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Deliberate Self-Harm: Clinical and Socio-Economic Characteristics of 368 Patients

Published online by Cambridge University Press:  29 January 2018

H. Gethin Morgan ,
Christopher J. Burns-Cox ,
Helen Pocock  and
Susan Pottle
H. Gethin Morgan
Affiliation:
Department of Mental Health, University of Bristol, 39/41, St. Michael's Hill, Bristol BS2 8DZ; Honorary Consultant Psychiatrist, Avon Area Health Authority
Christopher J. Burns-Cox
Affiliation:
Frenchay Hospital, Bristol
Helen Pocock
Affiliation:
Department of Mental Health, University of Bristol
Susan Pottle
Affiliation:
Department of Mental Health, University of Bristol
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Summary

In this study 368 patients were interviewed after they had attended the Bristol Royal Infirmary Accident and Emergency Department following a non-fatal act of deliberate self-harm. There were twice as many women (247) as men (121), and two thirds of the patients were in the 15–35 age group. Ninety-five per cent had taken a drug overdose, most commonly one or more of the tranquillizers, antidepressants, hypnotics or analgesics. Seventy-eight per cent had taken drugs prescribed by a doctor. Half the patients mentioned interpersonal conflict as a major precipitating factor in the episode. A psychiatric diagnosis was completed for all admitted patients, of whom 52 per cent were considered to be suffering from neurotic depression, 29 per cent from personality disorder, 12 per cent from functional psychosis and 10 per cent from alcohol addiction. Almost half had deliberately harmed themselves on a previous occasion. The series showed a greater than average incidence of unemployment, overcrowded living conditions, divorce and antisocial behaviour. The implications of these findings for the clinical management and prevention of non-fatal deliberate self-harm are discussed.

Type
Papers
Information
The British Journal of Psychiatry , Volume 127 , Issue 6 , December 1975 , pp. 564 - 574
Copyright
Copyright © Royal College of Psychiatrists, 1975 

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