NHS Digital Data Release Register - reformatted

Derbyshire Healthcare NHS Foundation Trust

Project 1 — DARS-NIC-147907-MLK7R

Opt outs honoured: Y, N, Yes - patient objections upheld (Section 251)

Sensitive: Sensitive, and Non Sensitive

When: 2016/04 (or before) — 2019/05.

Repeats: Ongoing, One-Off

Legal basis: Section 251 approval is in place for the flow of identifiable data, Health and Social Care Act 2012 – s261(7)

Categories: Identifiable

Datasets:

  • MRIS - Cause of Death Report
  • MRIS - Cohort Event Notification Report
  • MRIS - Flagging Current Status Report
  • MRIS - Scottish NHS / Registration
  • MRIS - Members and Postings Report

Yielded Benefits:

Derbyshire Healthcare’s Suicide Prevention Strategy and that of Derbyshire Suicide Prevention Partnership Forum includes a target to support high risk groups - particularly those who have self-harmed. Commissioning of a 24/7 Liaison Psychiatry service at the Royal Derby Hospital. Data contributed to the Multicentre Study of Self-harm. Conducted studies which are relevant to clinical services and policy on suicide prevention. One example is how through linking episodes of self-harm with suicide as an outcome, researchers are able to identify clinically important risk factors for suicide following an episode of self-harm (non-fatal self-harm being the most important risk factor for suicide). For example, in children and adolescents is has been shown that risk of future suicide is strongest in boys, and in those with multiple episodes of previous self-harm and where certain specific methods of self-harm have been used. In adults it has been shown that a particularly high risk of subsequent suicide in people who have a history of multiple episodes of self-harm. Another example concerns the relationship between clinical management and subsequent suicide. Thus, the researchers have been able to investigate whether receipt of a psycho-social assessment while a person is in hospital following self-harm decreases the risk of future suicide. A further example has been to show that a measure of suicidal intent (that is of an individual’s apparent wish to die that is associated with an episode of self-harm) is related to short-term risk of future suicide, but not longer-term risk. This is relevant to clinical practice because suicidal intent is often measured by clinicians using a specific scale (the one used in this research).

Objectives:

Derbyshire Mental HealthTrust – Self harm monitoring project – Mortality following deliberate self harm The aim is the carry out several investigations of different aspects of DSH that will inform and assess national strategies on DSH and suicide prevention. On of these is on mortality following DSH. The study is part of a multicentre collaborative project on DSH (coordinated by Oxford, together with groups in Manchester, Leds and Derby). Aims of the multicentre mortality studies are: (i) to determine current risk of suicide following DSH over time and in gender and age subgroups; (ii) to identify risk factors for suicide that can inform assessment procedures; (iii) to provide data on risk of death from non-suicideal causes; and (iv) to provide information on mortality following DSH in important subgroups e.g. black minority and ethnic groups, older people, and people who misuse alcohol Data will be used by the project team as detailed in the application form, any changes will be notified to the NHS IC.

Expected Benefits:

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Outputs:

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Processing:

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