Ethnic differences in self-harm, rates, characteristics and service provision: three-city cohort study

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Abstract

Studies of self-harm in Black and minority ethnic (BME) groups have been restricted to single geographical areas, with few studies of Black people.To calculate age- and gender-specific rates of self-harm by ethnic group in three cities and compare characteristics and outcomes.A population-based self-harm cohort presenting to five emergency departments in three English cities during 2001 to 2006.A total of 20 574 individuals (16-64 years) presented with self-harm; ethnicity data were available for 75%. Rates of self-harm were highest in young Black females (16-34 years) in all three cities. Risk of self-harm in young South Asian people varied between cities. Black and minority ethnic groups were less likely to receive a psychiatric assessment and to re-present with self-harm.Despite the increased risk of self-harm in young Black females fewer receive psychiatric care. Our findings have implications for assessment and appropriate management for some BME groups following self-harm.

Keyword(s)

BME; attempted suicide; black and minority ethnic; clinical management; hospital services; mental health assessment; parasuicide; primary care; psychiatric assessment; psychosocial assessment; secondary care; self harm; self injury; self poisoning; self-destructive behaviour; self-harm; self-injurious behaviour; self-injury; self-poisoning; suicidal behaviour; suicide; therapeutic intervention

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