Projects relating to Self-Harm

MaSH projects: completed

The Manchester Self-Harm Project (Second Extension - 1 April 2005 to 31 March 2008)


The purpose of MaSH is to inform local services about self-harm patients and contribute to national research. We disseminate our findings at national and international conferences, in peer reviewed journals and locally to service providers. Locally, MaSH data is presented at clinical audit meetings, research and development forums and in the training of staff and medical students.


  • To monitor patterns of self-harm locally
  • To evaluate self-harm services
  • To provide the evidence on which service development and training may be based
  • To provide an infrastructure for further research on patterns of self-harm and their clinical management
  • To inform and make recommendations on national suicide prevention initiatives

Duration of the project


Funding body

Local health research programmes led by the Manchester Mental Health and Social Care Trust.

Members of the project

Dr Jayne CooperPrincipal investigator
Professor Nav KapurCo-investigator
Mr Iain DonaldsonResearch Secretary

How and where MaSH Operates

The MaSH Project monitors and collects information on all patients presenting following a self-harm episode to three emergency departments in the City of Manchester.

Working Practices

The MaSH Project team is bound by strict confidentiality policies. No identifiable data is ever released and only anonymous and aggregate data are published.
MaSH is identified as an audit by the Local Research Ethics Committees of the National Research Ethics Service.
The MaSH Project operates to the principles established in the Caldicott Report, and has full data sharing protocols with the participating sites.
MaSH operates to ISO/IEC 27002 (BS7799), is fully compliant with the provisions of the Data Protection Act 1998 and receives NIGB support under Section 251 of the National Health Service Act 2006.
The information collected by the MaSH Project Team includes details of the self-harm episode, socio-demographic characteristics, clinical characteristics, current mental state, clinical assessment of risk and subsequent management.
MaSH also acts as a research resource for additional projects.

Full details are available at


  • Dickson, S., Steeg, S., Donaldson, I., Matthews, V., Healey, M., Cooper, J., ... Murphy, E. (2009). Self Harm in Manchester Sep 2005 to Aug 2007. Manchester: University of Manchester.. Publication link: c6983d58-83e1-44ca-82a7-a4ea27fe6950
  • Gunnell, D., Hawton, K., Ho, D., Evans, J., O'Connor, S., Potokar, J., ... Kapur, N. (2008). Hospital admissions for self harm after discharge from psychiatric inpatient care: Cohort study. BMJ, 337(7682), 1331-1334. DOI: 10.1136/bmj.a2278. Publication link: 40fd0d6e-773d-4d4f-824f-a37de3cf77ce
  • Kapur, N., Murphy, E., Cooper, J., Bergen, H., Hawton, K., Simkin, S., ... Owens, D. (2008). Psychosocial assessment following self-harm: Results from the Multi-Centre Monitoring of Self-Harm Project. Journal of Affective Disorders, 106(3), 285-293. DOI: 10.1016/j.jad.2007.07.010. Publication link: b8085242-beb6-4b5c-b232-11f87a5c999a
  • Lilley, R., Owens, D., Horrocks, J., House, A., Noble, R., Bergen, H., ... Kapur, N. (2008). Hospital care and repetition following self-harm: Multicentre comparison of self-poisoning and self-injury. British Journal of Psychiatry, 192(6), 440-445. DOI: 10.1192/bjp.bp.107.043380. Publication link: 01494957-cc38-429a-80c7-9965b81e5ed7 | PubMed:18515895
  • Cooper, J., Kapur, N., & Mackway-Jones, K. (2007). A comparison between clinicians' assessment and the Manchester Self-Harm Rule: A cohort study. Emergency Medicine Journal, 24(10), 720-721. DOI: 10.1136/emj.2007.048983. Publication link: cfce450b-b66e-442a-8422-ce57b1524bb3
  • Cooper, J., Murphy, E., Bergen, H., Casey, D., Hawton, K., Owens, D., ... Kapur, N. (2007). The effect of using NHS number as the unique identifier for patients who self-harm: AA multi-centre descriptive study. Clinical Practice and Epidemiology in Mental Health, 3, [16]. DOI: 10.1186/1745-0179-3-16. Publication link: 93606180-5919-4531-b30f-5f6eebe27779
  • Hawton, K., Bergen, H., Casey, D., Simkin, S., Palmer, B., Cooper, J., ... Owens, D. (2007). Self-harm in England: A tale of three cities. Social Psychiatry and Psychiatric Epidemiology, 42(7), 513-521. DOI: 10.1007/s00127-007-0199-7. Publication link: 6cbe44fb-8ea5-4b91-8638-736b74a8f6a0
  • Cooper, J., Husain, N., Webb, R., Waheed, W., Kapur, N., Guthrie, E., & Appleby, L. (2006). Self-harm in the UK: Differences between South Asians and Whites in rates, characteristics, provision of service and repetition. Social Psychiatry and Psychiatric Epidemiology, 41(10), 782-788. DOI: 10.1007/s00127-006-0099-2. Publication link: 002bcc82-c1e0-4770-813f-93d4dbcb11af | PubMed:16838089
  • Cooper, J., Kapur, N., Dunning, J., Guthrie, E., Appleby, L., & Mackway-Jones, K. (2006). A Clinical Tool for Assessing Risk After Self-Harm. Annals of Emergency Medicine, 48(4), 459-466. DOI: 10.1016/j.annemergmed.2006.07.944. Publication link: 1762b808-7810-4180-9788-763c4249f2b3
  • Johnston, A., Cooper, J., & Kapur, N. (2006). Exploring the relationship between area characteristics and self-harm: Old and new approaches. Crisis, 27(2), 88-91. DOI: 10.1027/0227-5910.27.2.88. Publication link: 7a52aaf9-1bc3-4fd8-98b0-b25106ed07c6
  • Johnston, A., Cooper, J., Webb, R., & Kapur, N. (2006). Individual- and area-level predictors of self-harm repetition. British Journal of Psychiatry, 189(5), 416-421. DOI: 10.1192/bjp.bp.105.018085. Publication link: db059721-fdeb-4062-b115-cd864b4b7188