Table 1.
Variation in management of self harm patients across 32 English hospitals
| Hospital size (No of acute beds 2000-1 to nearest 100)* | Service scale score (maximum 21) | No (%) receiving psychosocial assessment†‡ | No (%) assessed by senior house officer in psychiatry alone§ | No (%) admitted to hospital bed‡¶ | No (%) admitted to a psychiatric bed‡** | No (%) referred for specialist mental health follow up‡ †† | No of self harm episodes during eight week audit |
|---|---|---|---|---|---|---|---|
|
Hospitals with a designated self harm or liaison service
|
|
|
|
|
|
||
| 600 | 11 | 174 (70.7) | 1 (0.6) | 149 (60.6) | 13 (5.3) | 128 (53.1) | 246 |
| 400 | 11 | 91 (57.6) | 0 | 77 (48.7) | 11 (7.0) | 81 (51.3) | 158 |
| 400 | 11 | 66 (62.9) | 21 (33.9) | 58 (55.2) | 4 (3.8) | 55 (52.9) | 105 |
| 1000 | 16 | 130 (48.5) | 36 (34.6) | 116 (43.5) | 25 (9.6) | 132 (51.0) | 268 |
| 300 | 14.5 | 37 (44.1) | 3 (10.0) | 35 (41.7) | 7 (8.3) | 54 (64.3) | 84 |
| 700 | 13.5 | 80 (55.2) | 13 (24.5) | 62 (42.5) | 26 (17.9) | 88 (61.1) | 146 |
| 500 | 14 | 83 (60.6) | 28 (38.9) | 53 (38.7) | 11 (8.2) | 67 (49.6) | 137 |
| 1000 | 8.5 | 118 (68.6) | 3 (2.8) | 120 (69.8) | 9 (5.3) | 83 (50.0) | 172 |
| 300 | 14 | 40 (48.8) | 0 | 42 (51.2) | 2 (2.5) | 32 (39.5) | 82 |
| 600 | 7.5 | 43 (36.4) | 0 | 30 (25.9) | 10 (8.6) | 76 (66.1) | 118 |
| 1000 | 15.5 | 103 (50.2) | 22 (23.7) | 49 (24.4) | 10 (5.0) | 70 (34.7) | 205 |
| 700 | 12 | 124 (70.5) | 34 (34.3) | 153 (83.2) | 16 (9.6) | 77 (46.1) | 184 |
| 400 | 11.5 | 39 (38.2) | 8 (36.4) | 35 (34.0) | 16 (16.0) | 51 (51.5) | 103 |
| 400 | 8.5 | 46 (35.7) | 12 (35.3) | 52 (40.0) | 12 (9.2) | 58 (45.3) | 130 |
| 700 | 17.5 | 104 (55.0) §§ | NA | 59 (31.2) §§ | 29 (15.3) | 95 (51.9) §§ | 189 |
| 800 | 13.5 | 97 (71.9) | 11 (14.5) | 40 (29.9) | 19 (14.5) | 63 (48.8) | 135 |
| 400 | 8 | 32 (41.0) | 0 | 17 (21.8) | 12 (15.4) | 31 (39.7) | 78 |
| 700 | 7 | 69 (51.9) | ¶¶ | 77 (57.5) | 29 (22.7) | 79 (63.2) | 134 |
| 300 | 10.5 | 115 (71.9) | 0 | 56 (35.0) | 12 (7.5) | 97 (61.0) | 160 |
| 200 | 11 | 58 (55.8) | 13 (31.0) | 26 (25.0) | 16 (15.4) | 48 (46.2) | 104 |
| 500 | 15.5 | 112 (44.8) | 9 (11.1) | 107 (42.5) | 30 (12.1) | 163 (66.5) | 252 |
| 400 | 20 | 88 (65.2) | 23 (32.4) | 56 (41.5) | 17 (12.6) | 93 (68.9) | 135 |
| 700 | 16 | 81 (54.7) | 2 (3.0) | 39 (26.4) | 14 (9.5) | 81 (55.4) | 150 |
| Summary: mean (range) | 12.5 (7-20) | 54.8% (35.7%-71.9%) | 17.5% (0-38.9%) | 42.2% (21.8%-83.2%) | 10.5% (2.5%-22.7%) | 52.9% (34.7%-68.9%) | 151 (78-268) |
|
Hospitals with no designated self harm or liaison service
|
|
|
|
|
|
||
| 200 | 11.5 | 49 (76.6) | 42 (95.5) | 39 (60.9) | 4 (6.3) | 32 (50.0) | 64 |
| 300 | 15 | 34 (53.1) | 26 (100) | 45 (70.3) | 5 (7.9) | 34 (54.0) | 64 |
| 400 | 10 | 32 (42.1) | 18 (90.0) | 35 (44.3) | 12 (15.2) | 38 (48.7) | 79 |
| 200 | 10 | 52 (76.5) | 44 (100) | 22 (32.9) | 8 (11.4) | 44 (63.8) | 70 |
| 300 | 7.5 | 36 (49.3) ‡‡ | 9 (33.3) ‡‡ | 23 (31.5) ‡‡ | 8 (11.3) ‡‡ | 41 (56.9) ‡‡ | 73 ‡‡ |
| 400 | 8 | 56 (67.5) | 40 (90.9) | 58 (69.1) | 11 (13.3) | 37 (44.6) | 84 |
| 700 | 9.5 | 32 (38.1) | 0 | 27 (32.1) | 5 (6.0) | 39 (47.6) | 84 |
| 300 | 10 | 67 (81.7) | 44 (91.7) | 68 (82.9) | 19 (23.8) | 65 (82.3) | 82 |
| 500 | 14 | 52 (36.4) | ¶¶ | 70 (47.6) | 11 (7.7) | 72 (51.8) | 147 |
| Summary: mean (range) | 10.6 (7.5-15) | 57.9% (36.4%-81.7%) | 75.2% (0-100%) | 52.4% (31.5%-82.9%) | 11.4% (6.0%-23.8%) | 55.5% (44.6%-82.3%) | 86 (64-147) |
NA=not available.
¶Data missing for 10/4033 (0.3%). ** Data missing for 70/4033 (1.7%). †† Data missing for 100/4033 (2.5%). ‡‡ Data for this hospital are for a six week period.
§§Data provided by the hospital from a recent in-house audit. ¶¶ Data not included as missing for >10% episodes.
*
From Department of Health Hospital Activity Statistics.
†
Data missing for 26/4033 (0.6%).
‡
Information on missing data not available for 189 episodes where management data were provided by the hospital from a recent in-house audit.
§
Data missing for 8/1736 (0.5%); because of missing data, the data shown are for episodes where the patient was not admitted to a psychiatric bed.