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.authorArensman, Ella
dc.contributor.authorLarkin, Celine
dc.contributor.authorCorcoran, Paul
dc.contributor.authorReulbach, Udo
dc.contributor.authorPerry, Ivan J.
dc.contributor.funderHealth Research Boarden
dc.contributor.funderHealth Service Executive, Irelanden
dc.date.accessioned2016-07-21T11:00:28Z
dc.date.available2016-07-21T11:00:28Z
dc.date.issued2013-06
dc.date.updated2013-09-11T11:08:22Z
dc.description.abstractBackground: 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.sponsorshipHealth Service Executive (The National Registry of Deliberate Self-Harm, National Office for Suicide Prevention); Health Research Board, (PhD scholarship).en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationArensman, 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/ckt087en
dc.identifier.doi10.1093/eurpub/ckt087
dc.identifier.endpage297en
dc.identifier.issn1464-360X (Electronic) 11
dc.identifier.issued2en
dc.identifier.journaltitleEuropean Journal of Public Healthen
dc.identifier.startpage292en
dc.identifier.urihttps://hdl.handle.net/10468/2913
dc.identifier.volume24en
dc.language.isoenen
dc.publisherOxford University Pressen
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.pdfen
dc.subjectSelf harmen
dc.subjectSelf-cuttingen
dc.subjectAdolescenten
dc.subjectSex factorsen
dc.subjectIrelanden
dc.titleFactors associated with self-cutting as a method of self-harm: findings from the Irish National Registry of Deliberate Self-Harmen
dc.typeArticle (peer-reviewed)en
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