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Article: A study of deliberate self-harm and its repetition among patients presenting to an emergency department

TitleA study of deliberate self-harm and its repetition among patients presenting to an emergency department
Authors
Issue Date2011
PublisherHogrefe Publishing. The Journal's web site is located at http://www.hogrefe.com/periodicals/crisis-the-journal-of-crisis-intervention-and-suicide-prevention/
Citation
Crisis, 2011, v. 32 n. 4, p. 217-224 How to Cite?
AbstractBackground: Marked differences have been found in the characteristics of people dying by suicide in Western and Asian countries. However, there is less information available on possible differences for deliberate self-harm (DSH). Aims: To compare the characteristics of people presenting to hospital in Hong Kong and Oxford (UK) with DSH, and to assess the outcome of those persons in Hong Kong. Methods: A sample of DSH patients admitted to the accident and emergency (A&E) department of a regional hospital in Hong Kong was assessed and followed up 6 months later to assess the risk of repetition of DSH, and was then compared with such patients in Oxford. Results: The majority of patients in Hong Kong were female (male:female ratio of 1:2.4), young (59% were under 35), and had used self-poisoning (78%). Over one-third were single (37%) and one-fourth unemployed (26%). About half (49%) scored in the high or very high categories of the Beck's Suicide Intent Scale, considerably more so than in Oxford; 44.6% of patients defaulted psychiatric outpatient service during the 6-month follow-up period. The repetition rate within the following 6 months was 16.7%. The number of self-reported adverse life problems, history of childhood sexual and physical abuse, and repetitive self-mutilation were shown to be the factors most strongly correlated with the risk of re-attempt. Alcohol problems were much lower than in Oxford. Conclusions: The findings show that DSH patients in Hong Kong show some marked differences compared to those in Oxford. Implications for the prevention of repeated DSH in Hong Kong are discussed. © 2011 Hogrefe Publishing.
Persistent Identifierhttp://hdl.handle.net/10722/172282
ISSN
2015 Impact Factor: 1.527
2015 SCImago Journal Rankings: 0.638
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorYip, PSFen_US
dc.contributor.authorHawton, Ken_US
dc.contributor.authorLiu, Ken_US
dc.contributor.authorLiu, KSen_US
dc.contributor.authorNg, PWLen_US
dc.contributor.authorKam, PMen_US
dc.contributor.authorLaw, YWen_US
dc.contributor.authorWong, TWen_US
dc.date.accessioned2012-10-30T06:21:09Z-
dc.date.available2012-10-30T06:21:09Z-
dc.date.issued2011en_US
dc.identifier.citationCrisis, 2011, v. 32 n. 4, p. 217-224en_US
dc.identifier.issn0227-5910en_US
dc.identifier.urihttp://hdl.handle.net/10722/172282-
dc.description.abstractBackground: Marked differences have been found in the characteristics of people dying by suicide in Western and Asian countries. However, there is less information available on possible differences for deliberate self-harm (DSH). Aims: To compare the characteristics of people presenting to hospital in Hong Kong and Oxford (UK) with DSH, and to assess the outcome of those persons in Hong Kong. Methods: A sample of DSH patients admitted to the accident and emergency (A&E) department of a regional hospital in Hong Kong was assessed and followed up 6 months later to assess the risk of repetition of DSH, and was then compared with such patients in Oxford. Results: The majority of patients in Hong Kong were female (male:female ratio of 1:2.4), young (59% were under 35), and had used self-poisoning (78%). Over one-third were single (37%) and one-fourth unemployed (26%). About half (49%) scored in the high or very high categories of the Beck's Suicide Intent Scale, considerably more so than in Oxford; 44.6% of patients defaulted psychiatric outpatient service during the 6-month follow-up period. The repetition rate within the following 6 months was 16.7%. The number of self-reported adverse life problems, history of childhood sexual and physical abuse, and repetitive self-mutilation were shown to be the factors most strongly correlated with the risk of re-attempt. Alcohol problems were much lower than in Oxford. Conclusions: The findings show that DSH patients in Hong Kong show some marked differences compared to those in Oxford. Implications for the prevention of repeated DSH in Hong Kong are discussed. © 2011 Hogrefe Publishing.en_US
dc.languageengen_US
dc.publisherHogrefe Publishing. The Journal's web site is located at http://www.hogrefe.com/periodicals/crisis-the-journal-of-crisis-intervention-and-suicide-prevention/en_US
dc.relation.ispartofCrisisen_US
dc.subject.meshAdulten_US
dc.subject.meshAge Distributionen_US
dc.subject.meshAgeden_US
dc.subject.meshCross-Cultural Comparisonen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshGreat Britain - Epidemiologyen_US
dc.subject.meshHong Kong - Epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshLife Change Eventsen_US
dc.subject.meshMaleen_US
dc.subject.meshMental Disorders - Ethnologyen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshRecurrenceen_US
dc.subject.meshRisken_US
dc.subject.meshSex Distributionen_US
dc.subject.meshSuicide, Attempted - Ethnology - Prevention & Control - Psychologyen_US
dc.titleA study of deliberate self-harm and its repetition among patients presenting to an emergency departmenten_US
dc.typeArticleen_US
dc.identifier.emailYip, PSF: sfpyip@hku.hken_US
dc.identifier.emailLaw, YW: flawhk@hku.hken_US
dc.identifier.authorityYip, PSF=rp00596en_US
dc.identifier.authorityLaw, YW=rp00561en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1027/0227-5910/a000069en_US
dc.identifier.pmid21940251-
dc.identifier.scopuseid_2-s2.0-84855393491en_US
dc.identifier.hkuros197386-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84855393491&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume32en_US
dc.identifier.issue4en_US
dc.identifier.spage217en_US
dc.identifier.epage224en_US
dc.identifier.isiWOS:000295323600006-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridYip, PSF=7102503720en_US
dc.identifier.scopusauthoridHawton, K=7102831478en_US
dc.identifier.scopusauthoridLiu, K=36446259500en_US
dc.identifier.scopusauthoridLiu, KS=7404199357en_US
dc.identifier.scopusauthoridNg, PWL=54882965300en_US
dc.identifier.scopusauthoridKam, PM=54883632700en_US
dc.identifier.scopusauthoridLaw, YW=7006095381en_US
dc.identifier.scopusauthoridWong, TW=23570135100en_US

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