title: Assessment rates and compliance with assertive follow-up after self-harm: cohort study.
abstract: The objectives of this study were to identify 1) the proportion of self-harm episodes that resulted in assessment by a specialist self-harm team and offers, attendance, and completion of brief therapy and 2) the factors associated with these treatment options. A prospective cohort study of 717 hospital presentations of self-harm was conducted. Rates of assessment, offers and completion of therapy ranged from 50% to 60%. Of those offered therapy, 73% attended one or more sessions. Attendance was associated with depressive psychopathology and existing treatment in primary care. These results may reflect some of the challenges of engaging this patient group. We found that receipt of treatment was determined by patient factors. Future studies might also examine the role of service-related or clinician factors.
authors.affiliation: Centre for Suicide Prevention, The University of Manchester, Manchester Academic Health Science Centre, Oxford Road, Manchester, UK. elizabeth.murphy@manchester.ac.uk
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Murphy
authors.forename: Sarah
authors.initials: S
authors.lastname: Steeg
authors.forename: Jayne
authors.initials: J
authors.lastname: Cooper
authors.forename: Ricci
authors.initials: R
authors.lastname: Chang
authors.forename: Clive
authors.initials: C
authors.lastname: Turpin
authors.forename: Else
authors.initials: E
authors.lastname: Guthrie
authors.forename: Navneet
authors.initials: N
authors.lastname: Kapur
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D010349:Patient Compliance; D016728:Self-Injurious Behavior / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D055815:Young Adult