Emergency hospital admissions for intentional self-harm

Self-harm is defined as any act of self-poisoning or self-injury carried out by a person, irrespective of their motivation. We aim to identify the extent of self-harm within our community and provide targeted services to those needing support to reduce rates of self harm.
We aim to be perform in the top quartile of our statistical neighbours.

June 2019 performance

The results for 2017-18 show we have much higher admissions than our statistical neighbours, which is currently 175 per 100,000 population.


Our 2019-20 milestone target is 206.7 per 100,000.
As the indicator only measures activity at the upper end of the pathway it is difficult to assess the effect of preventative interventions which may impact downstream. 

Actions

In West Sussex a comprehensive set of interventions are commissioned by the council and NHS partners across the pathway, from prevention, through to early intervention and then on to more specialist clinical services. However, evidence suggests that many population level approaches do not specifically relate to self-harm but are around promoting positive mental and emotional wellbeing. 
The multi-agency Suicide Prevention Steering Group membership are working together to take forward nine areas for action within the strategy, to develop and maintain the Action Plan, and disseminate and implement any relevant evidence based national guidance, such as NICE or Public Health England (PHE) guidance.  
To improve performance in this area we are:
  • Producing a rapid health needs assessment to identify key local drivers and priority areas for action.
  • Recruiting two dedicated posts, one addressing whole school approaches to emotional wellbeing and the other specifically focussed on self-harm.
  • Ensuring that West Sussex and Sussex and East Surrey STP suicide prevention activity is coordinated with other activity in this area.