{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:12:38Z","timestamp":1777896758270,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T00:00:00Z","timestamp":1633392000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Sci Law"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>Individuals repeatedly detained under Section 136 (S136) of the Mental Health Act account for a significant proportion of all detentions. This study provides a detailed analysis of those repeatedly detained (\u2018repeat attenders\u2019) to a London Mental Health Trust, identifying key demographic profiles when compared to non-repeat attenders, describing core clinical characteristics and determining to what degree a past history of abuse might be associated with these.<\/jats:p>\n                  <jats:p>All detentions to the S136 suite at South West London and St George's Mental Health NHS Trust over a 5-year period (2015\u20132020) were examined. Data were collected retrospectively from electronic records. A total of 1767 patients had been detained, with 81 patients identified as being a \u2018repeat attenders\u2019 (having had &gt;\u2009=\u20093 detentions to the S136 suite during the study period). Repeat attenders accounted for 400 detentions, 17.7% of all detentions.<\/jats:p>\n                  <jats:p>Repeat attenders included a higher proportion of females (49.4%, p\u2009=\u20090.0001), compared to non-repeat attenders, and a higher proportion of them were of white ethnicity (85.2%, p\u2009=\u20090.001). 52 (64%) patients reported being a victim of past abuse or trauma. Of repeat attenders who reported past abuse or trauma, a high proportion had diagnoses of personality disorders, with deliberate self-harm as the most common reason for detention. They were more commonly discharged home with community support, rather than considered for hospital admission. In light of these findings, this paper discusses support potential strategies for those most vulnerable to repeated S136 detention, thereby minimising the ever-growing number of S136 detentions in the UK.<\/jats:p>","DOI":"10.1177\/00258024211045456","type":"journal-article","created":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T12:50:47Z","timestamp":1633438247000},"page":"124-133","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A retrospective cohort study describing characteristics of those repeatedly detained under Section 136 of the Mental Health Act over a 5-year period and the association with past abuse"],"prefix":"10.1177","volume":"62","author":[{"given":"Laureen","family":"Adewusi","sequence":"first","affiliation":[{"name":"St George\u2019s University of London, Cranmer Terrace, London, SW17 0RE, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6283-6482","authenticated-orcid":false,"given":"Isabel","family":"Mark","sequence":"additional","affiliation":[{"name":"St George\u2019s University of London, Cranmer Terrace, London, SW17 0RE, UK"},{"name":"South West London and St George\u2019s Mental Health NHS Trust, Springfield Hospital, 61 Glenburnie Road, London, SW17 7DJ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paige","family":"Wells","sequence":"additional","affiliation":[{"name":"St George\u2019s University of London, Cranmer Terrace, London, SW17 0RE, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aileen","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"St George\u2019s University of London, Cranmer Terrace, London, SW17 0RE, UK"},{"name":"South West London and St George\u2019s Mental Health NHS Trust, Springfield Hospital, 61 Glenburnie Road, London, SW17 7DJ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,10,5]]},"reference":[{"key":"bibr1-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1177\/0025802418790336"},{"key":"#cr-split#-bibr2-00258024211045456.1","unstructured":"The National Archives. Mental Health Act 2007 [internet]. 2007 (c.12"},{"key":"#cr-split#-bibr2-00258024211045456.2","unstructured":"cited 2021 May 31). Available from: https:\/\/www.legislation.gov.uk\/ukpga\/2007\/12\/contents"},{"key":"bibr3-00258024211045456","unstructured":"Department of Health and Home Office. Review of the Operation of Sections 135 and 136 of the Mental Health Act 1983: Review Report and Recommendations [internet]. Crown copyright: gov.uk; 2014 (cited 2021 May 31) Available from: https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/389202\/S135_and_S136_of_the_Mental_Health_Act_-_full_outcome.pdf"},{"key":"bibr4-00258024211045456","unstructured":"Home Office. Police powers and procedures, England and Wales, year ending 31 March 2019. [Internet]. National statistics; 2019 (cited 2021 May 31) Available from: https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/841408\/police-powers-procedures-mar19-hosb2519.pdf"},{"key":"bibr5-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1177\/0025802419830882"},{"key":"bibr6-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1177\/0025802414538247"},{"key":"bibr7-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1192\/bjpo.bp.117.005694"},{"key":"bibr8-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1177\/002580249503500110"},{"key":"bibr9-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-200208000-00003"},{"key":"bibr10-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1001\/jama.286.24.3089"},{"key":"bibr11-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2014.02.008"},{"key":"bibr12-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.06.082"},{"key":"bibr13-00258024211045456","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16234786"},{"key":"bibr14-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1136\/emj.17.5.351"},{"key":"bibr15-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-3310-8"},{"key":"bibr16-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(98)90166-8"},{"key":"bibr17-00258024211045456","unstructured":"Office for National Statistics. Abuse during childhood: Findings from the Crime Survey for England and Wales, year ending March 2016. [Internet] 2016 [Cited 6 Jun 2021]. Available from: https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/crimeandjustice\/articles\/abuseduringchildhood\/findingsfromtheyearendingmarch2016crimesurveyforenglandandwales#prevalence-of-abuse-during-childhood-by-abuse-category"},{"key":"bibr18-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e31820c751c"},{"key":"bibr19-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.112.109934"},{"key":"bibr20-00258024211045456","unstructured":"Wandsworth Borough Council. Statistics and census information. [Internet] 2011 [Cited 26 Jan. 2021] Available from: https:\/\/www.wandsworth.gov.uk\/the-council\/open-data-and-transparency\/council-datasets\/statistics-and-census-information\/"},{"key":"bibr21-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.156.3.373"},{"key":"bibr22-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1258\/msl.2009.009003"},{"key":"bibr23-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2014.06.010"},{"key":"bibr24-00258024211045456","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12888-016-1163-4","volume":"17","author":"Thege BK","year":"2017","journal-title":"BMC Psychiatry"},{"key":"bibr25-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2018.10.009"},{"key":"bibr26-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2016.09.021"},{"key":"bibr27-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1177\/0025802421993363"},{"key":"bibr28-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-018-1836-2"},{"key":"bibr29-00258024211045456","doi-asserted-by":"publisher","DOI":"10.3310\/hsdr07200"},{"key":"bibr30-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-016-1026-z"},{"key":"bibr31-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12182"},{"key":"bibr32-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12081"},{"key":"bibr33-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2021.1875410"},{"key":"bibr34-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2020.130"},{"key":"bibr35-00258024211045456","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(20)30308-4"}],"container-title":["Medicine, Science and the Law"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258024211045456","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00258024211045456","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258024211045456","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T08:36:36Z","timestamp":1777624596000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00258024211045456"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,5]]},"references-count":36,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1177\/00258024211045456"],"URL":"https:\/\/doi.org\/10.1177\/00258024211045456","relation":{},"ISSN":["0025-8024","2042-1818"],"issn-type":[{"value":"0025-8024","type":"print"},{"value":"2042-1818","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,5]]}}}