While prevention of iatrogenic harm is a sufficient priority to determine service structures and practice, the concept of harm is largely restricted to the physical. Psychological harm has received scant attention despite its importance, particularly for children and adolescents. A professional climate increasingly reliant on measurement and evidence and coloured by fear of litigation contribut...

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 a...

In Canada, harm reduction has largely become accepted as the philosophical underpinning of the public health response to substance use. Examples of harm reduction strategies include methadone maintenance, needle exchange and server intervention programs. In general, these harm reduction interventions have had adult substance users as their implicit target. Increasingly, however, harm reduction ...

This study investigates 122 people's descriptions of their self-harm experiences using thematic analysis. Analysis revealed four themes: What counts as self-harm, What leads to self-harm, Intentions and Managing stigma. Our participants challenged commonly accepted understandings in terms of method, outcome and intentions. Several difficulties associated with discriminating between suicidal and...

OBJECTIVE Rates of hospital presentation for self-harm in England were compared using different national and local data sources. DESIGN The study was descriptive and compared bespoke data collection methods for recording self-harm presentations to hospital with routinely collected hospital data. SETTING Local area data on self-harm from the 3 centres of the Multicentre Study of Self-harm in...

BACKGROUND To describe how frequently harm is reported in the abstract of high impact factor medical journals. METHODS DESIGN AND POPULATION We carried out a blinded structured review of a random sample of 363 Randomised Controlled Trials (RCTs) carried out on human beings, and published in high impact factor medical journals in 2003. Main endpoint: 1) Proportion of articles reporting harm...

OBJECTIVES This study examines whether there is a difference between urban versus suburban and rural adolescents in their use of health services following two types of self-harm distinguished as self-harm with or without suicide intent. SETTING A nationwide cross-sectional school survey of 11 406 Norwegian adolescents aged 13-19 years in 73 Norwegian junior and senior high schools. PARTICIP...