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首页> 外文期刊>The British journal of psychiatry : >Hospital care and repetition following self-harm: multicentre comparison of self-poisoning and self-injury.
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Hospital care and repetition following self-harm: multicentre comparison of self-poisoning and self-injury.

机译：自我伤害后的医院护理和重复：自我中毒和自我伤害的多中心比较。

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摘要

BACKGROUND: Quantitative research about self-harm largely deals with self-poisoning, despite the high incidence of self-injury. AIMS: We compared patterns of hospital care and repetition associated with self-poisoning and self-injury. METHOD: Demographic and clinical data were collected in a multicentre, prospective cohort study, involving 10,498 consecutive episodes of self-harm at six English teaching hospitals. RESULTS: Compared with those who self-poisoned, people who cut themselves were more likely to have self-harmed previously and to have received support from mental health services, but they were far less likely to be admitted to the general hospital or receive a psychosocial assessment. Although only 17% of people repeated self-harm during the 18 months of study, survival analysis that takes account of all episodes revealed a repetition rate of 33% in the year following an episode: 47% after episodes of self-cutting and 31% after self-poisoning (P0.001). Of those who repeated, a third switched method of self-harm. CONCLUSIONS: Hospital services offer less to people who have cut themselves, although they are far more likely to repeat, than to those who have self-poisoned. Attendance at hospital should result in psychosocial assessment of needs regardless of method of self-harm.
机译：背景：尽管自残率很高，但有关自残的定量研究仍主要涉及自毒。目的：我们比较了与自我中毒和自我伤害相关的医院护理和重复模式。方法：在一项多中心，前瞻性队列研究中收集了人口统计和临床数据，涉及六家英语教学医院连续10498例自残事件。结果：与自我中毒的人相比，割伤自己的人以前更容易受到自我伤害并获得了精神卫生服务的支持，但他们被送往综合医院或接受社会心理治疗的可能性要小得多评定。尽管在研究的18个月中只有17％的人重复自我伤害，但考虑到所有发作的生存分析显示，发作后一年的重复率是33％：自残发作后为47％，自残发作为31％中毒后（P <0.001）。在那些重复的人中，第三种切换了自我伤害的方法。结论：医院服务比那些自我中毒的人为割伤自己的人提供的服务更少，尽管他们更容易重复。不论自残方法如何，出院就诊应能对需求进行社会心理评估。

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