Morgan H G, Barton J, Pottle S, Pocock H, Burns-Cox C J
Br J Psychiatry. 1976 Apr;128:361-8. doi: 10.1192/bjp.128.4.361.
Two-hundred-and-seventy-nine patients (103 men, 176 women) were followed-up 1-2 years after an act of non-fatal deliberate self-harm. Of 155 patients offered a psychiatric out-patient appointment at the time, only 68 completed the treatment. A further act of deliberate self-harm was committed by 26 men and 41 women within twelve months. The factors most highly associated with repetition were previous psychiatric treatment, a previous act of deliberate self-harm, and a criminal record. These factors held good for a separate series of patients. Significantly more repeaters received prolonged psychiatric care after the initial episode of deliberate self-harm. The implications of these findings for the clinical management of such patients are discussed.
279名患者（103名男性，176名女性）在非致命性蓄意自伤行为发生后接受了1至2年的随访。当时提供了精神科门诊预约的155名患者中，只有68名完成了治疗。在十二个月内，有26名男性和41名女性再次实施了蓄意自伤行为。与再次自伤关联度最高的因素是既往接受过精神科治疗、既往有蓄意自伤行为以及有犯罪记录。这些因素在另一组患者中同样适用。在首次蓄意自伤事件后，明显更多的再次自伤者接受了长期精神科护理。文中讨论了这些发现对这类患者临床管理的意义。
