Factors affecting emergency medical utilization after self-harm ad effectiveness of community-based suicide prevention provisions in preventing self-harm: A nationwide registry-based study in Korea

In order to formulate and implement a community-based suicide prevention program, as well as evaluate the effectiveness of these programs, it is necessary to understand the epidemiological characteristics of self-harm. Clinical data were collected from the National Emergency Department Information System (NEDIS) data panel in Korea for patients seen after self-harm episodes. Socioeconomic factors were […]

Service use and costs in adolescents with pain and suicidality: A cross-sectional study

Background Persistent/recurrent pain for more than three months and suicidality (suicide and self-harm related thoughts and behaviours) are serious and co-occurring health problems in adolescence, underscoring the need for targeted support. However, little is known about service use and costs in adolescents with pain-suicidality comorbidity, compared to those with either problem alone. This study aimed […]

The impact of gender and age on bullying role, self-harm and suicide: Evidence from a cohort study of Australian children

There has been limited longitudinal investigation to date into the association between bullying, self-harm, and suicidality in Australia and the impact of specific demographic differences on this relationship. This is despite the continued rise in the incidence of bullying, self-harm, and suicide. As such, the current study draws on data from the Longitudinal Survey of […]

Raising suicide in medical appointments–Barriers and facilitators experienced by young adults and GPs: A mixed-methods systematic review

The aim of this review was to understand the barriers and facilitators facing GPs and young adults in raising and addressing suicide in medical appointments. A mixed-methods systematic review was conducted of qualitative and quantitative studies. The focus was papers that explored barriers and facilitators experienced by young adults aged 18 to 26, and GPs […]

Non-suicidal self-injury and emotional burden among university students during the COVID-19 pandemic: Cross-sectional online survey

Owing to restrictions of the COVID-19 pandemic, increased stress is evident in university students with a lifetime history of non-suicidal self-injury (NSSI). Therefore, we examined two groups of university students (n = 174) in an online survey, one that exhibited early NSSI in adolescence (n = 51) and another that exhibited continuous NSSI beyond the age of […]

How people diagnosed with borderline personality disorder experience relationships to oneself and to others: A qualitative in-depth study

Materials and methods Results Discussion Conclusion Acknowledgements Disclosure statement Additional information References   ABSTRACT Background The first-person experiences of people diagnosed with borderline personality disorder (BPD) is an important area of research. It can support clinical and ethical practice, and nuance and expand on insights offered by diagnostic and treatment-oriented research approaches. In this study, […]

A comprehensive study of medically serious suicide attempts in France: Incidence and associated factors

Aims: People who make medically serious suicide attempts (MSSAs) share a number of features with those who die by suicide, and are at a high risk of suicide themselves. Studies to date have mostly focused on clinical samples of MSSAs. An epidemiological examination at a national level can help to identify risk profiles and pathways […]

Self-harm emergency department visits in Canada during the COVID-19 pandemic: Evidence from a sentinel surveillance system

Background: Self-harm is a leading cause of morbidity and mortality globally, though the prevalence tends to be highest among adolescents. As an indicator in suicide surveillance, the incidence of self-harm is useful because it is sensitive to social, environmental, and economic conditions. During the COVID-19 pandemic, the epidemiology of self-harm has varied across contexts. This study […]

A systematic review of the evidence supporting mobile- and internet-based psychological interventions for self-harm

Objectives Internet- and mobile phone-based psychological interventions have the potential to overcome many of the barriers associated with accessing traditional face-to-face therapy. Self-injurious thoughts and behaviors (STB) are prevalent global health problems that may benefit from Internet- and mobile-based interventions. We provide a systematic review and meta-analysis of studies evaluating mobile- and Internet-based interventions for […]

Imaginator: A proof-of-concept feasibility trial of a brief imagery-based psychological intervention for young people who self-harm

Objectives The Imaginator study tested the feasibility of a short mental imagery-based psychological intervention for young people who self-harm and used a stepped-wedge design to investigate effects on self-harm frequency reduction at 3 and 6 months. Method A total of 38 participants aged 16–25 were recruited via community self-referral and mental health services. Participants were randomized to immediate […]

Contact with mental health services after acute care for self-harm among adults released from prison: A prospective data linkage study

Objective To determine the care pathway and rate and predictors of mental health care contact within seven days of discharge from acute care following self-harm. Method In a representative cohort of adults released from prisons in Queensland, Australia, we probabilistically linked person-level, statewide ambulance, emergency department, and hospital records, both prospectively and retrospectively, and community […]

Sleep in youth with repeated self-harm and high suicidality: Does sleep predict self-harm risk?

