Type

Journal Article

Authors

Ivan J. Perry
Udo Reulbach
Paul Corcoran
Celine Larkin
Ella Arensman

Subjects

Psychology

Topics
self harm adolescent self cutting deliberate self harm registry ireland service provision service providers sex factors

Factors associated with self-cutting as a method of self-harm: findings from the Irish National Registry of Deliberate Self-Harm (2013)

Abstract Background: Research suggests that patients presenting to hospital with self-cutting differ from those with intentional overdose in demographic and clinical characteristics. However, large-scale national studies comparing self-cutting patients with those using other self-harm methods are lacking. We aimed to compare hospital-treated self-cutting and intentional overdose, to examine the role of gender in moderating these differences, and examine the characteristics and outcomes of those patients presenting with combined self-cutting and overdose. Methods: Between 2003 and 2010, the Irish National Registry of Deliberate Self-Harm recorded 42,585 self-harm presentations to Irish hospital emergency departments meeting the study inclusion criteria. Data were obtained on demographic and clinical characteristics by independent data registration officers. Results: Compared with overdose only, involvement of self-cutting (with or without overdose) was significantly more common in males than females, with an overrepresentation of males aged <35 years. Independent of gender, involvement of self-cutting (with or without overdose) was significantly associated with younger age, city residence, repetition within 30 days and repetition within a year (females only). Factors associated with self-cutting as the sole method were no fixed abode/living in an institution, presenting outside 9 a.m. to 5 p.m., not consuming alcohol and repetition between 31 days and 1 year (males only). Conclusion: The demographic and clinical differences between self-harm patients underline the presence of different subgroups with implications for service provision and prevention of repeated self-harm. Given the relationship between self-cutting and subsequent repetition, service providers need to ensure that adequate follow-up arrangements and supports are in place for the patient.
Collections Ireland -> University College Cork -> Public Health
Ireland -> University College Cork -> College of Medicine and Health
Ireland -> University College Cork -> Public Health - Journal Articles

Full list of authors on original publication

Ivan J. Perry, Udo Reulbach, Paul Corcoran, Celine Larkin, Ella Arensman

Experts in our system

1
Ivan J Perry
University College Cork
Total Publications: 188
 
2
Paul Corcoran
University College Cork
Total Publications: 67
 
3
Celine Larkin
University College Cork
Total Publications: 11
 
4
Ella Arensman
University College Cork
Total Publications: 49