Self-harm and attempted suicide within inpatient psychiatric services: A review of the literature

James, Karen, Stewart, Duncan and Bowers, Len (2012) Self-harm and attempted suicide within inpatient psychiatric services: A review of the literature. International Journal of Mental Health Nursing, 21(4), pp. 301-309. ISSN (print) 1445-8330

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Self harm is a major public health concern, yet there are considerable challenges in providing support for those who self harm within psychiatric inpatient services. This paper presents the first review of research into self harm within inpatient settings. Searches of the main electronic databases were conducted using key words for self harm and inpatient care. There was substantial variation in the rates of self-harm and attempted suicide between studies, but rates were highest on forensic wards. There was no evidence of differences in prevalence of self-harm between men and women; women, however, were at increased risk of attempting suicide. People were more likely to self-harm in private areas of the ward and in the evening hours, and often self-harmed in response to psychological distress, or elements of nursing care that restricted their freedom. Wards used a variety of strategies to prevent self-harm; however, there is little research into their effectiveness.

Item Type: Article
Uncontrolled Keywords: attempted suicide, deliberate self-harm, inpatients, psychiatry, suicidal ideation
Research Area: Health services research
Nursing and midwifery
Faculty, School or Research Centre: Faculty of Health and Social Care Sciences (until 2013)
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Depositing User: Karen James
Date Deposited: 06 Jun 2016 09:10
Last Modified: 06 Jun 2016 09:10

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