Substance use and self-harm: a cross-sectional study of the prevalence, correlates and patterns of medical service utilisation among patients admitted to a South African hospital

Breet, Elsie; Bantjes, Jason; Lewis, Ian C.

doi:10.1186/s12913-018-2963-7

Cited by 10 publications

(7 citation statements)

References 32 publications

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“…The larger project is a joint study between the Department of Psychology at Stellenbosch University and the Department of Psychiatry and Mental Health at the University of Cape Town and has resulted in publications describing the methods of self-harm 25 and associations between DSH and substance use. 26 The data we present here have, however, not been previously reported.…”

Section: Methodscontrasting

confidence: 58%

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Motives for deliberate self-harm in a South African tertiary hospital

Zyl

Bantjes

Breet

et al. 2021

South African Journal of Psychiatry

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Background Although there is a growing body of literature on the epidemiology of deliberate self-harm (DSH) in South Africa, comparatively few studies have investigated the motives for self-harm. No studies have investigated the motives for DSH in Cape Town. Aim The objective of the study was to identify the range of motives for DSH in Cape Town, and how these motives are associated with different socio-demographic factors, the severity of self-injury and levels of suicidal intent. Setting Groote Schuur Hospital in Cape Town, South Africa. Methods Data were collected from 238 consecutive patients presenting with DSH to the emergency department. The data were analysed by using bivariate and multivariate analyses. Results Patients engaged in DSH for a range of motives. Interpersonal issues were the most common motive (70%), followed by financial concerns (22%). Male patients were twice as likely as female patients to report interpersonal motives for their self-harm. Patients who reported interpersonal issues were more likely to engage in methods of DSH that involved damage to body tissues. Patients without tertiary education were more likely to report academic concerns as a motive, and patients who reported psychiatric illness as motive for DSH were more likely to require medical interventions than those who did not. Conclusion This study contributes novel insights into the motives for DSH in the Cape Town context and provides the foundation for continued research on the subject. The study also gives impetus to the development of therapeutic interventions focussed on the motives for self-harm.

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Section: Methodscontrasting

confidence: 58%

“…25 and associations between DSH and substance use. 26 The data we present here have, however, not been previously reported.…”

Section: Study Design Setting and Samplingcontrasting

confidence: 58%

Motives for deliberate self-harm in a South African tertiary hospital

Zyl

Bantjes

Breet

et al. 2021

South African Journal of Psychiatry

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“…However, Breet et al, [26] reported that selfinjury not to die was significantly related to acute use of substances, while Suicidal to die was insignificantly related to acute use of substances. This study's association between anxiety and depression can be explained by the direct causation model, according to which one condition causes or lowers the threshold for the manifestation of the other disorder [27].…”

Section: Discussionmentioning

confidence: 97%

Substance Use Disorders: Suicide and Self-Harm

El-Morsy

Ghareb

Shama

et al. 2022

INDJ

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Aims: To specify the demographic and risk factors and type of the substance use disorders most common with suicidal behaviors and self-harm. Study Design: Observational cross-sectional research. Place and Duration of Study: Neuropsychiatry Department and Psychiatry, Neurology and neurosurgery center, Tanta University, Tanta, Egypt. The study was conducted for duration of 6 months from January 2019 to June 2019. Methodology: This was enrolled 105 aged 18-50 years to assess the type of substance use disorders most common with suicidal behaviours and self-harm with any duration of illness. Subjects were divided into three equal groups: Group 1 included healthy control subjects with no addiction or psychiatric problems with no history suggestive of any health problems. Group 2 included patients with substance use disorders (addict group). Group 3 included psychiatric patients without substance use disorders. All patients were subjected to addiction severity index, Beck Depression Inventory-II, Hamilton Anxiety Rating Scale, Suicide probability scale, Barratt's impulsiveness scale, Self-Harm diagnosis scale and the positive and negative syndrome scale. Results: There was a significantly different in the suicide categories among the cases with and without heroin intake (p=0.038). There was a significantly positive correlation among addiction severity index (ASI) and suicide score in the addiction group. Conclusion: The incidence of anxiety and depression among individuals with substance use disorders is notably high, particularly at severe levels. We found also positive correlations between ASI and both suicide and self-harm scores in the addiction group. Depression and anxiety are frequently co-occurring in SUD patients.

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“…Failure to identify the risk has potential consequences for the overall health outcomes. 16 Screening for substance abuse can improve health outcomes, and universal screening may be justifiable in high-prevalence health settings. 17 Self-report screening tools accurately identify substance abuse and are commonly implemented by PHC providers.…”

Section: Screeningmentioning

confidence: 99%

Primary healthcare approach to substance abuse management

Kaswa

2021

South African Family Practice

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Substance abuse is common amongst patients attending primary healthcare settings. Despite the substantial impact on one’s health, substance abuse is often underdiagnosed by primary care providers owing to a lack of training and time for screening. Self-reported screening tools are easy to administer and efficient to make a substance abuse diagnosis in primary care settings. Comorbid mental illness and intimate partner violence are common amongst patients presenting with substance abuse in primary care. An early diagnosis and a brief behavioural change counselling are effective in managing substance abuse before it develops into dependency. A brief motivational communication rather than a confrontation during substance abuse screening, counselling and treatment is important to achieve optimum patient outcomes.

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Substance use and self-harm: a cross-sectional study of the prevalence, correlates and patterns of medical service utilisation among patients admitted to a South African hospital

Cited by 10 publications

References 32 publications

Motives for deliberate self-harm in a South African tertiary hospital

Motives for deliberate self-harm in a South African tertiary hospital

Substance Use Disorders: Suicide and Self-Harm

Primary healthcare approach to substance abuse management

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