Frequent Deliberate Self-Harm: Repetition,Suicide and Cost after Three or More Years

Abstract

This is a follow-up study of 44 patients who were admitted to the Royal Infirmary of Edinburgh after frequent deliberate self-harm (defined as three or more episodes of deliberate self-harm within one week) at least once between 1982 and 1987. Forty-two patients (95%) were traced after a minimum of three years (range 3yr 1mo 8yr 9mo). Thirty eight patients were known to have repeated self-harm an average of 13 times during the follow-up. Only two patients had died, one of these by probable suicide. The average cost solely attributable to the in-patient accommodation and psychiatric assessment of this group during follow-up was £34,036.60 (1986–87 prices)

Keywords

Deliberate self-harm repetition suicide cost

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References

Kreitman

, Casey

. Repetition of parasuicide: An epidemiological and clinical study. Br J Psyhiatry 1988, 153: 792–800.

Health of the Nation: A Strategy, for Health in England (Cm 1986) 1992 HMSO.

Stocks

, Scott A1F. What happens to patients who frequently harm themselves? A retrospective one-year outcome study. BrJ Psychiatry 1991; 158; 375–378.

Cantor

, Burnett

. Suicide risk for parasuicide repeaters. BrJ Psychiatry 1991; 159: 440.

Hawton

, Fagg

. Suicide, and other causes of death, following attempted suicide. Br J Psychiatry 1988; 152: 359–366.

Personal Social Services Research Unit. The methodology for costing community and hospital services used by clients of the care in the community demonstration programme. Canterbury: University of Kent, 1989. (Discussion paper 647)

Hawton

. Repetition and suicide following attempted suicide. Current Approaches. Suicide and attempted suicide: Risk factors, management and prevention. Ashford Colour Press. Hants. 1991.

Weissman

. The epidemiology of suicide attempts, 1960–1971. Archives of (General Psychiatry 1974; 30: 737–746.

Ekeberg

, Ellingsen

, Jacobson

. Suicide and other causes of death in a fiveyear follow-up of patients treated for self-poisoning in Oslow. Acta Psychiatrica Scandinavica 1991; 83: 432–437.

10.

Souskas

, Lonnqbist

. Outcome of attempted suicide and psychiatric consultation; risk factors and suicide mortality during a five year follow-up. Acta Psychiatrica Scandinavica 1991: 84: 545–549.

11.

Culberg

, Wasserman

, Stefansson C-G. Who commits suicide after a suicide attempt? Acta Psychiatrica Scandinavica 1988; 77: 593–603.

12.

Zonda

. A longitudinal follow-up study c f 583 attempted suicides, based on Hungarian material, (‘rises 1991; 12: 48–57.

13.

Goldstein

R B

. Black

D W

, Nasrallah

, Winokur

. The prediction of suicide. Sensitivity, specificity, and predictive value of a multivariate model applied to suicide among 1906 patients with affective disorders. Archives of General Psychiatry 1991; 48: 418–422.