Letters

Deliberate self harm is common reason for emergency medical admission

BMJ 2001; 322 doi: https://doi.org/10.1136/bmj.322.7293.1065 (Published 28 April 2001) Cite this as: BMJ 2001;322:1065
  1. O M Bennewith, research associate (O.M.Bennewith@bristol.ac.uk),
  2. D Sharp, professor,
  3. D Gunnell, senior lecturer, public health and epidemiology,
  4. T J Peters, reader in medical statistics,
  5. N Stocks, senior lecturer
  1. Division of Primary Health Care, University of Bristol, Bristol BS8 2PR
  2. Department of Social Medicine, University of Bristol, Bristol BS8 2PR
  3. Department of General Practice, University of Adelaide, South Australia 5005, Australia

    EDITOR—Isacson and Rich offer practical guidelines for the management of deliberate self harm while highlighting the extremely weak evidence base in this area.1 They suggest that a brief hospital admission should be considered to establish a good therapeutic relationship. Yet even for an issue as fundamental as whether or not to admit these people to hospital, the benefits are uncertain and the only relevant randomised trial was too small to detect clinically important effects.2 Cost effectiveness is likely to be even …

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