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1

ZEHRA, ALLAUDDIN ABDULLAH. "DELIBERATE SELF-HARM." i-manager’s Journal on Nursing 10, no. 4 (2021): 1. http://dx.doi.org/10.26634/jnur.10.4.16995.

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2

House, A., D. Owens, and L. Patchett. "Deliberate self harm." Quality and Safety in Health Care 8, no. 2 (June 1, 1999): 137–43. http://dx.doi.org/10.1136/qshc.8.2.137.

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3

Gilbody, S. "Deliberate self harm." Emergency Medicine Journal 13, no. 6 (November 1, 1996): 432. http://dx.doi.org/10.1136/emj.13.6.432-b.

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4

Reid, Steven, and John A. Henry. "Deliberate self-harm." Primary Care Psychiatry 8, no. 1 (March 1, 2002): 1–7. http://dx.doi.org/10.1185/135525702125000408.

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5

Hawton, Keith. "Deliberate Self-harm." Medicine 28, no. 5 (2000): 83–88. http://dx.doi.org/10.1383/medc.28.5.83.28568.

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6

Hawton, Keith. "Deliberate self-harm." Medicine 32, no. 8 (August 2004): 38–42. http://dx.doi.org/10.1383/medc.32.8.38.43174.

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7

Zakiullah, Nida, Sadia Saleem, Sameea Sadiq, Nadia Sani, Munira Shahpurwala, Afroz Shamim, Atif Yousuf, Murad M. Khan, and Parvez Nayani. "Deliberate Self-Harm." Crisis 29, no. 1 (January 2008): 32–37. http://dx.doi.org/10.1027/0227-5910.29.1.32.

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Abstract. Introduction: Previous deliberate self-harm (DSH) is the strongest predictor of suicide. Although several studies exist in other countries, characteristics of DSH have not been well-studied in Pakistan. Aims: To identify characteristics of deliberate self-harm in a hospital population, building on previous work carried out on this subject at this center. Methods: 284 cases admitted to the Aga Khan University Hospital, Karachi, between January 1997 and August 2003 were studied by analyzing medical records. Information was collected regarding demographics, family history, personal history, suicidal ideation, current stressors, the act of DSH and its management. Results: The most common age group was 21-25 years of age. The majority were females (60.3%). 95.1% of patients used self-poisoning as a method of deliberate self-harm. 47.3% used benzodiazepines for self-poisoning. Precipitating factors included conflict with family, marital problems, chronic illnesses, and unemployment. Comorbid psychiatric disorders were present in 76.4% patients. Discussion: Despite the difference in socio-cultural background of our patients, many of our results were found to be consistent with Western data. Our findings suggest that problem-solving therapy, stress management and improved mental health care may be effective interventions in preventing DSH. Prescription of medications should be regulated. Further studies are suggested at the community level.
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8

FRANKLIN, RICHARD K. "Deliberate Self-Harm." Criminal Justice and Behavior 15, no. 2 (June 1988): 210–18. http://dx.doi.org/10.1177/0093854888015002007.

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9

Williams, Dave, and Vineet Padmanabhan. "Deliberate self-harm." Foundation Years 5, no. 2 (March 2009): 72–74. http://dx.doi.org/10.1016/j.mpfou.2008.12.006.

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10

Angrave, Philip. "Deliberate self-harm." Emergency Nurse 20, no. 1 (April 11, 2012): 15. http://dx.doi.org/10.7748/en.20.1.15.s9.

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11

Leyshon, Stephen. "Deliberate self-harm." Primary Health Care 15, no. 3 (April 2005): 8. http://dx.doi.org/10.7748/phc.15.3.8.s9.

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12

Whyte, Sean, and Andrew Blewett. "Deliberate self-harm." Psychiatric Bulletin 25, no. 3 (March 2001): 98–101. http://dx.doi.org/10.1192/pb.25.3.98.

