BACKGROUND: No ecological studies have examined the relationship between area characteristics, individual characteristics and self-harm repetition. AIMS: To investigate the association between area-level factors and incidence and repetition of self-harm, and to identify which area-level factors are independently associated with repetition after adjustment for individual factors. METHOD: Prospective cohort study using the Manchester Self-Harm database. Adults who were resident in Manchester and presented to an emergency department following self-harm between 1997 and 2002 were included (n = 4743). The main outcome measure was repeat self-harm within 6 months of the index episode. RESULTS: Four individual factors (previous self-harm, previous psychiatric treatment, employment status, marital status) and one area-based factor (proportion of individuals who were of White ethnicity) were independently associated with repetition. CONCLUSIONS: Repetition of self-harm may be more strongly related to individual factors than to area characteristics. We need to better understand the processes underlying ecological associations with suicidal behaviour before embarking on area-based interventions.
BACKGROUND: No ecological studies have examined the relationship between area characteristics, individual characteristics and self-harm repetition. AIMS: To investigate the association between area-level factors and incidence and repetition of self-harm, and to identify which area-level factors are independently associated with repetition after adjustment for individual factors. METHOD: Prospective cohort study using the Manchester Self-Harm database. Adults who were resident in Manchester and presented to an emergency department following self-harm between 1997 and 2002 were included (n = 4743). The main outcome measure was repeat self-harm within 6 months of the index episode. RESULTS: Four individual factors (previous self-harm, previous psychiatric treatment, employment status, marital status) and one area-based factor (proportion of individuals who were of White ethnicity) were independently associated with repetition. CONCLUSIONS: Repetition of self-harm may be more strongly related to individual factors than to area characteristics. We need to better understand the processes underlying ecological associations with suicidal behaviour before embarking on area-based interventions.
Authors: Keith Hawton; Helen Bergen; Deborah Casey; Sue Simkin; Ben Palmer; Jayne Cooper; Nav Kapur; Judith Horrocks; Allan House; Rachael Lilley; Rachael Noble; David Owens Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2007-05-21 Impact factor: 4.328
Authors: Matthew J Carr; Darren M Ashcroft; Evangelos Kontopantelis; Yvonne Awenat; Jayne Cooper; Carolyn Chew-Graham; Nav Kapur; Roger T Webb Journal: BMC Psychiatry Date: 2016-02-29 Impact factor: 3.630
Authors: Pauline Turnbull; Roger Webb; Nav Kapur; Caroline Clements; Helen Bergen; Keith Hawton; Jennifer Ness; Keith Waters; Ellen Townsend; Jayne Cooper Journal: BMC Psychiatry Date: 2015-10-19 Impact factor: 3.630
Authors: D W Knipe; D Gunnell; M Pearson; S Jayamanne; R Pieris; C Priyadarshana; M Weerasinghe; K Hawton; F Konradsen; M Eddleston; C Metcalfe Journal: J Affect Disord Date: 2018-02-05 Impact factor: 4.839
Authors: Nav Kapur; Sarah Steeg; Roger Webb; Matthew Haigh; Helen Bergen; Keith Hawton; Jennifer Ness; Keith Waters; Jayne Cooper Journal: PLoS One Date: 2013-08-01 Impact factor: 3.240