D, Donovan, J, Hawton, K, Kapur, N

“…METHOD: Self-harm patients recently discharged from an emergency department were selected using purposive sampling (n=11). …”

Epidemiology and trends in non-fatal self-harm in three centres in England: 2000-2007. by Bergen, H, Hawton, K, Waters, K, Cooper, J, Kapur, N

“…This was reflected mainly in a decline in emergency department presentations for self-poisoning.…”

The development of a population-level clinical screening tool for self-harm repetition and suicide: the ReACT Self-Harm Rule. by Steeg, S, Kapur, N, Webb, R, Applegate, E, Stewart, S, Hawton, K, Bergen, H, Waters, K, Cooper, J

“…BACKGROUND: Self-harm is a common reason for Emergency Department (ED) attendance. We aimed to develop a clinical tool to help identify patients at higher risk of repeat self-harm, or suicide, within 6 months of an ED self-harm presentation. …”

Psychosocial assessment and repetition of self-harm: the significance of single and multiple repeat episode analyses. by Bergen, H, Hawton, K, Waters, K, Cooper, J, Kapur, N

“… BACKGROUND: Self-harm is a common reason for presentation to the Emergency Department. An important question is whether psychosocial assessment reduces risk of repeated self-harm. …”

Scales for predicting risk following self-harm: an observational study in 32 hospitals in England by Quinlivan, L, Cooper, J, Steeg, S, Davies, L, Hawton, K, Gunnell, D, Kapur, N

“…OBJECTIVE: To investigate the extent to which risk scales were used for the assessment of self-harm by emergency department clinicians and mental health staff, and to examine the association between the use of a risk scale and measures of service quality and repeat self-harm within 6 months. …”

Self-harm in people experiencing homelessness: investigation of incidence, characteristics and outcomes using data from the Multicentre Study of Self-Harm in England by Clements, C, Farooq, B, Hawton, K, Geulayov, G, Casey, D, Waters, K, Ness, J, Patel, A, Townsend, E, Appleby, L, Kapur, N

“…<br><strong> Method<br></strong> Data were collected via specialist assessments and/or hospital patient records from emergency departments in Manchester, Oxford and Derby, UK. …”

Mortality in children and adolescents following presentation to hospital after non-fatal self-harm in the Multicentre Study of Self-harm: a prospective observational cohort study by Hawton, K, Bale, L, Brand, F, Townsend, E, Ness, J, Waters, K, Clements, C, Kapur, N, Geulayov, G

“…</p> <p><strong>Methods:</strong> For this prospective observational cohort study, we used data from the Multicentre Study of Self-harm in England for all individuals aged 10–18 years who presented to the emergency department of five study hospitals in Oxford, Manchester, and Derby after non-fatal self-harm between Jan 1, 2000, and Dec 31, 2013. …”

The effect of using NHS number as the unique identifier for patients who self-harm: a multi-centre descriptive study. by Cooper, J, Murphy, E, Bergen, H, Casey, D, Hawton, K, Owens, D, Lilley, R, Noble, R, Kapur, N

“…We aimed to determine the proportion of individuals who present to emergency departments with non-fatal suicidal behavior where an NHS number has been successfully traced and to investigate the characteristics of patients associated with non-capture. …”

Paracetamol self-poisoning: Epidemiological study of trends and patient characteristics from the multicentre study of self-harm in England by Casey, D, Geulayov, G, Bale, E, Brand, F, Clements, C, Kapur, N, Ness, J, Patel, A, Waters, K, Hawton, K

“…</p><br /> <p><strong>Methods:</strong><br /> We used data from the Multicentre Study of Self-harm in England for 2004–2014 to calculate incidence rates of presentations to Emergency Departments following self-poisoning with pure paracetamol alone. …”

Alcohol-related mortality following self-harm: a multicentre cohort study. by Bergen, H, Hawton, K, Webb, R, Cooper, J, Steeg, S, Haigh, M, Ness, J, Waters, K, Kapur, N

“…DESIGN: A retrospective longitudinal cohort analysis from the Multicentre Study of self-harm in England, 1 January 2000 to 31 December 2010, with cause-specific mortality follow-up through to 31 December 2012. SETTING: Six emergency departments in Oxford, Manchester and Derby. PARTICIPANTS: All individuals aged 15 years or more who presented with self-harm (n = 39,014) to general hospital emergency departments, together with follow-up mortality information from the Data Linkage Service of the Health and Social Care Information Centre. …”