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Aims and MethodA repetition after 5 years of a prospective case note audit, looking at the impact of a recently established deliberate self-harm (DSH) assessment team on the quality of DSH assessments at Kettering general hospital.ResultsAspecialist DSH team achieved improvement in the quality of psychiatric assessments for the majority of patients who harmed themselves. Assessments of mental state by accident and emergency (A & E) and medical staff before referral to the psychiatric team remain problematic.Clinical ImplicationsSetting up aspecialist team to assess patients who harm themselves can improve the quality of the psychiatric care they receive, but emphasis must still be placed on an adequate assessment of mental state by medical and nursing staff in A&E and on medical wards.
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13

Russell-Johnson, Helen. "Deliberate self-harm in adolescents." Paediatric Nursing 9, no. 1 (February 1997): 29–36. http://dx.doi.org/10.7748/paed.9.1.29.s23.

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14

Zaineb, Aasifa. "Ethnicity and Deliberate Self-harm." Eastern Journal of Psychiatry 12, no. 1-2 (October 13, 2021): 16–20. http://dx.doi.org/10.5005/ejp-12-1--2-16.

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15

Fernandes, SharolLionel, AT Safeekh, S. Chandini, and Siddharth Shetty. "Deliberate self-harm: A perspective." Archives of Medicine and Health Sciences 8, no. 1 (2020): 75. http://dx.doi.org/10.4103/amhs.amhs_154_19.

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16

Ryan, Mark, Michael Parle, and Nick Babidge. "What precipitates deliberate self-harm?" Australian Health Review 21, no. 3 (1998): 194. http://dx.doi.org/10.1071/ah980194.

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Objective: To develop a working model that provides an understanding of the processof deliberate self-harm and a framework for psychological intervention in anemergency department setting.Method: A retrospective clinical audit of a consecutive series of 51 deliberate self-harmpatients referred to the liaison psychiatry service by the emergency departmentof an inner city hospital.Results: Patient characteristics were diverse. The age range was 17?92 years, with79% between 15 and 35 years. Most were single and unemployed and the majorityhad a psychiatric disorder. Characteristically, there was at least one immediate stressorand intoxication immediately before the attempt.Conclusions: The diversity of deliberate self-harm patients requires strategicintervention in a setting such as the emergency department. The working model forintervention presented here may be transferable to other settings such as generalpractice or community mental health centres using an educational and skillsdevelopment approach with ongoing supervision.
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17

Black, D. W. "Suicide and deliberate self-harm." Current Opinion in Psychiatry 3, no. 2 (April 1990): 193–98. http://dx.doi.org/10.1097/00001504-199004000-00004.

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18

Vassilas, Chris A. "Suicide and deliberate self-harm." Current Opinion in Psychiatry 6, no. 2 (April 1993): 216–20. http://dx.doi.org/10.1097/00001504-199304000-00009.

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19

Hotopf, Matthew, and D. Healy. "SSRIs and deliberate self-harm." British Journal of Psychiatry 180, no. 06 (June 2002): 547. http://dx.doi.org/10.1192/bjp.180.6.547.

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20

Cooper, Jayne. "Deliberate Self-Harm in Adolescence." Child Family Social Work 10, no. 4 (November 2005): 369–70. http://dx.doi.org/10.1111/j.1365-2206.2005.00391_4.x.

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21

Olfson, Mark, Melanie Wall, Shuai Wang, Stephen Crystal, Tobias Gerhard, and Carlos Blanco. "Suicide Following Deliberate Self-Harm." American Journal of Psychiatry 174, no. 8 (August 2017): 765–74. http://dx.doi.org/10.1176/appi.ajp.2017.16111288.

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22

Portzky, Gwendolyn, and Kees van Heeringen. "Deliberate self-harm in adolescents." Current Opinion in Psychiatry 20, no. 4 (July 2007): 337–42. http://dx.doi.org/10.1097/yco.0b013e3281c49ff1.

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23

Lauw, M., CH How, and C. Loh. "Deliberate self-harm in adolescents." Singapore Medical Journal 56, no. 06 (June 2015): 306–9. http://dx.doi.org/10.11622/smedj.2015087.

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24

Theodoulou, Megan, Louise Harriss, Keith Hawton, and Christopher Bass. "Pain and deliberate self-harm." Journal of Psychosomatic Research 58, no. 4 (April 2005): 317–20. http://dx.doi.org/10.1016/j.jpsychores.2004.10.004.

