TY  - JOUR
PY  - 2014//
TI  - Factors associated with self-cutting as a method of self-harm: Findings from the Irish National Registry of Deliberate Self-Harm
JO  - European journal of public health
A1  - Arensman, Ella
A1  - Larkin, Celine
A1  - Corcoran, Paul
A1  - Reulbach, Udo
A1  - Perry, Ivan J.
SP  - 292
EP  - 297
VL  - 24
IS  - 2
N2  - BACKGROUND: Research suggests that patients presenting to hospital with self-cutting differ from those with intentional overdose in demographic and clinical characteristics. However, large-scale national studies comparing self-cutting patients with those using other self-harm methods are lacking. We aimed to compare hospital-treated self-cutting and intentional overdose, to examine the role of gender in moderating these differences, and examine the characteristics and outcomes of those patients presenting with combined self-cutting and overdose. METHODS: Between 2003 and 2010, the Irish National Registry of Deliberate Self-Harm recorded 42,585 self-harm presentations to Irish hospital emergency departments meeting the study inclusion criteria. Data were obtained on demographic and clinical characteristics by independent data registration officers. RESULTS: Compared with overdose only, involvement of self-cutting (with or without overdose) was significantly more common in males than females, with an overrepresentation of males aged <35 years. Independent of gender, involvement of self-cutting (with or without overdose) was significantly associated with younger age, city residence, repetition within 30 days and repetition within a year (females only). Factors associated with self-cutting as the sole method were no fixed abode/living in an institution, presenting outside 9 a.m. to 5 p.m., not consuming alcohol and repetition between 31 days and 1 year (males only). CONCLUSION: The demographic and clinical differences between self-harm patients underline the presence of different subgroups with implications for service provision and prevention of repeated self-harm. Given the relationship between self-cutting and subsequent repetition, service providers need to ensure that adequate follow-up arrangements and supports are in place for the patient.<p />  <p>Language: en</p>
LA  - en
SN  - 1101-1262
UR  - http://dx.doi.org/10.1093/eurpub/ckt087
ID  - ref1
ER  -