Ethnic differences in self-harm, rates, characteristics and service provision: three-city cohort study. by Cooper, J, Murphy, E, Webb, R, Hawton, K, Bergen, H, Waters, K, Kapur, N

“…METHOD: A population-based self-harm cohort presenting to five emergency departments in three English cities during 2001 to 2006. …”

Accuracy of risk scales for predicting repeat self-harm and suicide: a multicentre, population-level cohort study using routine clinical data by Steeg, S, Quinlivan, L, Nowland, R, Carroll, R, Casey, D, Clements, C, Cooper, J, Davies, L, Knipe, D, Ness, J, O'Connor, R, Hawton, K, Gunnell, D, Kapur, N

“…Data on 4000 episodes of self-harm presenting to Emergency Departments (ED) between 2010 and 2012 were obtained from four established monitoring systems in England. …”

Risk assessment scales to predict risk of hospital treated repeat self-harm: a cost-effectiveness modelling analysis by Quinlivan, L, Steeg, S, Elvidge, J, Nowland, R, Davies, L, Hawton, K, Gunnell, D, Kapur, N

“…<br/><strong>Background:</strong> Risk scales are used widely for assessing individuals presenting to Emergency Departments (EDs) following self-harm. There is growing evidence that risk scales have limited clinical utility in identifying episodes at highest risk of repeat self-harm. …”

HOPE: Help fOr People with money, employment, benefit or housing problems: study protocol for a randomised controlled trial by Barnes, M, Haase, A, Bard, A, Donovan, J, Davies, R, Dursley, S, Potokar, J, Kapur, N, Hawton, K, O'Connor, R, Hollingworth, W, Metcalfe, C, Gunnell, D

“…Our aim is to determine the feasibility and acceptability of a brief psychosocial intervention (the “HOPE” service) for people presenting to hospital emergency departments (ED) following self-harm or in acute distress because of financial, employment, or welfare (benefit) difficulties.…”

The help for people with money, employment or housing problems (HOPE) intervention: pilot randomised trial with mixed methods feasibility research by Barnes, M, Haase, A, Scott, L, Linton, M, Bard, A, Donovan, J, Davies, R, Dursley, S, Williams, S, Elliott, D, Potokar, J, Kapur, N, Hawton, K, O'Connor, R, Hollingworth, W, Metcalfe, C, Gunnell, D

“…Methods:Our aim was to determine the feasibility and acceptability of a brief psychosocial intervention (the 'HOPE' service) for people presenting to hospital emergency departments (ED) following self-harm or in acute distress because of financial, employment or welfare (benefit) difficulties. …”

Self-harm in university students: A comparative analysis of data from the Multicentre Study of Self-harm in England by Clements, C, Farooq, B, Hawton, K, Geulayov, G, Casey, D, Waters, K, Ness, J, Kelly, S, Townsend, E, Appleby, L, Kapur, N

“…</p> <p><strong>Methods: </strong>Observational cohort data from The Multicentre Study of Self-harm in England were used to investigate students aged 18 to 24&nbsp;years who presented to&nbsp;emergency departments&nbsp;for self-harm, 2003 to 2016. Data were collected via clinician reports and&nbsp;medical records&nbsp;from five hospitals in three English regions. …”

Advance decisions to refuse treatment and suicidal behaviour in emergency care: 'It's very much a step into the unknown' by Quinlivan, L, Nowland, R, Steeg, S, Cooper, J, Meehan, D, Godfrey, J, Robertson, D, Longson, D, Potokar, J, Davies, R, Allen, N, Huxtable, R, Mackway-Jones, K, Hawton, K, Gunnell, D, Kapur, N

“…<br/><br/> <strong>Method</strong> Forty-one participants aged 18 or over from hospital services (emergency departments, liaison psychiatry and ambulance services) and groups of individuals with experience of psychiatric services and/or self-harm were recruited to six focus groups in a multisite study in England. …”

Incidence and general hospital costs of self-harm across England: estimates based on the multicentre study of self-harm by Tsiachristas, A, Geulayov, G, Casey, D, Ness, J, Waters, K, Clements, C, Kapur, N, McDaid, D, Brand, F, Hawton, K

“…</p> <p><strong>Methods</strong></p> <p>We used individual patient data from the Multicentre Study of Self-harm in England of all self-harm presentations to the emergency departments of five general hospitals in Oxford, Manchester and Derby in 2013. …”