High-Volume Repeaters of Self-HarmCitation formats

  • External authors:
  • Jennifer Ness
  • Keith Hawton
  • Helen Bergen
  • Keith Waters
  • Jayne Cooper
  • Martin Clarke

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High-Volume Repeaters of Self-Harm : Characteristics, patterns of emergency department attendance and subsequent deaths based on findings from the Multicentre Study of Self-harm in England. / Ness, Jennifer; Hawton, Keith; Bergen, Helen; Waters, Keith; Kapur, Navneet; Cooper, Jayne; Steeg, Sarah; Clarke, Martin.

In: Crisis, Vol. 37, No. 6, 11.2016, p. 427-437.

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Author

Ness, Jennifer ; Hawton, Keith ; Bergen, Helen ; Waters, Keith ; Kapur, Navneet ; Cooper, Jayne ; Steeg, Sarah ; Clarke, Martin. / High-Volume Repeaters of Self-Harm : Characteristics, patterns of emergency department attendance and subsequent deaths based on findings from the Multicentre Study of Self-harm in England. In: Crisis. 2016 ; Vol. 37, No. 6. pp. 427-437.

Bibtex

@article{8f2155d049994540a670da6d72aafa32,
title = "High-Volume Repeaters of Self-Harm: Characteristics, patterns of emergency department attendance and subsequent deaths based on findings from the Multicentre Study of Self-harm in England",
abstract = "BACKGROUND: Repetition of self-harm is common and is strongly associated with suicide. Despite this, there is limited research on high-volume repetition.AIM: To investigate individuals with high-volume repeat self-harm attendances to the emergency department (ED), including their patterns of attendance and mortality.METHOD: Data from the Multicentre Study of Self-Harm in England were used. High-volume repetition was defined as ⩾15 attendances within 4 years. An attendance timeline was constructed for each high-volume repeater (HVR) and the different patterns of attendance were explored using an executive sorting task and hierarchical cluster analysis.RESULTS: A small proportion of self-harm patients are HVRs (0.6{\%}) but they account for a large percentage of self-harm attendances (10{\%}). In this study, the new methodological approach resulted in three types of attendance patterns. All of the HVRs had clusters of attendance and a greater proportion died from external causes compared with non-HVRs.CONCLUSION: The approach used in this study offers a new method for investigating this problem that could have both clinical and research benefits. The need for early intervention is highlighted by the large number of self-harm episodes per patient, the clustered nature of attendances, and the higher prevalence of death from external causes.",
keywords = "self-harm, repetition, cluster, suicide, emergency department",
author = "Jennifer Ness and Keith Hawton and Helen Bergen and Keith Waters and Navneet Kapur and Jayne Cooper and Sarah Steeg and Martin Clarke",
year = "2016",
month = "11",
doi = "10.1027/0227-5910/a000428",
language = "English",
volume = "37",
pages = "427--437",
journal = "Crisis",
issn = "0227-5910",
publisher = "Hogrefe Publishing",
number = "6",

}

RIS

TY - JOUR

T1 - High-Volume Repeaters of Self-Harm

T2 - Characteristics, patterns of emergency department attendance and subsequent deaths based on findings from the Multicentre Study of Self-harm in England

AU - Ness, Jennifer

AU - Hawton, Keith

AU - Bergen, Helen

AU - Waters, Keith

AU - Kapur, Navneet

AU - Cooper, Jayne

AU - Steeg, Sarah

AU - Clarke, Martin

PY - 2016/11

Y1 - 2016/11

N2 - BACKGROUND: Repetition of self-harm is common and is strongly associated with suicide. Despite this, there is limited research on high-volume repetition.AIM: To investigate individuals with high-volume repeat self-harm attendances to the emergency department (ED), including their patterns of attendance and mortality.METHOD: Data from the Multicentre Study of Self-Harm in England were used. High-volume repetition was defined as ⩾15 attendances within 4 years. An attendance timeline was constructed for each high-volume repeater (HVR) and the different patterns of attendance were explored using an executive sorting task and hierarchical cluster analysis.RESULTS: A small proportion of self-harm patients are HVRs (0.6%) but they account for a large percentage of self-harm attendances (10%). In this study, the new methodological approach resulted in three types of attendance patterns. All of the HVRs had clusters of attendance and a greater proportion died from external causes compared with non-HVRs.CONCLUSION: The approach used in this study offers a new method for investigating this problem that could have both clinical and research benefits. The need for early intervention is highlighted by the large number of self-harm episodes per patient, the clustered nature of attendances, and the higher prevalence of death from external causes.

AB - BACKGROUND: Repetition of self-harm is common and is strongly associated with suicide. Despite this, there is limited research on high-volume repetition.AIM: To investigate individuals with high-volume repeat self-harm attendances to the emergency department (ED), including their patterns of attendance and mortality.METHOD: Data from the Multicentre Study of Self-Harm in England were used. High-volume repetition was defined as ⩾15 attendances within 4 years. An attendance timeline was constructed for each high-volume repeater (HVR) and the different patterns of attendance were explored using an executive sorting task and hierarchical cluster analysis.RESULTS: A small proportion of self-harm patients are HVRs (0.6%) but they account for a large percentage of self-harm attendances (10%). In this study, the new methodological approach resulted in three types of attendance patterns. All of the HVRs had clusters of attendance and a greater proportion died from external causes compared with non-HVRs.CONCLUSION: The approach used in this study offers a new method for investigating this problem that could have both clinical and research benefits. The need for early intervention is highlighted by the large number of self-harm episodes per patient, the clustered nature of attendances, and the higher prevalence of death from external causes.

KW - self-harm

KW - repetition

KW - cluster

KW - suicide

KW - emergency department

U2 - 10.1027/0227-5910/a000428

DO - 10.1027/0227-5910/a000428

M3 - Article

VL - 37

SP - 427

EP - 437

JO - Crisis

JF - Crisis

SN - 0227-5910

IS - 6

ER -