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

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dc.contributor.author Arensman, Ella
dc.contributor.author Larkin, Celine
dc.contributor.author Corcoran, Paul
dc.contributor.author Reulbach, Udo
dc.contributor.author Perry, Ivan J.
dc.date.accessioned 2016-07-21T11:00:28Z
dc.date.available 2016-07-21T11:00:28Z
dc.date.issued 2013-06
dc.identifier.citation Arensman, E., Larkin, C., Corcoran, P., Reulbach, U. and Perry, I. J. (2014) ‘Factors associated with self-cutting as a method of self-harm: findings from the Irish National Registry of Deliberate Self-Harm’, The European Journal of Public Health, 24(2), pp. 292-297. http://dx.doi.org/10.1093/eurpub/ckt087 en
dc.identifier.volume 24 en
dc.identifier.issued 2 en
dc.identifier.startpage 292 en
dc.identifier.endpage 297 en
dc.identifier.issn 1464-360X (Electronic) 11
dc.identifier.uri http://hdl.handle.net/10468/2913
dc.identifier.doi 10.1093/eurpub/ckt087
dc.description.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. en
dc.description.sponsorship Health Service Executive (The National Registry of Deliberate Self-Harm, National Office for Suicide Prevention); Health Research Board, (PhD scholarship). en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Oxford University Press en
dc.rights ©The Author 2013. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. This is a pre-copyedited, author-produced PDF of an article accepted for publication in The European Journal of Public Health, following peer review. The version of record is available online at http://eurpub.oxfordjournals.org/content/eurpub/24/2/292.full.pdf en
dc.subject Self harm en
dc.subject Self-cutting en
dc.subject Adolescent en
dc.subject Sex factors en
dc.subject Ireland en
dc.title Factors associated with self-cutting as a method of self-harm: findings from the Irish National Registry of Deliberate Self-Harm en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Paul Corcoran, Epidemiology & Public Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email: pcorcoran@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2013-09-11T11:08:22Z
dc.description.version Accepted Version en
dc.internal.rssid 229124126
dc.contributor.funder Health Research Board en
dc.contributor.funder Health Service Executive, Ireland en
dc.description.status Peer reviewed en
dc.identifier.journaltitle European Journal of Public Health en
dc.internal.copyrightchecked Yes. !!CORA!! en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress pcorcoran@ucc.ie
dc.internal.IRISemailaddress pcorcoran@ucc.ie en

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