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What Happens to Patients Who Frequently Harm Themselves?

A Retrospective One-Year Outcome Study

Published online by Cambridge University Press:  02 January 2018

Ruth Stocks
Affiliation:
University Department of Psychiatry
Allan I. F. Scott*
Affiliation:
University Department of Psychiatry, The Kennedy Tower, Royal Edinburgh Hospital, Morningside Park, Edinburgh EH10 5HF
*
Correspondence

Abstract

Between 1982 and 1987, 42 patients were selected who had been admitted three times in one week to the Regional Poisoning Treatment Centre in Edinburgh for the treatment of deliberate self-harm. Most (87%) of these admissions related to drug overdose. Most of the patients were young, unemployed, lacking a partner and from the low social classes. Three-quarters of the sample had at least one known conviction and more than a third were known to have served a prison sentence. There was only one patient in whom mental illness was thought to be relevant to the episode of self-harm, although five patients were mildly mentally handicapped. Case notes were reviewed to assess the outcome one year after the index admission. None of the patients had committed suicide, although 36 repeated self-harm during the follow-up year.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1991 

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References

Bancroft, J. & Marsack, P. (1977) Repetitiveness of self-poisoning and self-injury. British Journal of Psychiatry, 131, 394399.CrossRefGoogle ScholarPubMed
Barraclough, B. Bunch, J. Nelson, B. et al (1974) 100 cases of suicide: clinical aspects. British Journal of Psychiatry, 125, 355373.Google Scholar
Batchelor, I. R. C. (1954) Repeated suicidal attempts. British Journal of Medical Psychology, 27, 158163.Google Scholar
Casey, P. R. (1989) Personality disorder and suicide intent. Acta Psychiatrica Scandinavica, 79, 290295.Google Scholar
Ennis, J. Barnes, R. & Spenser, H. (1985) Management of the repeatedly suicidal patient. Canadian Journal of Psychiatry, 30, 535538.CrossRefGoogle ScholarPubMed
Farmer, R. (1986) Deliberate self-poisoning. British Journal of Hospital Medicine, 36, 437442.Google Scholar
Garvey, M. J. & Spoden, F. (1980) Suicide attempts in antisocial personality disorder. Comprehensive Psychiatry, 21, 146149.Google Scholar
Hawton, K. & Catalan, J. (1981) Psychiatric management of attempted suicide patients. British Journal of Hospital Medicine, 26, 365368.Google Scholar
Hawton, K. & Fagg, J. (1988) Suicide and other causes of death, following attempted suicide. British Journal of Psychiatry, 152, 359366.CrossRefGoogle ScholarPubMed
Henderson, D. K. (1942) Psychopathic states. Journal of Mental Science, 88, 485490.CrossRefGoogle Scholar
Kreitman, N. & Casey, P. (1988) Repetition of parasuicide: an epidemiological and clinical study. British Journal of Psychiatry, 153, 792800.CrossRefGoogle ScholarPubMed
Office of Population Censuses and Surveys (1980) Classification of Occupations. London: HMSO.Google Scholar
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