Deliberate Self-harm (DSH) in BPD Clinically-important behavior common among patients with BPD
Self harm in Ireland - An update from the National Registry of Deliberate Self-harm Dr. Eve Griffin
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Transcript of Self harm in Ireland - An update from the National Registry of Deliberate Self-harm Dr. Eve Griffin
Self-Harm in Ireland:
An update from the National Registry of
Deliberate Self Harm
Dr Eve Griffin,
NSRF Information Evening,
28th November 2013
Suicide
Approx.
550
Deliberate
self harm
medically treated
Approx. 12,000
“
“Hidden” cases of
Deliberate self harm
Approx. 60,000
Suicide and medically treated deliberate self harm:
The tip of the ‘Iceberg’
National Registry of Deliberate
Self Harm
What is self-harm?
It is a non-fatal act
It is deliberately initiated
The individual knows it may cause physical harm to her or
himself and may cause death
It includes suicide attempts but there may be other intentions
involved
Registry Objectives
Establish the extent of hospital-
treated self-harm in Ireland
Monitor trends over time and by area
In 2012, there were 12,010 presentations
Trends in rate of self-harm
0
25
50
75
100
125
150
175
200
225
250
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Ag
e-s
tan
da
rdis
ed
rate
pe
r 1
00
,00
0
Women Men
+20%
+6%
+12%
0
100
200
300
400
500
600
700
10-1
4
15-1
9
20-2
4
25
-29
30
-34
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75-7
9
80-8
4
85
+
Rate
per
100,0
00
Age group Men Women
Incidence rate by age and gender
Key Outcomes
More women present to an ED with self-harm than men
15-19 year-old females and 20-24 year-old males
Almost three-quarters of presentations involved drug overdose (69%)
Inpatient admission was the next stage of care in 38% of all cases
15% of people presented more than once during the year
Methods of self-harm by gender
Alcohol was involved in 38% of all cases (42% in men, 36% in women)
Drug overdose only
Self-cutting only
Overdose & self-cutting
Attempted hanging only
Attempted drowning only
Other
Men Women
Who is the information relevant for?
Registry
Hospitals
National Office for Suicide
Prevention
Politicians
Professional Health Care
Workers
Academia
International agencies
Actions arising from the Registry
The implementation of self-harm specialist nurses in hospital EDs as part of
the National Mental Health Programme (2013-2014)
The implementation of Dialectical Behavioral Therapy at national level
(2013-2015)
The implementation of guidelines for assessment and management of self-
harm patients presenting to Irish EDs (2013-2014)
Restricting access to benzodiazepines (NOSP working group)
More information?
+21 420 5551
www.nsrf.ie