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Pain and deliberate self-harm: an important association.
J Psychosom Res. 2005 Apr; 58(4):317-20.JP

Abstract

OBJECTIVE

The aim of this study was to establish how often pain was a factor contributing to an episode of deliberate self-harm.

METHOD

Retrospective case note examination of all deliberate self-harm patients with concurrent medical problems admitted to a general hospital over 2 years.

RESULTS

Pain was considered to be a contributory factor in the episode of deliberate self-harm in 75 (4%) of the total number of episodes of deliberate self-harm (1665) over the 2-year period. These patients were older and had higher suicide intent scores, but lower rates of previous psychiatric illness or alcohol or drug misuse than did the deliberate self-harm patients with medical problems but no pain. Although 60% had experienced pain for more than 6 months only, 8 (12%) were attending the local Pain Clinic at the time of the deliberate self-harm.

CONCLUSION

We propose closer collaboration between general hospital services and local pain clinics for deliberate self-harm patients with painful disorders. Clinicians need to assess suicidal ideation and risk of self-harm when prescribing for this population.

Authors+Show Affiliations

University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX, England, UK.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15992566

Citation

Theodoulou, Megan, et al. "Pain and Deliberate Self-harm: an Important Association." Journal of Psychosomatic Research, vol. 58, no. 4, 2005, pp. 317-20.
Theodoulou M, Harriss L, Hawton K, et al. Pain and deliberate self-harm: an important association. J Psychosom Res. 2005;58(4):317-20.
Theodoulou, M., Harriss, L., Hawton, K., & Bass, C. (2005). Pain and deliberate self-harm: an important association. Journal of Psychosomatic Research, 58(4), 317-20.
Theodoulou M, et al. Pain and Deliberate Self-harm: an Important Association. J Psychosom Res. 2005;58(4):317-20. PubMed PMID: 15992566.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pain and deliberate self-harm: an important association. AU - Theodoulou,Megan, AU - Harriss,Louise, AU - Hawton,Keith, AU - Bass,Christopher, PY - 2003/06/24/received PY - 2004/10/29/accepted PY - 2005/7/5/pubmed PY - 2005/12/24/medline PY - 2005/7/5/entrez SP - 317 EP - 20 JF - Journal of psychosomatic research JO - J Psychosom Res VL - 58 IS - 4 N2 - OBJECTIVE: The aim of this study was to establish how often pain was a factor contributing to an episode of deliberate self-harm. METHOD: Retrospective case note examination of all deliberate self-harm patients with concurrent medical problems admitted to a general hospital over 2 years. RESULTS: Pain was considered to be a contributory factor in the episode of deliberate self-harm in 75 (4%) of the total number of episodes of deliberate self-harm (1665) over the 2-year period. These patients were older and had higher suicide intent scores, but lower rates of previous psychiatric illness or alcohol or drug misuse than did the deliberate self-harm patients with medical problems but no pain. Although 60% had experienced pain for more than 6 months only, 8 (12%) were attending the local Pain Clinic at the time of the deliberate self-harm. CONCLUSION: We propose closer collaboration between general hospital services and local pain clinics for deliberate self-harm patients with painful disorders. Clinicians need to assess suicidal ideation and risk of self-harm when prescribing for this population. SN - 0022-3999 UR - https://www.unboundmedicine.com/medline/citation/15992566/Pain_and_deliberate_self_harm:_an_important_association_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3999(04)00695-6 DB - PRIME DP - Unbound Medicine ER -