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Centre for Suicide Research | Research | Multicentre monitoring of self harm |
Multicentre Monitoring of Deliberate Self Harm
The Centre for Suicide Research is co-ordinating a national collaboration of centres which collect data on deliberate self harm (DSH). The benefits of a multicentre approach are:
- Provision of accurate data on national trends in DSH that can better inform national suicide and DSH prevention strategies
- Identification of differences between centres related to local characteristics of services (for instance, admission policies)
- Provision of information regarding healthcare costs of DSH
- Establishment of a database that can be used to evaluate national preventative initiatives (for instance, the National Institute for Clinical Excellence (NICE) guideline for the NHS in England and Wales on the short-term treatment and management of self-harm)
- Establishment of a network that could take on other projects, including treatment and evaluation
The Department of Health has funded an 18 month pilot study in which research centres in Manchester and Leeds will collaborate with Oxford to establish the methodology for multicentre monitoring of deliberate self harm, recruit other centres to ensure that representative areas of England are covered, and produce preliminary reports on recent trends in self harm. The ultimate aim is to establish a long-term national monitoring system for DSH.
A summary of the initial results can be found on the CSIP website, or can be downloaded here as a Word document.
Publications arising from this work:
Bergen, H., Hawton, K., Waters, K., Cooper, J., Kapur, N. (2010) Epidemiology and trends in non-fatal self-harm in three centres in England, 2000 to 2007. British Journal of Psychiatry, 197, 493-498
Bergen, H., Murphy, E., Cooper, J., Kapur, N., Stalker, C., Waters, K., Hawton, K. (2010) A comparative study of non-fatal self-poisoning with antidepressants relative to prescribing in three centres in England. Journal of Affective Disorders, 123, 95-101.
Cooper, J., Murphy, E. W. R., Hawton, K., Bergen, H., Waters, K., Kapur, N. (2010) Ethnic differences in self-harm, rates, characteristics and service provision: a cohort study comparing three English cities. British Journal of Psychiatry, 197, 212-218.
Hawton, K., Bergen, H., Simkin, S., Cooper, J., Waters, K., Gunnell, D., Kapur, N. (2010) Toxicity of antidepressants: study of rates of suicide relative to prescribing and non-fatal overdose. British Journal of Psychiatry, 196, 354-358.
Bergen, H., Hawton, K., Murphy, E., Cooper, J., Kapur, N., Stalker, C., Waters, K. (2009) Trends in prescribing and self-poisoning in relation to UK regulatory authority warnings against use of SSRI antidepressants in under-18 year-olds. British Journal of Clinical Pharmacology, 68, 618-629.
Bergen, H., Murphy, E., Cooper, J., Kapur, N., Stalker, C., Waters, K., Hawton, K. (2009) A comparative study of non-fatal self-poisoning with antidepressants relative to prescribing in three centres in England. Journal of Affective Disorders, doi:10.1016/j.jad.2009.10.004
Cooper, J., Murphy, E., Bergen, H., Casey, D., Hawton, K., Owens, D., Lilley, R., Noble, R., Kapur, N. (2007) The effect of using NHS number as the unique identifier for patients who self-harm: a multi-centre descriptive study. Clinical Practice and Epidemiology in Mental Health, 3, 16 doi:10.1186/1745-0179-3-16
Hawton, K., Bergen, H., Casey, D., Simkin, S., Palmer, B., Cooper, J., Kapur, N., Horrocks, J., House, A., Lilley, R., Noble, R., Owens, D. (2007) Self-harm in England: a tale of three cities. Multicentre study of self-harm. Social Psychiatry and Psychiatric Epidemiology, 42, 513-521
Kapur, N., Murphy, E., Cooper, J., Bergen, H., Hawton, K., Simkin, S., Casey, D., Horrocks, J., Lilley, R., Noble, R., Owens, D. (2008) Psychosocial assessment following self-harm: results from the Multi-Centre Monitoring of Self-Harm Project. Journal of Affective Disorders, 106, 285-293
Lilley, R., Owens, D., Horrocks, J., House, A., Noble, R., Bergen, H., Hawton, K., Casey, D., Simkin, S., Murphy, E., Cooper, J., Kapur, N. (2008) Hospital care and repetition following self-harm: a multicentre comparison of self-poisoning and self-injury. British Journal of Psychiatry, 192, 440-445.
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