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Centre for Suicide Research | Research | EPSIS study |


Characteristics and outcome of deliberate self harm patients (EPSIS)


This study was part of the WHO:Euro Multicentre Study of Suicidal Behaviour. 150 patients were interviewed following an episode of deliberate self-harm and followed up one year later. The study aimed to identify problems and psychiatric disorders associated with DSH, genetic vulnerability for DSH, risk factors for repetition of DSH, and to provide information on treatment needs, compliance and outcome. Dr. Julia Sinclair conducted a 6-7 year follow-up study of these patients to assess outcome, including healthcare utilisation and costs.



Sinclair, J. M. A., Hawton, K., & Gray, A. (2010). Six year follow-up of a clinical sample of self-harm patients. Journal of Affective Disorders, 121, 247-252.

Sinclair, J. M. A., Gray, A., Rivero-Arias, O., Saunders, K.E.A., Hawton, K. (2010) Healthcare and Social Services resource use and costs of self-harm patients. Social Psychiatry and Psychiatric Epidemiology DOI: 10.1007/s00127-010-0183-5

Crane, C., Williams, J. M. G., Hawton, K., Arensman, E., Hjelmeland, H., Bille-Brahe, U., Corcoran, P., De Leo, D., Fekete, S., Grad, O., Haring, C., Kerkhof, A., Lonnqvist, J., Michel, K., Salander-Renberg, E., Schmidtke, A., Van Heeringen, K., Wasserman, D. (2007) The association between life events and suicide intent in self-poisoners with and without a history of deliberate self harm: A preliminary study. Suicide and Life-Threatening Behavior, 37, 367-378.

Sinclair, J., Crane, C., Hawton, K., Williams, J. M. G. (2007) The role of autobiographical memory specificity in deliberate self harm: correlates and consequences. Journal of Affective Disorders,102, 11-18

Sinclair, J., Green, J. (2005) Understanding resolution of deliberate self harm: qualitative interview study of patients' experiences. BMJ, 330, 1112-1115. doi:10.1136/bmj.38441.503333.8F

Haw, C., Hawton, K., Whitehead, L., Houston, K., Townsend, E. (2003) Assessment and aftercare for deliberate self-harm patients provided by a general hospital psychiatric service. Crisis, 24, 145-150.

Haw, C., Hawton, K., Houston, K., Townsend, E. (2003) Correlates of relative lethality and suicidal intent among deliberate self-harm patients. Suicide and Life-Threatening Behavior, 33, 353-364.

Hawton, K., Houston, K., Haw, C., Townsend, E., Harriss, L. (2003) Comorbidity of axis1 and axis2 disorders in patients who attempted suicide. American Journal of Psychiatry, 160, 1494-1.

Pooley, E. C., Houston, K., Hawton, K., Harrison, P. J. (2003) Deliberate self-harm is associated with allelic variation in the tryptophan hydroxylase gene (TPH A779C), but not with polymorphisms in five other serotonergic genes. Psychological Medicine, 33, 775-784.

Houston, K., Haw, C., Townsend, E., Hawton, K. (2003) General practitioner contacts with patients before and after deliberate self-harm. British Journal of General Practice, 53, 365-370.

Hawton, K., Haw, C., Houston, K., Townsend, E. (2002) Family history of suicidal behaviour: Prevalence and significance in deliberate self-harm patients. Acta Psychiatrica Scandinavica, 106, 387-393

Haw, C., Houston, K., Townsend, E., Hawton, K. (2002) Deliberate self-harm patients with depressive disorders: treatment and outcome Journal of Affective Disorders, 70, 57-65

Haw, C., Houston, K., Townsend, E., Hawton, K. (2001) Deliberate self-harm patients with alcohol disorders: characteristics, treatment and outcome. Crisis, 22, 93-101

Haw, C., Hawton, K., Houston, K., Townsend, E. (2001) Psychiatric and personality disorders in deliberate self-harm patients. British Journal of Psychiatry, 178, 48-54


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