Objective To elucidate processes contributing to continuing self-harm in youth at very high risk for suicide, focusing on sleep disturbance, a putative warning sign of imminent suicide risk. Method 101 youth (ages 12–18) selected for high risk of suicide/suicide attempts based on suicidal episodes plus repeated self-harm (suicide attempts and/or nonsuicidal self-injury [NSSI]). Youth were […]

Predicting risk along the suicidality continuum: A longitudinal, nationally representative study of the Irish population during the COVID-19 pandemic

Introduction Little is known about the lifetime prevalence of different indicators of suicidality in the Irish general population; whether suicidality has increased during the COVID-19 pandemic; and what factors associated with belonging to different points on a continuum of suicidality risk. Methods A nationally representative sample of Irish adults (N = 1,032) completed self-report measures in May […]

Effectiveness of the Hunter Way Back Support Service: An historical controlled trial of a brief non-clinical after-care program for hospital-treated deliberate self-poisoning

Introduction Active contact and follow-up interventions have been shown to be effective in reducing repetition of hospital-treated self-harm. The Way Back Support Service (WBSS) is a new service funded by the Australian government to provide three months of non-clinical after-care following a hospital-treated suicide attempt. The aim of this study was to investigate the effectiveness […]

Self-injury motives: A person-centered examination

Introduction People report multiple motives for nonsuicidal self-injury (NSSI), but few studies have examined how these motives relate to one another. This study identified person-centered classes of NSSI motives, their NSSI and psychopathological correlates, and their utility in predicting future NSSI across two samples. Methods Participants were adolescents and young adults (aged 15–35) with recent […]

Risk factors for suicide in the Vietnam-era twin registry

Background The risk of suicide among Veterans is of major concern, particularly among those who experienced a combat deployment and/or have a history of PTSD. Design and methods This was a retrospective cohort study of post-discharge suicide among Vietnam-era Veterans who are members of the Vietnam Era Twin (VET) Registry. The VET Registry is a […]

The screen for nonsuicidal self-injury: Development and initial validation among veterans with psychiatric disorders

Introduction Nonsuicidal self-injury (NSSI) is associated with significant impairment and is a robust predictor of suicidal ideation, attempts, and death by suicide; however, the present lack of a brief screening instrument for NSSI coupled with consistent underidentification of NSSI in male adults has led to concerning rates of missed identification of NSSI. Methods The Screen […]

Hiding in the open: Consideration of nonsuicidal self-injury by proxy as a clinically meaningful construct

Nonsuicidal self-injury (NSSI) is defined as the deliberate destruction of one’s own body tissue without suicidal intent and for purposes not socially sanctioned. However, this definition limits the understanding and assessment of NSSI by excluding a clinically relevant form of NSSI that is both self-driven and associated with self-injurious intentions: NSSI by proxy. Specifically, we […]

Psychosis and hopelessness mediate the relationship between reduced sleep and suicidal ideation in schizophrenia spectrum disorders

Objective: Suicide is a major cause of death amongst individuals with schizophrenia spectrum disorders (SSD). Despite numerous risk factors being identified, accurate prediction of suicidality and provision of tailored and effective treatment is difficult. One factor that may warrant particular attention as a contributor to increased psychopathology and suicidality in SSD is disturbed sleep. Sleep disturbances […]

Re-examining the dual harm profile: An assessment using US prison population-level data

Dual harm behaviour has recently gained scholarly attention. Dual harm centres on a subset of people who display violent and self-harming behaviour. This study re-examines the differential profile characteristics identified in Europe for those who dual harm, using international data featuring a population study of a state prison system in the south-eastern United States. Three […]

Socio-economic disparities in patients who present to hospital for self-harm: Patients’ characteristics and problems in the Multicentre Study of Self-harm in England

Background We examined disparities in sociodemographic and clinical characteristics and in problems preceding self-harm across levels of socio-economic deprivation (SED) in persons who presented to hospital for self-harm. Method 108,092 presentations to hospitals (by 57,306 individuals) following self-harm in the Multicentre Study of Self-harm in England (1/1/2000–31/12/2016). Information on area-level SED was based on the English Index […]

Sex differences in suicide, suicidal ideation, and self‑harm after release from incarceration: A systematic review and meta‑analysis

Purpose People released from incarceration are at increased risk of suicide compared to the general population. We aimed to synthesise evidence on the incidence of and sex differences in suicide, suicidal ideation, and self-harm after release from incarceration. Methods We searched MEDLINE, EMBASE, PsycINFO, Web of Science and PubMed between 1 January 1970 and 14 […]

Fetal alcohol spectrum disorder and suicidality: What does the literature tell us?

Introduction Limited research has been conducted on suicidality among individuals with FASD. The purpose of this scoping review was to understand (1) how suicidality has been measured; (2) what proportion of individuals experience suicidality across the lifespan; and (3) what contextual factors are associated with suicidality. Method We conducted a scoping review of the literature […]