Healthcare and social services resource use and costs of self-harm patients View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-04

AUTHORS

Julia M. A. Sinclair, Alastair Gray, Oliver Rivero-Arias, Kate E. A. Saunders, Keith Hawton

ABSTRACT

BACKGROUND: Patients who have self-harmed have increased morbidity across a wide range of health outcomes, but there is no evidence on their pattern of health and social service use, and its relationship with repetition of self-harm. Previous studies have shown that resource use and costs in the short-term hospital management of self-harm is associated with certain patient and service characteristics but their impact in the longer term has not been demonstrated. The aim of this study is to test the association between changing levels of costs of health and social care with further episodes of self-harm and to identify the clinical and social factors associated with this. METHOD: This was a cost-analysis incidence study of a sample of patients from a cohort of self-harm patients who remained within one region over the course of their follow-up. Resource use was retrospectively observed from their first episode of self-harm (dating back on some occasions to the 1970's), and costs applied. Panel data analyses were used to identify factors associated with observed costs over time. RESULTS: Patients with five or more episodes of self-harm had the highest levels of resource costs. Health and social care costs reduced with time from last episode of self-harm. In the year following the first episode of self-harm, psychiatric care accounted for 69% and psychotropic drug prescriptions 1% of the mean resource costs. CONCLUSIONS: The management of self-harm occurs within a complex system of health and social care. Major self-harm repeaters place the greatest cost burden on the system. Better understanding of the impact of risk assessment models and consequent service provision on clinical outcome may help in the design of effective services for this patient group. More... »

PAGES

263-271

References to SciGraph publications

  • 2001-05. Predictors of incident care service utilisation for mental health problems in the Dutch general population in SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
  • 2002-02. Health care contacts before and after attempted suicide in SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
  • 2005-06. A 20-year review of trends in deliberate self-harm in a British town, 1981–2000 in SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00127-010-0183-5

    DOI

    http://dx.doi.org/10.1007/s00127-010-0183-5

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1006693251

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/20174782


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