Motives for deliberate self-harm in a South African tertiary hospital.
DSH
attempted
deliberate self-harm
self-injury
suicidal behaviour
suicide
Journal
The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa
ISSN: 1608-9685
Titre abrégé: S Afr J Psychiatr
Pays: South Africa
ID NLM: 100958626
Informations de publication
Date de publication:
2021
2021
Historique:
received:
12
02
2020
accepted:
21
09
2020
entrez:
19
2
2021
pubmed:
20
2
2021
medline:
20
2
2021
Statut:
epublish
Résumé
Although there is a growing body of literature on the epidemiology of deliberate self-harm (DSH) in South Africa, comparatively few studies have investigated the motives for self-harm. No studies have investigated the motives for DSH in Cape Town. The objective of the study was to identify the range of motives for DSH in Cape Town, and how these motives are associated with different socio-demographic factors, the severity of self-injury and levels of suicidal intent. Groote Schuur Hospital in Cape Town, South Africa. Data were collected from 238 consecutive patients presenting with DSH to the emergency department. The data were analysed by using bivariate and multivariate analyses. Patients engaged in DSH for a range of motives. Interpersonal issues were the most common motive (70%), followed by financial concerns (22%). Male patients were twice as likely as female patients to report interpersonal motives for their self-harm. Patients who reported interpersonal issues were more likely to engage in methods of DSH that involved damage to body tissues. Patients without tertiary education were more likely to report academic concerns as a motive, and patients who reported psychiatric illness as motive for DSH were more likely to require medical interventions than those who did not. This study contributes novel insights into the motives for DSH in the Cape Town context and provides the foundation for continued research on the subject. The study also gives impetus to the development of therapeutic interventions focussed on the motives for self-harm.
Sections du résumé
BACKGROUND
BACKGROUND
Although there is a growing body of literature on the epidemiology of deliberate self-harm (DSH) in South Africa, comparatively few studies have investigated the motives for self-harm. No studies have investigated the motives for DSH in Cape Town.
AIM
OBJECTIVE
The objective of the study was to identify the range of motives for DSH in Cape Town, and how these motives are associated with different socio-demographic factors, the severity of self-injury and levels of suicidal intent.
SETTING
METHODS
Groote Schuur Hospital in Cape Town, South Africa.
METHODS
METHODS
Data were collected from 238 consecutive patients presenting with DSH to the emergency department. The data were analysed by using bivariate and multivariate analyses.
RESULTS
RESULTS
Patients engaged in DSH for a range of motives. Interpersonal issues were the most common motive (70%), followed by financial concerns (22%). Male patients were twice as likely as female patients to report interpersonal motives for their self-harm. Patients who reported interpersonal issues were more likely to engage in methods of DSH that involved damage to body tissues. Patients without tertiary education were more likely to report academic concerns as a motive, and patients who reported psychiatric illness as motive for DSH were more likely to require medical interventions than those who did not.
CONCLUSION
CONCLUSIONS
This study contributes novel insights into the motives for DSH in the Cape Town context and provides the foundation for continued research on the subject. The study also gives impetus to the development of therapeutic interventions focussed on the motives for self-harm.
Identifiants
pubmed: 33604071
doi: 10.4102/sajpsychiatry.v27i0.1524
pii: SAJPsy-27-1524
pmc: PMC7876963
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1524Informations de copyright
© 2021. The Authors.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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