ArticleArchives of disease in childhood2020
Self-harm presentation across healthcare settings by sex in young people: an e-cohort study using routinely collected linked healthcare data in Wales, UK.
Article in Archives of disease in childhood, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Raising Suicide in Medical Appointments-Barriers and Facilitators Experienced by Young Adults and GPs: A Mixed-Methods Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Patterns in health service use during and up to 1 year after an acute episode of hospital-presenting self-harm: data linkage cohort study of over 1.3 million records.BJPsych open · 2026Article
- Using Electronic Health Records to Identify Medical Presentation for Self-harm as a Predictor of Psychotic or Bipolar Disorders: A Systems-level Alternative to the Clinical High-risk Approach.Schizophrenia bulletin · 2026Article
- Antecedents and outcomes of a later attention-deficit hyperactivity disorder (ADHD) diagnosis in females.The British journal of psychiatry : the journal of mental science · 2026Article
- Self-harm in children involved in private and public family justice court proceedings: longitudinal national data linkage study.BJPsych open · 2026Article
- 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
- Self-harm before and during imprisonment: cohort study of males in prison linking population-based routinely collected data in Wales.BJPsych open · 2025Article
- Exploring How Intent of Self-Harm Affects Trainee Healthcare Practitioners' Views, Attitudes and Clinical Decision-Making in Northwest England: A Qualitative Study.International journal of environmental research and public health · 2025Article
- Self-harm and Violence Presenting to Emergency Care Registry (SAVER) project: protocol for a mixed-methods study.BMJ open quality · 2025Article
- Investigating family members' experiences of the implementation and effectiveness of a youth-focused suicide aftercare service: a qualitative study.BMC health services research · 2025Article
- Global burden and trends of self-harm from 1990 to 2021, with predictions to 2050.Frontiers in public health · 2025Article
- Mediating Effects of Sleep Problems and Emotional Symptoms in the Relationship Between Chronotype and Self-Harm Among Adolescents Aged 11-19 Years.Psychology research and behavior management · 2025Article
- How GPs can help young people avoid future self-harm: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Solution-focused approaches for treating self-injurious thoughts and behaviours: a scoping review.BMC psychiatry · 2024Article
- Exploring General Practitioners' Management of Self-Harm in Young People: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2024Article
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- Childhood cognitive ability and self-harm and suicide in later life.SSM - population health · 2024Article
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- Can a nation-wide e-cohort of ADHD and ASD in childhood be established using Welsh routinely available datasets?BMJ open · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundThis study used individual-level linked data across general practice, emergency departments (EDs), outpatients and hospital admissions to examine contacts across settings and time by sex for self-harm in individuals aged 10-24 years old in Wales, UK.
methodsA whole population-based e-cohort study of routinely collected healthcare data was conducted. Rates of self-harm across settings over time by sex were examined. Individuals were categorised based on the service(s) to which they presented.
resultsA total of 937 697 individuals aged 10-24 years contributed 5 369 794 person years of data from 1 January 2003 to 30 September 2015. Self-harm incidence was highest in primary care but remained stable over time (incident rate ratio (IRR)=1.0; 95% CI 0.9 to 1.1). Incidence of ED attendance increased over time (IRR=1.3; 95% CI 1.2 to 1.5) as did hospital admissions (IRR=1.4; 95% CI 1.1 to 1.6). Incidence in the 15-19 years age group was the highest across all settings. The largest increases were seen in the youngest age group. There were increases in ED attendances for both sexes; however, females are more likely than males to be admitted following this. This was most evident in individuals 10-15 years old, where 76% of females were admitted compared with just 49% of males. The majority of associated outpatient appointments were under a mental health specialty.
conclusionsThis is the first study to compare self-harm in people aged 10-24 years across primary care, EDs and hospital settings in the UK. The high rates of self-harm in primary care and for young men in EDs highlight these as important settings for intervention.
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