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Deliberate self harm: the hidden population.

S Cullum1, S O'Brien, A Burgess

  • 1St Andrews Hospital Norwich, UK.

Health Trends
|December 9, 1994
PubMed
Summary
This summary is machine-generated.

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Homeless individuals are often excluded from studies on deliberate self harm (DSH). This study found 15% of DSH patients in an inner London hospital were homeless, highlighting the need for better research methods to prevent suicide in this vulnerable population.

Area of Science:

  • Public Health
  • Epidemiology
  • Mental Health Research

Background:

  • Population-based studies on deliberate self harm (DSH) often exclude homeless individuals.
  • Homeless populations are frequently treated for DSH in inner-city hospitals.
  • The homeless may face a higher risk of eventual suicide.

Purpose of the Study:

  • To examine the demographic characteristics of patients presenting with DSH.
  • To identify the prevalence of homelessness among DSH patients in an inner London hospital.
  • To advocate for alternative research methodologies for studying DSH in the homeless.

Main Methods:

  • Retrospective analysis of patient data over a three-year period.
  • Inclusion of all patients presenting to an inner London hospital following an episode of DSH.

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  • Focus on demographic characteristics, specifically noting 'no fixed abode' status.

    • Main Results:

    • Fifteen percent (15%) of all patients presenting with DSH were identified as having no fixed abode.
    • This indicates a significant underrepresentation of the homeless in typical DSH epidemiological surveys.
    • The findings underscore the clinical reality of DSH within the homeless community.

    Conclusions:

    • Standard epidemiological surveys fail to represent the homeless population regarding DSH.
    • A substantial proportion of DSH patients in inner-city settings are homeless.
    • Developing alternative study methods is crucial for suicide prevention among the homeless.