Differential pathways from childhood mistreatments to self-harm and suicidal ideation.
Self-harm and suicidal behavior range among the most prominent public health concerns in children and adolescents. The term “self-harm” commonly includes both direct and indirect self-damage with and without suicidal intent; whereas, the term “self-injury” refers to direct self-damage only but again regardless of its intent. Self-harm has a mean prevalence of 18% worldwide , and a study investigating the life-time prevalence of self-injury among European adolescents found rates up to 39% . Suicidal ideation and suicide attempts have been reported in about 12% and 4% of adolescents, respectively . The particular importance of adolescent self-harm is underlined by the fact that it is often associated with suicidal ideation and behavior, and that it is one of the strongest risk factors predicting suicidal behavior  and death by suicide later in life .