Schizophrenia and Deliberate Self-Harm: a Systematic Review of Risk Factors

The aim of this study was to identify risk factors for deliberate self-harm (DSH) in schizophrenia, based on a systematic review of the international literature. Of the 29 variables examined by 2 or more studies, 5 (past or recent suicidal ideation, previous DSH, past depressive episode, drug abuse or dependence, & higher mean number of psychiatric admissions) were associated with increased risk of DSH, & 1 (unemployment) was associated with a reduced risk. Implications for treatment are discussed. (42 refs)