Future self-harm may be reduced with a brief psychological intervention, but perhaps only for the more severe

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Angharad de Cates explores a recent RCT of a brief psychological intervention to reduce repetition of self-harm in patients admitted to hospital following a suicide attempt.

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Psychodynamic programmes for personality disorders: residential versus community treatment

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Keir Harding explores a recent study of community-based, step-down, and residential specialist psychodynamic programmes for personality disorders, which includes some surprising findings.

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Trauma-related childhood hospital admission linked with self-harm and violent crime in young adults

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Emily Stapley summarises a recent Danish national cohort study, which looks at self-harm and violent criminality among young people who experienced trauma-related childhood hospital admission.

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Predicting suicide following self-harm: risk analysis provides little help

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Camille Hart, Alys Cole-King and Siobhan O’Neill co-author this blog about a recent systematic review of risk factors and risk scales, which explores the feasibility of predicting suicide following self-harm.

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Mental health of prisoners: have we reached a state of crisis?

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Ian Cummins highlights the increased risk of all-cause mortality, suicide, self-harm, violence and victimisation in prisoners. He welcomes a recent review of reviews which contains clinical, policy and research recommendations.

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Lithium for bipolar disorder: the best maintenance mood stabiliser protection against self-harm and suicide?

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Michael Ostacher provides a robust appraisal of a recent UK cohort study that suggests bipolar disorder patients taking lithium had reduced self-harm and unintentional injury rates, when compared with patients taking valproate, olanzapine or quetiapine.

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Self-harm on the rise, but many denied mental health assessments

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Katrina Witt explores a recently published paper that draws on the Multicentre Study of Self-Harm in England. The cohort study found that around one-half of self-harm patients do not receive psychosocial assessment, despite 2004 NICE guidance that recommends everyone who has self-harmed should have a comprehensive assessment of needs and risk.

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#PreventableHarm discussion 20/7/16: Can risk assessment in mental health be evidence-based?

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Can risk assessment in mental health be evidence-based? Join us for the #PreventableHarm discussion in London on Wed 20th July 2016. This free open ‘question time’ style debate is being organised by the UCL Division of Psychiatry, The Lancet Psychiatry and the National Elf Service.

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Self-harm in primary care: more prescribing than referrals

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Olivia Kirtley and Alys Cole-King present a major new cohort study, which includes worrying evidence about the clinical management of patients in primary care following self-harm.

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Self-harm in young people: how can we support parents and families?

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Olivia Kirtley summarises an important new qualitative study that explores the impact of self-harm in young people on their parents and families.

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