BMJ  2005;330:1026 (30 April), doi:10.1136/bmj.330.7498.1026

Letter

Self harm was misrepresented (again)

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

EDITOR—In 2002 the BMJ published a trial of a general practice based intervention to prevent repetition of deliberate self harm.1 The article was illustrated by two pictures, one on the front cover of the paper version of the journal, which depicted self cutting. Readers pointed out that this was misleading because self poisoning (rather than self injury) made up the great majority of self harm episodes.2

Times have moved on. The terminology has changed—the qualifier "deliberate" has been dropped from "self harm" in response to the heterogeneous nature of the phenomenon and the concerns of service users,3 4—but the choice of illustrative material seems to have remained the same.

The synopsis of our article on risk assessment after self harm in the BMJ was accompanied by a picture of a person about to cut himself or herself with a blade.5 The terms used to describe aspects of suicidal . . . [Full text of this article]

Naveen Kapur, senior lecturer in psychiatry

nav.kapur@manchester.ac.uk, Centre for Suicide Prevention, Department of Psychiatry and Behavioural Sciences, University of Manchester, Manchester M13 9PL

Jayne Cooper, research fellow

Centre for Suicide Prevention, Department of Psychiatry and Behavioural Sciences, University of Manchester, Manchester M13 9PL


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Relevant Articles

Predicting the risk of repetition after self harm: cohort study
Navneet Kapur, Jayne Cooper, Cathryn Rodway, Joanne Kelly, Else Guthrie, and Kevin Mackway-Jones
BMJ 2005 330: 394-395. [Extract] [Full Text] [PDF]

General practice based interventions to prevent repeat episodes of deliberate self harm
Alex J Mitchell, Judith Horrocks, David Owens, and Allan House
BMJ 2002 325: 281. [Extract] [Full Text]

General practice based intervention to prevent repeat episodes of deliberate self harm: cluster randomised controlled trial Commentary: Clinical guidelines have limitations
Olive Bennewith, Nigel Stocks, David Gunnell, Tim J Peters, Mark O Evans, Deborah J Sharp, and Richard Morriss
BMJ 2002 324: 1254-1257. [Abstract] [Full Text] [PDF]

Rapid Responses:

Read all Rapid Responses

Correction
Navneet Kapur
bmj.com, 29 Apr 2005 [Full text]



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