Methods of deliberate self-harm in a tertiary hospital in South Africa

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dc.contributor.authorPieterse, Deirdreen_ZA
dc.contributor.authorHoare, Jacquelineen_ZA
dc.contributor.authorLouw, Kerry-Annen_ZA
dc.contributor.authorBreet, Elsieen_ZA
dc.contributor.authorHenry, Michelleen_ZA
dc.contributor.authorLewis, Ianen_ZA
dc.contributor.authorBantjes, Jasonen_ZA
dc.date.accessioned2020-04-30T13:49:09Z
dc.date.available2020-04-30T13:49:09Z
dc.date.issued2020
dc.descriptionCITATION: Pieterse, D. et al. 2020. Methods of deliberate self-harm in a tertiary hospital in South Africa. South African Journal of Psychiatry, 26:a1399, doi:10.4102/sajpsychiatry.v26i0.1399.
dc.descriptionThe original publication is available at https://sajp.org.za
dc.description.abstractBackground: Little is known about the methods of deliberate self-harm (DSH) in South Africa (SA), despite the importance of means restriction as a public health strategy to reduce the morbidity and mortality associated with self-harm. Aim: The aim of this study was to investigate the range of methods used in DSH and identify the socio-demographic and clinical factors associated with violent and non-violent methods of DSH among patients treated at a tertiary hospital in SA. Setting: The study was conducted at an urban, tertiary level emergency department at Groote Schuur hospital in Cape Town, South Africa. Method: Data were collected from 238 consecutive DSH patients who presented for emergency department treatment at the hospital. Logistic regression models were used to explore the factors associated with violent and non-violent methods of DSH. Results: Self-poisoning was the most common method of self-harm (80.3%). Prescription medication was the most common form of self-poison (57.6%), while a large number of patients used non-prescription paracetamol (40.9%). In the regression analysis, male gender, stating that the reason for DSH was to escape a situation and history of substance use were associated with violent method of DSH. Conclusion: Improved monitoring of prescription medications commonly used in DSH is integral to public health suicide prevention strategies in SA. This study underscores the need for substance use interventions in the healthcare setting.en_ZA
dc.description.sponsorshipSouth African Medical Research Council
dc.description.urihttps://sajp.org.za/index.php/sajp/article/view/1399
dc.description.versionPublisher's version
dc.format.extent7 pages
dc.identifier.citationPieterse, D. et al. 2020. Methods of deliberate self-harm in a tertiary hospital in South Africa. South African Journal of Psychiatry, 26:a1399, doi:10.4102/sajpsychiatry.v26i0.1399.
dc.identifier.issn2078-6786 (online)
dc.identifier.issn1608-9685 (print)
dc.identifier.otherdoi:10.4102/sajpsychiatry.v26i0.1399
dc.identifier.urihttp://hdl.handle.net/10019.1/108506
dc.language.isoen_ZAen_ZA
dc.publisherAOSIS
dc.rights.holderAuthors retain copyright
dc.subjectParasuicide -- South Africaen_ZA
dc.subjectSuicide victims -- Socioeconomic status -- South Africaen_ZA
dc.subjectTeaching hospitals -- South Africaen_ZA
dc.subjectSuicide -- Prevention -- South Africaen_ZA
dc.subjectMental health services -- South Africaen_ZA
dc.titleMethods of deliberate self-harm in a tertiary hospital in South Africaen_ZA
dc.typeArticleen_ZA
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