TITLE

The City-128 study of observation and outcomes

AUTHOR(S)
Bowers, Len
PUB. DATE
January 2007
SOURCE
BMC Psychiatry;2007 Supplement 1, Vol. 7, Special section p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background The City-128 study was designed to assess the contribution of patient, service environment, physical environment, containment usage, staff demography and staff attitudes to rates of self-harm and suicide by patients on acute psychiatric wards. Methods Using a multivariate cross-sectional design, data was collected from more than the planned sample of 128 wards in three regions of England. Over 50,000 end of shift reports and more than 10,000 questionnaires were collected during the study. Multilevel modelling was used to analyze the data. Results Constant special observation was not related to rates of self-harm, but intermittent observation was associated with reduced self-harm. Ward security policies were not related to self-harm, but locking of the ward door was associated with more self-harm. Some other coercive measures were associated with more self-harm. Admissions during the shift and the types of patient admitted were also influential factors. Greater numbers of qualified nursing staff on duty were associated with reduced self-harm. Many staff factors thought to be important were not associated with self-harm rates. Conclusion There were indications that a more liberal psychiatry with more emphasis on patient freedom and responsibility, and less use of containment (with one interesting exception) reduced rates of self-harm. Some significant changes to policy and practice may be required.
ACCESSION #
35704291

 

Related Articles

  • Study: Cause for concern regarding care of young patients who present to the ED following an episode of deliberate self-harm. Brooks, Dorothy // ED Management;Apr2012, Vol. 24 Issue 4, p42 

    The article discusses the study conducted by the researchers at Nationwide Children's Hospital in Columbus, Ohio, regarding the care provided for young patients presented to the emergency department (ED) due to self-harm. The study suggests that high percentage of the patients who visit ED were...

  • Self-harm and life problems: findings from the Multicentre Study of Self-harm in England. Townsend, Ellen; Ness, Jennifer; Waters, Keith; Kapur, Navneet; Turnbull, Pauline; Cooper, Jayne; Bergen, Helen; Hawton, Keith // Social Psychiatry & Psychiatric Epidemiology;Feb2016, Vol. 51 Issue 2, p183 

    Purpose: Self-harm is a major clinical problem and is strongly linked to suicide. It is important to understand the problems faced by those who self-harm to design effective clinical services and suicide prevention strategies. We investigated the life problems experienced by...

  • Effective suicide prevention measures for teenagers in Japan. Ken Inoue; Yasuyuki Fujita // British Journal of Psychiatry;Oct2013, Vol. 203 Issue 4, p312 

    A letter to the editor is presented in response to the article "Attempted Suicide v. Non-Suicidal Self-Injury: Behaviour, Syndrome or Diagnosis?" by A. M. Butler, and K. Malone in the previous issue.

  • Effective suicide prevention measures for teenagers in Japan. Butler, Aine M.; Malone, Kevin // British Journal of Psychiatry;Oct2013, Vol. 203 Issue 4, p312 

    A response to the author of the article "Attempted Suicide v. Non-Suicidal Self-Injury: Behaviour, Syndrome or Diagnosis?" in the previous issue is presented.

  • Risk and predictors of suicide and non-suicide mortality following non-fatal self-harm in Northern Taiwan. Chen, Vincent; Chou, Jen-Yu; Hsieh, Ti-Chen; Chang, Hung-Jung; Lee, Charles; Dewey, Michael; Stewart, Robert; Tan, Happy // Social Psychiatry & Psychiatric Epidemiology;Oct2013, Vol. 48 Issue 10, p1621 

    Objective: To investigate the risk and predictors of suicide and non-suicide mortality after self-harm in a Taiwanese population. Method: Between July 2006 and June 2008, 3,299 individuals who harmed themselves were recruited to a population-based self-harm register in Taoyuan County, Taiwan....

  • Impact of national policy initiatives on fatal and non-fatal self-harm after psychiatric hospital discharge time series analysis. Gunnell, David; Metcalfe, Chris; While, David; Hawton, Keith; Ho, Davidson; Appleby, Louis; Kapur, Nav // British Journal of Psychiatry;Sep2012, Vol. 201 Issue 3, p233 

    Background Risk of self-harm and suicide is greatly increased in the period after discharge from psychiatric in-patient care Aims To investigate the impact on suicide of a series of policy initiatives to enhance care in the immediate post-discharge period. Method A time series analysis was based...

  • Charity offers free counselling services in bid to reduce self-harm and suicide.  // British Journal of School Nursing;Jul/Aug2013, Vol. 8 Issue 6, p267 

    The article reports on the launch of mental health charity, MindFull, which will be offering free online professional counselling services to adolescents. In its report "Alone With My Thoughts," the charity revealed that two-thirds of young people in Great Britain believe adding mental health to...

  • Suicide awareness workshop programme.  // Mental Health Nursing;Oct2010, Vol. 30 Issue 5, p4 

    The article reports on the availability of a new course program entitled "Don't Be Afraid to Ask," which aims to explore self-harm and suicide issues relevant to children and young people in Great Britain.

  • A national audit of joint mother and baby admissions to UK psychiatric hospitals: an overview of findings. Salmon, M. P.; Abel, Kathryn; Webb, R.; Warburton, A. L.; Appleby, L. // Archives of Women's Mental Health;2004, Vol. 7 Issue 1, p65 

    Summary The Marcé Clinical Audit is an ongoing data collection exercise that gathers socio-demographic and clinical information about mothers and their infants, admitted jointly to specialist units in UK psychiatric hospitals. The maternal and parenting outcomes, in particular of mothers with...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics