Bibliographic Details
| Title: |
Global prevalence of psychosocial assessment following hospital-treated self-harm: systematic review and meta-analysis |
| Authors: |
Katrina Witt, Katie McGill, Bernard Leckning, Nicole T. M. Hill, Benjamin M. Davies, Jo Robinson, Gregory Carter |
| Source: |
BJPsych Open, Vol 10 (2024) |
| Publisher Information: |
Cambridge University Press, 2024. |
| Publication Year: |
2024 |
| Collection: |
LCC:Psychiatry |
| Subject Terms: |
Self-harm, suicide, mental health services, psychosocial interventions, risk assessment, Psychiatry, RC435-571 |
| More Details: |
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. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2056-4724 |
| Relation: |
https://www.cambridge.org/core/product/identifier/S2056472423006257/type/journal_article; https://doaj.org/toc/2056-4724 |
| DOI: |
10.1192/bjo.2023.625 |
| Access URL: |
https://doaj.org/article/32129cd1a65c4323b13443ce98b3b193 |
| Accession Number: |
edsdoj.32129cd1a65c4323b13443ce98b3b193 |
| Database: |
Directory of Open Access Journals |
