Tyrer P, Thompson S, Schmidt U, et al. Randomized controlled trial of a brief cognitive behaviour therapy versus treatment as usual in recurrent deliberate self-harm: the POPMACT study. Psychol Med 2003;33:969–76; and Byford S, Knapp M, Greenshields J, et al. Cost-effectiveness of brief cognitive behaviour therapy versus treatment as usual in recurrent deliberate self-harm: a decision-making ap...

Deliberate self-injury is a significant social problem affecting youth in New Zealand. Rates of hospitalisation for youth (aged 15 to 19) from deliberate self-injury approximate 225 per 100,000. It appears that the rates for Maori and women are significantly higher. From 1987 to 1993, an average of 488 Maori women per 100 000 population have been hospitalised each year (Ministry of Health: Mana...

Deliberate self-poisoning is one of the commonest reasons for hospital admission in the UK and people who deliberately self-harm are often difficult to engage. Solution-focused brief therapy could help these people as it has the potential to be effective after one session. The liaison psychiatry team at St Luke's Hospital, Middlesbrough, undertook a research project to evaluate the use of SFBT ...

The recent changes in NHS management structure have allowed us for the first time, to estimate the cost of treatment of an illness. We wanted to determine the treatment cost of a case of deliberate self-harm (DSH) to a large University Teaching Hospital and to this aim, we reviewed the case notes of 190 consecutive cases of deliberate self-harm presenting to A&E. On average, each attendance cos...

OBJECTIVE To examine national patterns in the emergency department assessment and treatment during visits by young people, aged 7 to 24 years, who are seen following an episode of deliberate self-harm. METHOD An analysis was conducted of a nationally representative sample of hospital emergency department visits from the 1997-2002 National Hospital Ambulatory Medical Care Survey focusing on vi...

This study examined the relationship between meaning making and rumination regarding stressful events. We focused on two facets of rumination: intrusive and deliberate. Participants (N = 121) completed a questionnaire about a stressful event in their life that assessed the possibility of preventing the event, probability of the event occurring, perceived threat of the event, and meaning making....

OBJECTIVE To develop a working model that provides an understanding of the process of deliberate self-harm and a framework for psychological intervention in an emergency department setting. METHOD A retrospective clinical audit of a consecutive series of 51 deliberate self-harm patients referred to the liaison psychiatry service by the emergency department of an inner city hospital. RESULTS...