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Journal Article

Citation

Theodoulou M, Harriss L, Hawton KE, Bass C. J. Psychosom. Res. 2005; 58(4): 317-320.

Affiliation

University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX, England, United Kingdom.

Copyright

(Copyright © 2005, Elsevier Publishing)

DOI

10.1016/j.jpsychores.2004.10.004

PMID

15992566

Abstract

OBJECTIVE: The aim of this study was to establish how often pain was a factor contributing to an episode of deliberate self-harm. METHOD: Retrospective case note examination of all deliberate self-harm patients with concurrent medical problems admitted to a general hospital over 2 years. RESULTS: Pain was considered to be a contributory factor in the episode of deliberate self-harm in 75 (4%) of the total number of episodes of deliberate self-harm (1665) over the 2-year period. These patients were older and had higher suicide intent scores, but lower rates of previous psychiatric illness or alcohol or drug misuse than did the deliberate self-harm patients with medical problems but no pain. Although 60% had experienced pain for more than 6 months only, 8 (12%) were attending the local Pain Clinic at the time of the deliberate self-harm. CONCLUSION: We propose closer collaboration between general hospital services and local pain clinics for deliberate self-harm patients with painful disorders. Clinicians need to assess suicidal ideation and risk of self-harm when prescribing for this population.

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