{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T06:58:46Z","timestamp":1763017126281},"reference-count":29,"publisher":"Hogrefe Publishing Group","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Crisis"],"published-print":{"date-parts":[[2011,7,1]]},"abstract":"<jats:p> Background: Marked differences have been found in the characteristics of people dying by suicide in Western and Asian countries. However, there is less information available on possible differences for deliberate self-harm (DSH). Aims: To compare the characteristics of people presenting to hospital in Hong Kong and Oxford (UK) with DSH, and to assess the outcome of those persons in Hong Kong. Methods: A sample of DSH patients admitted to the accident and emergency (A&amp;E) department of a regional hospital in Hong Kong was assessed and followed up 6 months later to assess the risk of repetition of DSH, and was then compared with such patients in Oxford. Results: The majority of patients in Hong Kong were female (male:female ratio of 1:2.4), young (59% were under 35), and had used self-poisoning (78%). Over one-third were single (37%) and one-fourth unemployed (26%). About half (49%) scored in the high or very high categories of the Beck\u2019s Suicide Intent Scale, considerably more so than in Oxford; 44.6% of patients defaulted psychiatric outpatient service during the 6-month follow-up period. The repetition rate within the following 6 months was 16.7%. The number of self-reported adverse life problems, history of childhood sexual and physical abuse, and repetitive self-mutilation were shown to be the factors most strongly correlated with the risk of re-attempt. Alcohol problems were much lower than in Oxford. Conclusions: The findings show that DSH patients in Hong Kong show some marked differences compared to those in Oxford. Implications for the prevention of repeated DSH in Hong Kong are discussed. <\/jats:p>","DOI":"10.1027\/0227-5910\/a000069","type":"journal-article","created":{"date-parts":[[2011,6,29]],"date-time":"2011-06-29T01:01:30Z","timestamp":1309309290000},"page":"217-224","source":"Crossref","is-referenced-by-count":28,"title":["A Study of Deliberate Self-Harm and Its Repetition Among Patients Presenting to an Emergency Department"],"prefix":"10.1027","volume":"32","author":[{"given":"Paul S. F.","family":"Yip","sequence":"first","affiliation":[{"name":"The HKJC Centre for Suicide Research and Prevention, The University of Hong Kong, Pokfulam, Hong Kong"},{"name":"Department of Social Work & Social Administration, Pokfulam, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith","family":"Hawton","sequence":"additional","affiliation":[{"name":"Centre for Suicide Research, Department of Psychiatry, Oxford University, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kayuet","family":"Liu","sequence":"additional","affiliation":[{"name":"Paul F. Lazarsfeld Center for the Social Sciences, Columbia University, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kwong-sun","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pauline W. L.","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pui-man","family":"Kam","sequence":"additional","affiliation":[{"name":"The HKJC Centre for Suicide Research and Prevention, The University of Hong Kong, Pokfulam, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yik-wa","family":"Law","sequence":"additional","affiliation":[{"name":"The HKJC Centre for Suicide Research and Prevention, The University of Hong Kong, Pokfulam, Hong Kong"},{"name":"Department of Social Work & Social Administration, Pokfulam, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tai-wai","family":"Wong","sequence":"additional","affiliation":[{"name":"Accident & Emergency Department, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","reference":[{"key":"c1","first-page":"45","volume-title":"The prediction of suicide","author":"Beck A. 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