The British Journal of Psychiatry (2006) 189: 416-421. doi: 10.1192/bjp.bp.105.018085
© 2006 The Royal College of Psychiatrists
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit an eLetter
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by JOHNSTON, A.
Right arrow Articles by KAPUR, N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by JOHNSTON, A.
Right arrow Articles by KAPUR, N.

Individual- and area-level predictors of self-harm repetition

AMY JOHNSTON, MSc and JAYNE COOPER, PhD

Centre for Suicide Prevention, University of Manchester, UK

ROGER WEBB, MSc

Centre for Women’s Mental Health, University of Manchester, UK

NAVNEET KAPUR, MD, MRCPsych

Centre for Suicide Prevention, University of Manchester, UK

Correspondence: Dr N. Kapur, Centre for Suicide Prevention, Williamson Building, University of Manchester, Oxford Road, Manchester M13 9PL, UK. Tel: +44 (0)161 275 0733; fax: +44 (0)161 275 0716; email: nav.kapur{at}manchester.ac.uk

Declaration of interest None. Funding detailed in Acknowledgements.

Background No ecological studies have examined the relationship between area characteristics, individual characteristics and self-harm repetition.

Aims To investigate the association between area-level factors and incidence and repetition of self-harm, and to identify which area-level factors are independently associated with repetition after adjustment for individual factors.

Method Prospective cohort study using the Manchester Self-Harm database. Adults who were resident in Manchester and presented to an emergency department following self-harm between 1997 and 2002 were included (n = 4743). The main outcome measure was repeat self-harm within 6 months of the index episode.

Results Four individual factors (previous self-harm, previous psychiatric treatment, employment status, marital status) and one area-based factor (proportion of individuals who were of White ethnicity) were independently associated with repetition.

Conclusions Repetition of self-harm may be more strongly related to individual factors than to area characteristics. We need to better understand the processes underlying ecological associations with suicidal behaviour before embarking on area-based interventions.




This article has been cited by other articles:


Home page
 Psychiatr. Serv.Home page
M. J. Alexander, G. Haugland, P. Ashenden, E. Knight, and I. Brown
Coping With Thoughts of Suicide: Techniques Used by Consumers of Mental Health Services
Psychiatr Serv, September 1, 2009; 60(9): 1214 - 1221.
[Abstract] [Full Text] [PDF]

Home page
 Br. J. PsychiatryHome page
L. Bowers, R. Whittington, P. Nolan, D. Parkin, S. Curtis, K. Bhui, D. Hackney, T. Allan, and A. Simpson
Relationship between service ecology, special observation and self-harm during acute in-patient care: City-128 study
The British Journal of Psychiatry, November 1, 2008; 193(5): 395 - 401.
[Abstract] [Full Text] [PDF]

Home page
 Br. J. PsychiatryHome page
D. O'Reilly, M. Rosato, S. Connolly, and C. Cardwell
Area factors and suicide: 5-year follow-up of the Northern Ireland population
The British Journal of Psychiatry, February 1, 2008; 192(2): 106 - 111.
[Abstract] [Full Text] [PDF]