TY  - JOUR
PY  - 2014//
TI  - Can early follow-up after deliberate self-harm reduce repetition? A prospective study of 325 patients
JO  - Journal of affective disorders
A1  - Bilén, Katarina
A1  - Pettersson, Hans
A1  - Owe-Larsson, Björn
A1  - Ekdahl, Karin
A1  - Ottosson, Carin
A1  - Castrén, Maaret
A1  - Ponzer, Sari
SP  - 320
EP  - 325
VL  - 152-154
IS  - 
N2  - BACKGROUND: Patients who deliberately harm themselves often repeat their self-destructive acts. The objective of this study was to assess whether a follow-up visit within 10 days to a psychiatric consultant could reduce the frequency of repeated deliberate self-harm (DSH). METHODS: A cohort of 325 consecutive DSH patients attending two large emergency departments in Stockholm, Sweden, were included and followed for 6 months. Any visit to a psychiatric consultant within 10 days was registered as an early follow-up. Repeated DSH episode within 6 months among the 325 patients was detected via nationwide registers. Main outcome measure: Repeated DSH within 6 months. RESULTS: At 6 months follow-up 22 (24%) of 92 patients with an early follow-up had repeated their DSH acts compared to 58 (25%) of 233 patients without an early follow-up (OR 1.06 (95% CI: 0.60-1.85) p-value 0.85). After adjustment for possible confounders, multivariable analysis showed an OR of 1.22 (95% CI: 0.62-2.38, p-value 0.56). LIMITATIONS: Early follow-up was registered as any visit to a psychiatric consultant and no information regarding actions taken at the visit were obtained. CONCLUSION: After adjusting for other factors associated with repetition there was an association of patients who were offered and thereafter attended an early follow-up visit and a decreased risk of repeated DSH.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-0327
UR  - http://dx.doi.org/10.1016/j.jad.2013.09.032
ID  - ref1
ER  -