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25

Krishnakumar, P., M. G. Geeta, and A. Riyaz. "Deliberate self harm in children." Indian Pediatrics 48, no. 5 (August 10, 2010): 367–71. http://dx.doi.org/10.1007/s13312-011-0084-z.

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26

Taylor, Simon J. "Debt and deliberate self-harm." British Journal of Psychiatry 164, no. 6 (June 1994): 848–49. http://dx.doi.org/10.1192/bjp.164.6.848.

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27

Contarino, Trudi. "Deliberate self-harm in adolescence." Journal of Interprofessional Care 20, no. 4 (January 2006): 445–46. http://dx.doi.org/10.1080/13561820600622273.

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28

Reuter Morthorst, Britt, Bodil Soegaard, Merete Nordentoft, and Annette Erlangsen. "Incidence Rates of Deliberate Self-Harm in Denmark 1994–2011." Crisis 37, no. 4 (July 2016): 256–64. http://dx.doi.org/10.1027/0227-5910/a000391.

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Abstract. Background: The validity and reliability of suicide statistics have been questioned and few nationwide studies of deliberate self-harm have been presented. Aim: To calculate rates of deliberate self-harm in Denmark in order to investigate trends and assess the reliability of hospital records. Method: A register study based on all individuals recorded with an episode of deliberate self-harm or probable deliberate self-harm in nationwide registers during 1994–2011. Results: A substantial difference in the rates of deliberate self-harm and probable deliberate self-harm was noted for both genders. The average incidence rate of deliberate self-harm for women and men was 130.7 (95% CI = 129.6–131.8) per 100,000 and 86.9 (95% CI = 86.0–87.8) per 100,000, respectively. The rates of deliberate self-harm for women increased from 137.6 (95% CI = 132.9–142.3) per 100,000 in 1994 to 152.7 (95% CI = 147.8–157.5) in 2011. For a subgroup of younger women aged 15–24 years, an almost threefold increase was observed, IRR = 2.5 (95% CI = 2.4–2.7). The most frequently used method was self-poisoning. Conclusion: The rates of deliberate self-harm and probable deliberate self-harm differed significantly. An increased incidence of deliberate self-harm among young Danish women was observed, despite detection bias. An improved registration procedure of suicidal behavior is needed.
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29

Bateman, Anthony W. "Self-help books on deliberate self-harm." British Journal of Psychiatry 185, no. 5 (November 2004): 441–42. http://dx.doi.org/10.1192/bjp.185.5.441.

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30

Adams, Joanna, Karen Rodham, and Jeff Gavin. "Investigating the “Self” in Deliberate Self-Harm." Qualitative Health Research 15, no. 10 (December 2005): 1293–309. http://dx.doi.org/10.1177/1049732305281761.

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31

Garner, Ruth, Graham Butler, and Deborah Hutchings. "A Study of the Relationship between the Patterns of Planned Activity and Incidents of Deliberate Self-Harm within a Regional Secure Unit." British Journal of Occupational Therapy 59, no. 4 (April 1996): 156–60. http://dx.doi.org/10.1177/030802269605900402.

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Within a 77-bed Regional Secure Unit, there has been an increase in the number of patients admitted who deliberately do themselves harm, although this Is generally not the primary reason for admission. During this 9-month study, 307 incidents of self-harm were recorded on the clinic's information system; a subgroup of seven patients was responsible for 77.5% of these incidents. Whilst there is a perception among rehabilitation staff that activity has a role in reducing the incidence of deliberate self-harm, this study Identifies no correlation between the patterns of structured activity and the patterns of deliberate self-harm. This does not suggest, however, that occupational therapy is ineffective with this client group, particularly given the potentially addictive nature of deliberate self-harm behaviour even after problem resolution. The study identifies areas for further research, focusing on qualitative rather than quantitative study.
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32

Kohli, Adarsh, Krishan Kumar, Rajeev Dogra, and Samita Sharma. "Deliberate Self-harm: Bench to Bedside." Journal of Postgraduate Medicine, Education and Research 53, no. 2 (2019): 79–84. http://dx.doi.org/10.5005/jp-journals-10028-1318.

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33

Marfé, Eileen. "Assessing risk following deliberate self harm." Paediatric Nursing 15, no. 8 (October 2003): 32–34. http://dx.doi.org/10.7748/paed.15.8.32.s23.

