TY  - JOUR
PY  - 2016//
TI  - Punch injury self-harm in young people
JO  - Clinical child psychology and psychiatry
A1  - Oxley, Cristal
A1  - Roberts, Jane E.
A1  - Kraemer, Sebastian
A1  - Armstrong, Giles
SP  - 318
EP  - 325
VL  - 22
IS  - 2
N2  - Punch injuries are a form of self-harm characterised by the intentional act of striking an object with a closed fist. We aimed to describe the characteristics and trends in young people presenting with injuries sustained via the punch mechanism. A comprehensive retrospective review of medical records was completed of all young people aged 10-18 years presenting to our Central London Emergency Department over a 12-month period. A subset of the total group was identified as the punch injury subgroup. A total of 78 punch injury presentations were identified. In this subgroup, the male:female ratio is 4.57:1; 37.18% of presentations were associated with a fracture (n = 29) and 35.90% (n = 28) of patients re-presented following another punch injury, as a victim of violence, or by other psychiatric presentation. In conclusion, a male preponderance was observed, with frequent re-presentations, often in high-risk circumstances. An opportunity for screening, including mental health, social and substance misuse, was identified. Further research is needed to enable targeted effective interventions in this group.<p />  <p>Language: en</p>
LA  - en
SN  - 1359-1045
UR  - http://dx.doi.org/10.1177/1359104516664121
ID  - ref1
ER  -