OBJECTIVES This study examines whether there is a difference between urban versus suburban and rural adolescents in their use of health services following two types of self-harm distinguished as self-harm with or without suicide intent. SETTING A nationwide cross-sectional school survey of 11 406 Norwegian adolescents aged 13-19 years in 73 Norwegian junior and senior high schools. PARTICIP...

Results Constant special observation was not related to rates of self-harm, but intermittent observation was associated with reduced self-harm. Ward security policies were not related to self-harm, but locking of the ward door was associated with more self-harm. Some other coercive measures were associated with more self-harm. Admissions during the shift and the types of patient admitted were a...

This study investigates 122 people's descriptions of their self-harm experiences using thematic analysis. Analysis revealed four themes: What counts as self-harm, What leads to self-harm, Intentions and Managing stigma. Our participants challenged commonly accepted understandings in terms of method, outcome and intentions. Several difficulties associated with discriminating between suicidal and...

Aggression to others and harm to the self (self-harm) have both been associated with similar possible antecedents; however, literatures on aggression and self-harm are commonly separated. This web-based study (N = 241) aimed to explore the dynamics of self-reported mindfulness and self-control towards aggression and self-harm. As predicted, those who were more mindful and more self-controlled r...

BACKGROUND Methods used at an index episode of non-fatal self-harm may predict risk of future suicide. Little is known of suicide risk associated with most recent non-fatal method, and whether or not change in method is important. METHODS A prospective cohort of 30,202 patients from the Multicentre Study of Self-harm in England presenting to six hospitals with self-harm, 2000-2007, was follow...

Self-harm is one of the best predictors of death by suicide, but few studies directly compare adolescents with suicidal versus nonsuicidal self-harm. Seventy adolescents presenting with self-harm (71% young women, ages 12-18 years) who participated in a randomized controlled trial were divided into suicidal and nonsuicidal self-harm categories using the Columbia Classification Algorithm of Suic...

OBJECTIVES To investigate the mental health, substance use, educational, and occupational outcomes of adolescents who self harm in a general population sample, and to examine whether these outcomes differ according to self reported suicidal intent. DESIGN Population based birth cohort study. SETTING Avon Longitudinal Study of Parents and Children (ALSPAC), a UK birth cohort of children born...

Introduction: Self-harm has increased among adolescents in recent years, turning it to one of the major public and mental health concerns. Objective: The present study aims to investigate the prevalence of self-harm and deliberate self-cutting in high school students in northern Iran, and its relationship with anxiety, depression, and stress. Materials and Methods: In this analytical cross-se...

OBJECTIVE Rates of hospital presentation for self-harm in England were compared using different national and local data sources. DESIGN The study was descriptive and compared bespoke data collection methods for recording self-harm presentations to hospital with routinely collected hospital data. SETTING Local area data on self-harm from the 3 centres of the Multicentre Study of Self-harm in...

BACKGROUND Self-harm is a major public health problem yet current healthcare provision is widely regarded as inadequate. One of the barriers to effective healthcare is the lack of a clear understanding of the functions self-harm may serve for the individual. The aim of this review is to identify first-hand accounts of the reasons for self-harm from the individual's perspective. METHOD A syste...