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34

Marfé, Eileen. "Assessing risk following deliberate self harm." Paediatric Care 15, no. 8 (October 2003): 32–34. http://dx.doi.org/10.7748/paed2003.10.15.8.32.c877.

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35

Crawford, Mike. "Psychological management following deliberate self-harm." Clinical Medicine 1, no. 3 (May 1, 2001): 185–87. http://dx.doi.org/10.7861/clinmedicine.1-3-185.

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36

Allen, Jon, Steve Williamson, Carol Gatford, and Annie Worthington. "Deliberate self-harm: developing clinical guidelines." Nursing Standard 12, no. 3 (October 8, 1997): 34–37. http://dx.doi.org/10.7748/ns1997.10.12.3.34.c2483.

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37

Momin, Muniza, Mehreen Nizar Ali, Saniya Iqbal, and Sonia Sultan Ali. "Deliberate Self-Harm among Young Adults." i-manager’s Journal on Nursing 4, no. 4 (January 15, 2015): 12–15. http://dx.doi.org/10.26634/jnur.4.4.3073.

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38

Hawton, Keith, and Louise Harriss. "Deliberate Self-Harm in Young People." Journal of Clinical Psychiatry 68, no. 10 (October 15, 2007): 1574–83. http://dx.doi.org/10.4088/jcp.v68n1017.

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39

Boyce, Philip, Mark A. Oakley-Browne, and Simon Hatcher. "The problem of deliberate self-harm." Current Opinion in Psychiatry 14, no. 2 (March 2001): 107–11. http://dx.doi.org/10.1097/00001504-200103000-00002.

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40

Donovan, Stuart, Andrew Clayton, Min Beeharry, Sheron Jones, Chris Kirk, Keith Waters, David Gardner, June Faulding, and Richard Madeley. "Deliberate self-harm and antidepressant drugs." British Journal of Psychiatry 177, no. 6 (December 2000): 551–56. http://dx.doi.org/10.1192/bjp.177.6.551.

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BackgroundIt is not clear if the frequency of deliberate self-harm (DSH) is the same in patients taking different pharmacological classes of antidepressant drugs.AimsTo compare the frequency of DSH in patients who had been prescribed a tricyclic antidepressant (TCA) or a selective serotonin reuptake inhibitor (SSRI) prior to the DSH event.MethodThis was a prospective study in 2776 consecutive DSH cases attending an accident and emergency department. The incidence of DSH in TCA-treated cases and SSRI-treated cases is expressed as number of DSH events per 10 000 prescriptions of each antidepressant.ResultsSignificantly more DSH events occurred following the prescription of an SSRI than that of a TCA (P < 0.001). The occurrence of DSH was highest with fluoxetine and lowest with amitriptyline.ConclusionsMerely prescribing safer-in-overdose antidepressants is unlikely to reduce the overall morbidity from DSH.
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41

Kennedy, Peter. "The Management of Deliberate Self-Harm." Bulletin of the Royal College of Psychiatrists 9, no. 8 (August 1985): 152. http://dx.doi.org/10.1192/pb.9.8.152.

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These departmental guidelines at last revise advice of the 1968 vintage—that all parasuicides should be admitted to hospital and assessed by a psychiatrist. Of course this was never achieved, nor even attempted in many areas. It is a welcome set of new recommendations, therefore, which will help ensure that what actually happens is done well. It is great credit to undergraduate medical teachers that such confidence can now be expressed in newly qualified doctors carrying out these psychosocial assessments. It recognizes that suitably trained nurses and social workers can assess and manage aftercare of these patients quite competently.
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42

Riedi, G., A. Mathur, M. Séguin, B. Bousquet, P. Czapla, S. Charpentier, M. Genestal, L. Cailhol, and P. Birmes. "Alcohol and Repeated Deliberate Self-Harm." Crisis 33, no. 6 (November 1, 2012): 358–63. http://dx.doi.org/10.1027/0227-5910/a000148.

