The British Journal of Psychiatry
Ethnic differences in self-harm, rates, characteristics and service provision: three-city cohort study
Jayne Cooper, Elizabeth Murphy, Roger Webb, Keith Hawton, Helen Bergen, Keith Waters, Navneet Kapur



Studies of self-harm in Black and minority ethnic (BME) groups have been restricted to single geographical areas, with few studies of Black people.


To calculate age- and gender-specific rates of self-harm by ethnic group in three cities and compare characteristics and outcomes.


A population-based self-harm cohort presenting to five emergency departments in three English cities during 2001 to 2006.


A total of 20 574 individuals (16–64 years) presented with self-harm; ethnicity data were available for 75%. Rates of self-harm were highest in young Black females (16–34 years) in all three cities. Risk of self-harm in young South Asian people varied between cities. Black and minority ethnic groups were less likely to receive a psychiatric assessment and to re-present with self-harm.


Despite the increased risk of self-harm in young Black females fewer receive psychiatric care. Our findings have implications for assessment and appropriate management for some BME groups following self-harm.

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