Screeners in use at the Department of Veterans Affairs (VA) do not query high-risk and self-harm behaviors that are thought to be more common among veterans, especially male veterans, and may use stigmatizing language to query self-harm behaviors, resulting in underreporting. As such, many veteran’s high-risk and self-harm behaviors may go undetected. The present study outlines the development ...

INTENTIONAL SELF-HARM without intent to die involves complex health, psychological, and social behaviors. Over many years, an attempt to explain these behaviors has ranged from the supernatural with demonic possession to multiple explanations through psychiatry and psychology (Favazza, 1996). At one time, self-harm was believed to exist primarily in patients with mental illness. In modern socie...

AIMS The UK Clinical Practice Research Datalink (CPRD) is increasingly being used to investigate suicide-related adverse drug reactions. No studies have comprehensively validated the recording of suicide and nonfatal self-harm in the CPRD. We validated general practitioners' recording of these outcomes using linked Office for National Statistics (ONS) mortality and Hospital Episode Statistics (...

BackgroundScales are widely used in psychiatric assessments following self-harm. Robust evidence for their diagnostic use is lacking.AimsTo evaluate the performance of risk scales (Manchester Self-Harm Rule, ReACT Self-Harm Rule, SAD PERSONS scale, Modified SAD PERSONS scale, Barratt Impulsiveness Scale); and patient and clinician estimates of risk in identifying patients who repeat self-harm w...

Psychiatric patients may try (or express a desire) to injure themselves in hospital in order to cope with overwhelming emotional pain. Some health care practitioners and patients propose allowing a controlled amount of self-injury to occur in inpatient facilities, so as to prevent escalation of distress. Is this approach an example of professional assistance with harm? Or, is the approach more ...

OBJECTIVE To determine whether adolescents who self-harm are at increased risk of heavy and dependent substance use in adulthood. METHOD Fifteen-year prospective cohort study of a random sample of 1943 adolescents recruited from secondary schools across the state of Victoria, Australia. Data pertaining to self-harm and substance use was obtained at seven waves of follow-up, from mean age 15.9...

Objective: This study aimed to investigate the issues related to the formation and persistence of deliberate self-harm behavior in adolescents from Iranian mental health professionals' viewpoints. Method: The present qualitative study used a semi-structured interview to record the experiences of 9 mental health professionals with work experience in deliberate self-harm behavior in adolescence...

OBJECTIVES To evaluate the incidence and outcomes of self-harm from ambulance records. DESIGN A retrospective, observational study. SETTING Osaka City, Japan. PARTICIPANTS A total of 365 adolescents aged 10-19 years with emergency self-harm such as poisoning by drugs or gas, cutting skin, jumping from heights, hanging and drowning and treated by emergency medical service personnel from Ja...

BACKGROUND Fire-setting and self-harm behaviours among women in high security special hospitals may be understood using Shye's Action System Theory (AST) in which four functional modes are recognized: 'adaptive', 'expressive', 'integrative', and 'conservative'. AIMS To test for relationships between different forms of fire-setting and self-harm behaviours and AST modes among women in special ...

BACKGROUND There is evidence for an association between suicidal behavior and coping style among adolescents. AIMS The aims of this study were to examine associations between coping style, mental health factors, and self-harm thoughts and acts among Irish adolescents, and to investigate whether coping style mediates associations between mental health factors (depression, anxiety, and self-est...