Deborah K Casey

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BACKGROUND Self-harm is a major healthcare problem in the United Kingdom, but monitoring of hospital presentations has largely been done separately in single centres. Multicentre monitoring of self-harm has been established as a result of the National Suicide Prevention Strategy for England. METHOD Data on self-harm presentations to general hospitals in(More)
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(More)
Repetition of deliberate self-harm (DSH) is common. Some patients repeat multiple times. We have investigated the characteristics of repeaters, and mortality in three groups of DSH patients by repetition status. Data collected by the Oxford Monitoring System for Attempted Suicide were used to examine the pattern of repetition of DSH patients presenting to a(More)
BACKGROUND Psychosocial assessment is central to the management of self-harm, but not all individuals receive an assessment following presentation to hospital. Research exploring the factors associated with assessment and non-assessment is sparse. It is unclear how assessment relates to subsequent outcome. METHODS We identified episodes of self-harm(More)
BACKGROUND Deliberate self-harm (DSH; intentional self-poisoning or self-injury) is a major problem among young people and has been identified as one of the key mental health problems affecting students. METHOD Data on DSH presentations to the general hospital in Oxford by Oxford University students were analysed for the 12-year period from 1993 to 2005.(More)
BACKGROUND Little is known about self-harm in the armed forces. AIMS To investigate the characteristics of armed forces personnel presenting to a general hospital following self-harm and compare these with matched controls who had self-harmed. METHOD Investigation of armed forces personnel presenting to hospital between 1989 and 2003 following self-harm(More)
BACKGROUND International studies report high rates of deliberate self-harm (DSH) and suicide in the homeless. Little is known about DSH among homeless people in the UK and their subsequent risk of death from suicide and non-suicidal causes. METHOD We have carried out a study of no fixed abode (NFA) patients using data collected through the Oxford(More)
Monitoring of deliberate self-harm (DSH) presentations to hospitals (and in other settings) is receiving increased attention in many countries. This is due to greater recognition of the size of the problem and awareness of its relevance to suicide prevention policy initiatives, because of the strong association between DSH and suicide. A system for(More)
PURPOSE To determine whether rates of suicide and self-harm in university students differ from those in other young people. METHODS We obtained information on Oxford University students who died by suicide or presented to hospital following deliberate self-harm (DSH) between 1976 and 2006 from official records and a General Hospital monitoring system in(More)
BACKGROUND Problems relating to alcohol use are very common among deliberate self-harm (DSH) patients, and alcohol abuse increases the risk of both DSH and suicide. In the UK, per capita consumption of alcohol has risen by 50% since 1970. The proportion of women (but not men) drinking in excess of government-recommended limits has also increased. We(More)