ArticleSocial psychiatry and psychiatric epidemiology2017
Socioeconomic deprivation and the clinical management of self-harm: a small area analysis.
Article in Social psychiatry and psychiatric epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed, 13 citations in OpenAlex.
- Incidence trends and clinical management of self-harm in adolescents and young adults in catalonia: primary care cohort study (2013-2022).European child & adolescent psychiatry · 2026Article
- Risk of admission to hospital for self-harm after admission to hospital for COVID-19: French nationwide longitudinal study.BJPsych open · 2024Article
- Global prevalence of psychosocial assessment following hospital-treated self-harm: systematic review and meta-analysis.BJPsych open · 2024Review
- Factors explaining variation in recommended care pathways following hospital-presenting self-harm: a multilevel national registry study.BJPsych open · 2020Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
purposeSocioeconomic deprivation is associated with increased rates of self-harm but its association with levels of clinical care has not previously been explored. The aim of the current study was to investigate socioeconomic differences in the clinical management of people who self-harm.
methodsCross-sectional analysis of 3607 people presenting to a large inner-city hospital following self-harm.
resultsPeople living in the least deprived quintile were more likely to receive a psychosocial assessment (most vs. least deprived: 63.51 vs. 70.14%). This effect persisted in our fully adjusted model (OR 1.45, CI 1.15-1.82, p = 0.002). Mediation analysis suggested this association was in large part explained by higher rates of self-discharge in people presenting from areas of higher deprivation.
conclusionsCompared to those from more deprived areas, people from less deprived areas are more likely to receive a psychosocial assessment when presenting to hospital following self-harm. The occurrence of higher rates of self-discharge from emergency departments among those from more deprived areas may explain the association.
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