Journal article

The Repeated Episodes of Self-Harm (RESH) score: A tool for predicting risk of future episodes of self-harm by hospital patients

Matthew J Spittal, Jane Pirkis, Matthew Miller, Gregory Carter, David M Studdert

JOURNAL OF AFFECTIVE DISORDERS | ELSEVIER | Published : 2014

Abstract

BACKGROUND: Repetition of hospital-treated deliberate self-harm is common. Several recent studies have used emergency department data to develop clinical tools to assess risk of self-harm or suicide. Longitudinal, linked inpatient data is an alternative source of information. METHODS: We identified all individuals admitted to hospital for deliberate self-harm in two Australian states (~350 hospitals). The outcome of interest was a repeated episode of self-harm (non-fatal or fatal) within 6 months. Logistic regression was used to identify a set of predictors of repetition. A risk calculator (RESH: Repeated Episodes of Self-Harm) was derived directly from model coefficients. RESULTS: There wer..

View full abstract