Cited by 419Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseInjury Epidemiology and Prevention

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Self-harm in England: a tale of three cities: Multicentre study of self-harm

Hawton, Keith, Bergen, Helen, Casey, Deborah, Simkin, Sue, Palmer, Ben, Cooper, Jayne, Kapur, Nav, Horrocks, Judith, House, Allan, Lilley, Rachael, Noble, Rachael, Owens, David·2007·Social Psychiatry and Psychiatric Epidemiology

DOI 10.1007/s00127-007-0199-7

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Abstract

Background Self-harm is a major healthcare problem in the United Kingdom, but monitoring of hospital presentations has largely been done separately in single centres. Multicentre monitoring of self-harm has been established as a result of the National Suicide Prevention Strategy for England.Method Data on self-harm presentations to general hospitals in Oxford (one hospital), Manchester (three hospitals) and Leeds (two hospitals), collected through monitoring systems in each centre, were analysed for the 18-month period March 2000 to August 2001.Results The findings were based on 7344 persons who presented following 10,498 episodes of self-harm. Gender and age patterns were similar in the three centres, 57.0% of patients being female and two-thirds (62.9%) under 35 years of age. The largest numbers by age groups were 15-19 year-old females and 20-24 year-old males. The female to male ratio decreased with age. Rates of self-harm were higher in Manchester than Oxford or Leeds, in keeping with local suicide rates. The proportion of patients receiving a specialist psychosocial assessment varied between centres and was strongly associated with admission to the general hospital. Approximately 80% of self-harm involved self-poisoning. Overdoses of paracetamol, the most frequent method, were more common in younger age groups, antidepressants in middle age groups, and benzodiazepines and sedatives in older age groups. Alcohol was involved in more than half (54.9%) of assessed episodes. The most common time of presentation to hospital was between 10 pm and 2 am.Conclusions Multicentre monitoring of self-harm in England has demonstrated similar overall patterns of self-harm in Oxford, Manchester and Leeds, with some differences reflecting local suicide rates. Diurnal variation in time of presentation to hospital and the need for assessment of non-admitted patients have implications for service provision.

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Toward a clinical model of suicidal behavior in psychiatric patients
Mann, J. J., Waternaux, C., Haas, G. L., & Malone, K. M. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.2.181 · Cited by 1,791 · cited 1×
“Alcohol may influence both the occurrence of self-harm, through contributing to interpersonal and other problems and an individual’s reactions to them, and impulsivity and aggression, both of which are important factors in suicidal behaviour [26].”
Background
Fatal and non-fatal repetition of self-harm: Systematic review
Owens, D., Horrocks, J., & House, A. (2002) · British Journal of Psychiatry · doi:10.1192/bjp.181.3.193 · Cited by 1,241
Self-citation
Attempted suicide in Europe: rates, trend.S and sociodemographic characteristics of suicide attempters during the period 1989–1992. Results of the WHO/EURO Multicentre Study on Parasuicide
Schmidtke, A., Bille‐Brahe, U., DeLeo, D., Kerkhof, A. J. F. M., Bjerke, T., Crepef, P., Häring, C., Hawton, K., Lönnqvist, J. K., Michel, K., et al. (1996) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1996.tb10656.x · Cited by 784
Self-citation
Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital
Hawton, K., Zahl, D., & Weatherall, R. (2003) · British Journal of Psychiatry · doi:10.1192/bjp.182.6.537 · Cited by 751 · cited 1×
“Self-harm patients have a greatly elevated risk of subsequent suicide [7, 21, 36] and at least half of all individuals who die by suicide have a history of self-harm [1, 11, 19], with a quarter having episodes in the year before death.”
BackgroundSelf-citation
Suicide After Deliberate Self-Harm: A 4-Year Cohort Study
Cooper, J., Kapur, N., Webb, R., Lawlor, M., Guthrie, E., Mackway-Jones, K., & Appleby, L. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.2.297 · Cited by 690
Self-citation
Deliberate self-harm in Oxford, 1990-2000: a time of change in patient characteristics
HAWTON, K., HARRISS, L., HALL, S., SIMKIN, S., BALE, E., & BOND, A. (2003) · Psychological Medicine · doi:10.1017/s0033291703007943 · Cited by 410
Self-citation
The National Suicide Prevention Strategy for England
Duffy, D. F., & Foster, K. (2003) · Mental Health Review Journal · doi:10.1108/13619322200300036 · Cited by 346
Mental disorders and suicide in Northern Ireland
Foster, T., Gillespie, K., & McClelland, R. J. (1997) · The British Journal of Psychiatry · doi:10.1192/bjp.170.5.447 · Cited by 335
Trends in deliberate self-harm in Oxford, 1985–1995
Hawton, K. E., Fagg, J., Simkin, S., Bale, E., & Bond, A. (1997) · The British Journal of Psychiatry · doi:10.1192/bjp.171.6.556 · Cited by 292
Self-citation
UK legislation on analgesic packs: before and after study of long term effect on poisonings
Hawton, K. E., Simkin, S., Deeks, J. J., Cooper, J., Johnston, A., Waters, K., Arundel, M., Bernal, W. E., Gunson, B. K., Hudson, M., et al. (2004) · BMJ · doi:10.1136/bmj.38253.572581.7c · Cited by 264
Self-citation

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2 of the 38 references couldn’t be matched to a known paper.

