@article{ref1,
title="Self-harm on roads: register-based study of methods and characteristics of individuals involved",
journal="Journal of affective disorders",
year="2020",
author="Hawton, Keith and Casey, Deborah and Bale, Elizabeth",
volume="282",
number="",
pages="46-50",
abstract="BACKGROUND: Suicide on roads is receiving increased attention. However, there has been little research on non-fatal road-related self-harm. This study was conducted  in order to investigate the characteristics of such acts. <br><br>METHOD: Information on  non-fatal road self-harm was extracted from a self-harm monitoring system database  of self-harm presentations to a major general hospital in England during 2005-2017. Patients were identified through being referred for psychosocial assessment by a  clinical service and through scrutiny of medical records. <br><br>RESULTS: During the  13-year study period 110 individuals (67 males, 43 females) presented to the  hospital with road-related self-harm: 38 (34.5%) jumped from bridges, 34 (30.9%)  jumped or lay in front of vehicles, 27 (24.5%) crashed vehicles and 11 (10.0%)  jumped from moving vehicles. Crashing vehicles was more common in males and jumping  from vehicles more common in females. In patients who received a psychosocial  assessment, their most frequent problems were with a partner, employment and family  members. Over half had been in psychiatric care and nearly two-thirds had a history  of previous self-harm. Suicide intent was often high, especially in those who  crashed a vehicle or jumped from a bridge. LIMITATION: The study was based on  presentations to a single hospital. Some data were not available for non-assessed  patients. <br><br>CONCLUSIONS: Road-related self-harm, while not common, more frequently  involves males and the acts are often of high suicidal intent. The range of problems  preceding this method of self-harm indicates that there needs to be a variety of  aftercare interventions, adapted to each individual's situation.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2020.12.107",
url="http://dx.doi.org/10.1016/j.jad.2020.12.107"
}