BMJ  2005;330:394-395 (19 February), doi:10.1136/bmj.38337.584225.82 (published 26 January 2005)

Paper

Predicting the risk of repetition after self harm: cohort study

¹ Centre for Suicide Prevention, Department of Psychiatry and Behavioural Sciences, University of Manchester, Manchester M13 9PL, ² Department of Psychiatry and Behavioural Sciences, Manchester Royal Infirmary, Manchester M13 9WL, ³ Department of Emergency Medicine, Manchester Royal Infirmary

The first 150 words of the full text of this article appear below.

Introduction

About one in six people repeat self harm within a year of an episode.¹ Identifying people who are at risk of repetition is a key objective of assessment.² We investigated the predictive value of risk assessments after an episode of self harm and compared assessments made by emergency department staff with those made by psychiatric staff.

Participants, methods, and results

Four hospitals provide emergency care in the cities of Manchester and Salford. As part of the Manchester and Salford self harm project (MASSH) we collected data on all people aged at least 16 who presented with self harm in 1997-2001.³ Doctors in the emergency department and, for those patients who received a psychiatric assessment, mental health staff completed comprehensive assessment forms (which included demographic items as well as details of the self harm episode, past history, and current mental state). The assessor was also asked for a global clinical assessment of the risk of . . . [Full text of this article]

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