- Title
- Global prevalence of psychosocial assessment following hospital-treated self-harm: systematic review and meta-analysis
- Creator
- Witt, Katrina; McGill, Katie; Leckning, Bernard; Hill, Nicole T. M.; Davies, Benjamin M.; Robinson, Jo; Carter, Gregory
- Relation
- BJPsych Open Vol. 10, Issue 1, no. e29
- Publisher Link
- http://dx.doi.org/10.1192/bjo.2023.625
- Publisher
- Cambridge University Press
- Resource Type
- journal article
- Date
- 2024
- Description
- Background: Hospital-treated self-harm is common, costly and associated with repeated self-harm and suicide. Providing a comprehensive psychosocial assessment following self-harm is recommended by professional bodies and may improve outcomes. Aims: To review the provision of psychosocial assessments after hospital-presenting self-harm and the extent to which macro-level factors indicative of service provision explain variability in these estimates. Method: We searched five electronic databases to 3 January 2023 for studies reporting data on the proportion of patients and/or events that were provided a psychosocial assessment. Pooled weighted prevalence estimates were calculated with the random-effects model. Random-effects meta-regression was used to investigate between-study variability. Results: 119 publications (69 unique samples) were included. Across ages, two-thirds of patients had a psychosocial assessment (0.67, 95% CI 0.58-0.76). The proportion was higher for young people and older adults (0.75, 95% CI 0.36-0.99 and 0.83, 95% CI 0.48-1.00, respectively) compared with adults (0.64, 95% CI 0.54-0.73). For events, around half of all presentations had these assessments across the age range. No macro-level factor explained between-study heterogeneity. Conclusions: There is room for improvement in the universal provision of psychosocial assessments for self-harm. This represents a missed opportunity to review and tailor aftercare supports for those at risk. Given the marked unexplained heterogeneity between studies, the person- and system-level factors that influence provision of psychosocial assessments after self-harm should be studied further.
- Subject
- self-harm; suicide; mental health services; psychosocial interventions; risk assessment
- Identifier
- http://hdl.handle.net/1959.13/1500572
- Identifier
- uon:54963
- Identifier
- ISSN:2056-4724
- Rights
- © The Author(s), 2024. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/ licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
- Language
- eng
- Full Text
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