Research works printed but not linked: 4

National Institute for Clinical Excellence (2004) Clinical guideline 16. Self-harm: the short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care. National Institute for Clinical Excellence, London
Royal College of Psychiatrists (2004) Assessment following self-harm in adults CR122. Royal College of Psychiatrists, London
Statacorp (2003) Stata Statistical Software: Release 8.0. Stata Corporation, College Station
Statacorp (2003) Stata survey data reference manual release 8.0. Stata Corporation, College Station

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Self-citation
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Self-citation
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Extending the liaison psychiatry service in a large hospital in the UK: a before and after evaluation of the economic impact and patient care following ED attendances for self-harm
Opmeer, B. C., Hollingworth, W., Marques, E. M. R., Margelyte, R., & Gunnell, D. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-016906 · Cited by 25
Frequently used drug types and alcohol involvement in intentional drug overdoses in Ireland: a national registry study
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Self-citation
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Self-citation
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Horton, M., Wright, N. M. J., Dyer, W., Wright-Hughes, A. M., Farrin, A. J., Bi-Mohammad, Z., Smith, J. B., Heyes, T., Gilbody, S. M., & Tennant, A. (2014) · Health Technology Assessment · doi:10.3310/hta18640 · Cited by 22
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Spatial patterning and correlates of self-harm in Manchester, England
Lin, C., Bickley, H., Clements, C., Webb, R. T., Gunnell, D., Hsu, C., Chang, S., & Kapur, N. (2019) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796019000696 · Cited by 21
Self-citation
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Robinson, J., Witt, K., Lamblin, M., Spittal, M. J., Carter, G. L., Verspoor, K. M., Page, A., Rajaram, G., Rozova, V. S., Hill, N. T. M., et al. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17249385 · Cited by 19
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Jiménez-Treviño, L., Sáiz, P. A., Corcoran, P. E., Burón, P., García‐Portilla, M. P., Chinea, E. R., Navío, M., Fernández, V., Jiménez‐Arriero, M. Á., Gracia, R., et al. (2014) · Archives of Suicide Research · doi:10.1080/13811118.2013.824841 · Cited by 21
International Perspectives on the Epidemiology and Aetiology of Suicide and Self‐Harm
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Self-citation
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Kawashima, Y., Yonemoto, N., Kawanishi, C., Otsuka, K., Mimura, M., Otaka, Y., Okamura, K., Kinoshita, T., Shirakawa, O., Yoshimura, R., et al. (2020) · Psychiatry and Clinical Neurosciences · doi:10.1111/pcn.12999 · Cited by 19
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A comparative study of non-fatal self-poisoning with antidepressants relative to prescribing in three centres in England
Bergen, H. A., Murphy, E., Cooper, J., Kapur, N., Stalker, C., Waters, K., & Hawton, K. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.10.004 · Cited by 19
Self-citation
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Authors: Hawton, K., Bergen, H., Casey, D., Simkin, S., Palmer, B., Cooper, J., Kapur, N., Horrocks, J., House, A., Lilley, R., Noble, R., & Owens, D.
Affiliations: Warneford Hospital (GB)
University of Manchester (GB)
University of Leeds (GB)
Corresponding author: Hawton, Keith
ORCID: Hawton, Keith
Bergen, Helen
Cooper, Jayne
Horrocks, Judith
House, Allan
Owens, David
Venue: Social Psychiatry and Psychiatric Epidemiology
Publisher: Springer Science and Business Media LLC
Published: 2007-05-21
Volume: 42
Issue: 7
Pages: 513-521
ISSN: 0933-7954 (ISSN-L)
1433-9285
DOI: 10.1007/s00127-007-0199-7
OpenAlex: W1512725483
Cited by: 419
References: 38
Citations by year: 2026: 7 · 2025: 9 · 2024: 13 · 2023: 15 · 2022: 14 · 2021: 19 · 2020: 53 · 2019: 25 · 2018: 27 · 2017: 24 · 2016: 61 · 2015: 23 · 2014: 27 · 2013: 12 · 2012: 20
FWCI: 17.39
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
PubMed (publishedVersion)
Research Explorer (The University of Manchester) (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
Keywords: self-harm, hospital presentations, self-poisoning, acetaminophen overdose, antidepressant overdose, benzodiazepine overdose, alcohol involvement, diurnal variation, psychosocial assessment, suicide rates, Oxford, Manchester, LEED
MeSH terms: Acetaminophen, Adolescent, Adult, Alcohol Drinking, Antidepressive Agents, Data Collection, Emergency Service, Hospital, England, Female, Humans, Hypnotics and Sedatives, Male, Psychiatric Department, Hospital, Socioeconomic Factors, Suicide, Attempted, Time, Self-Injurious Behavior, Age Distribution, Sex Distribution, Analgesics, Non-Narcotic, Drug Overdose

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Self-harm in England: a tale of three cities: Multicentre study of self-harm

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