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Background: Repeated episode(s) of deliberate self-harm (RDSH) is a major risk factor for suicide. Aims: To identify specific risk factors for RDSH among patients admitted following an episode of deliberate self-harm (DSH) through acute intoxication. Methods: A prospective 6-month study was conducted with 184 patients (71% female) admitted to the emergency room (ER) as a result of self-poisoning (SP). Results: Rate of RDSH stood at 18% after 6 months. The sociodemographic variables associated with repeated deliberate self-harm were to have no principal activity, consultation with a medical professional during the 6 months preceding the self-poisoning, and referral to psychiatric services upon release from the ER. The clinical variable associated with RDSH was alcohol addiction (OR = 2.7; IC 95% = 1.2–6.1, p < .05) as assessed at the time of the initial ER admission. Conclusions: When patients are initially admitted to the ER as a result of self-poisoning, it is important to evaluate specific factors, particularly alcohol use, that could subsequently lead to repeated deliberate self-harm. The goal is to improve the targeting and referral of patients toward structures that can best respond to their needs.
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43

Tsai, Mei Hua, Yi Hua Chen, Chih Dao Chen, Chih Yin Hsiao, and Chia Huei Chien. "Deliberate self-harm by Taiwanese adolescents." Acta Paediatrica 100, no. 11 (June 11, 2011): e223-e226. http://dx.doi.org/10.1111/j.1651-2227.2011.02357.x.

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44

Odejide, A. O., A. O. Williams, J. U. Ohaeri, and B. A. Ikuesan. "The Epidemiology of Deliberate Self-harm." British Journal of Psychiatry 149, no. 6 (December 1986): 734–37. http://dx.doi.org/10.1192/bjp.149.6.734.

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In a 6-month prospective study of the three main general hospitals in Ibadan, Nigeria, 39 cases of deliberate self-harm were reported out of a total 23, 859 subjects attending the sections of hospital studied. Thirty (76.9%) were under 30 years of age and 36 (86.3%) were under 34 years of age. The male to female ratio was 1.4.1: more than half of the population (51.3%) were students and 25.6%, manual workers. The methods used were mainly ingestion of chemicals (24 patients) and psychotropic drugs (11 patients). Disturbed Interpersonal relationships, especially with parents, were mainly found to have motivated the acts. The implications of these findings are discussed.
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45

Beasley, Sarah. "Deliberate self harm in medium security." Nursing Management 6, no. 8 (December 1, 1999): 29–33. http://dx.doi.org/10.7748/nm.6.8.29.s18.

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46

Ogundipe, L. O. "Suicide attempts v. deliberate self-harm." British Journal of Psychiatry 175, no. 1 (July 1999): 90. http://dx.doi.org/10.1192/bjp.175.1.90a.

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47

Keeley, Helen S., Mary O'Sullivan, and Paul Corcoran. "Background stressors and deliberate self-harm." Psychiatric Bulletin 27, no. 11 (November 2003): 411–15. http://dx.doi.org/10.1192/pb.27.11.411.

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Aims and MethodIn this study we aimed to identify negative life events, especially those associated with repetition, in the background histories of patients in a 2-year prospective monitoring study of hospital-treated deliberate self-harm (DSH). Thematic analysis of the narratives recorded during assessment was used to produce general categories of life events.ResultsIn 3031 DSH episodes (n=2287 individuals), women reported more life events than men. Family and interpersonal problems were most commonly reported. Reporting a dysfunctional family of origin, a history of sexual abuse and the imprisonment of self or other were associated with repetition retrospectively and prospectively.Clinical ImplicationsThe background history of patients who harm themselves should be explored routinely on assessment in order to help establish risk of repetition and to determine appropriate follow-up.
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48

Arens, Ashley M., Raluca M. Gaher, Jeffrey S. Simons, and Robert D. Dvorak. "Child Maltreatment and Deliberate Self-Harm." Child Maltreatment 19, no. 3-4 (August 2014): 168–77. http://dx.doi.org/10.1177/1077559514548315.

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49

Olfson, Mark. "Emergency Treatment of Deliberate Self-harm." Archives of General Psychiatry 69, no. 1 (January 1, 2012): 80. http://dx.doi.org/10.1001/archgenpsychiatry.2011.108.

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50

Pierce, David. "Deliberate self-harm in the elderly." International Journal of Geriatric Psychiatry 2, no. 2 (April 1987): 105–10. http://dx.doi.org/10.1002/gps.930020208.

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