scholarly journals Deliberate Self-Harm and Suicidal Ideation Among Male Iraq/Afghanistan-Era Veterans Seeking Treatment for PTSD

2014 ◽  
Vol 27 (4) ◽  
pp. 474-477 ◽  
Author(s):  
Nathan A. Kimbrel ◽  
Margaret E. Johnson ◽  
Carolina Clancy ◽  
Michael Hertzberg ◽  
Claire Collie ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Deliberate Self Harm ◽  
Self Harm

scholarly journals Global Lifetime and 12-Month Prevalence of Suicidal Behavior, Deliberate Self-Harm and Non-Suicidal Self-Injury in Children and Adolescents between 1989 and 2018: A Meta-Analysis

2019 ◽  
Vol 16 (22) ◽  
pp. 4581 ◽  
Author(s):  
Kim-San Lim ◽  
Celine H. Wong ◽  
Roger S. McIntyre ◽  
Jiayun Wang ◽  
Zhisong Zhang ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Children And Adolescents ◽  
Suicidal Behavior ◽  
School Attendance ◽  
Meta Analysis ◽  
Full Time ◽  
Deliberate Self Harm ◽  
Self Injury ◽  
Subgroup Analyses ◽  
Self Harm

Objective: This meta-analysis aimed to estimate the global lifetime and 12-month prevalence of suicidal behavior, deliberate self-harm and non-suicidal self-injury in children and adolescents. Methods: A systematic search for relevant articles published between 1989 to 2018 was performed in multiple electronic databases. The aggregate 12-month and lifetime prevalence of suicidal behavior, deliberate self-harm, and non-suicidal self-injury were calculated based on the random-effects model. Subgroup analyses were performed to compare the prevalence according to school attendance and geographical regions. Results: A total of 686,672 children and adolescents were included. The aggregate lifetime and 12-month prevalence of suicide attempts was 6% (95% CI: 4.7–7.7%) and 4.5% (95% CI: 3.4–5.9%) respectively. The aggregate lifetime and 12-month prevalence of suicidal plan was 9.9% (95% CI: 5.5–17%) and 7.5% (95% CI: 4.5–12.1%) respectively. The aggregate lifetime and 12-month prevalence of suicidal ideation was 18% (95% CI: 14.2–22.7%) and 14.2% (95% CI: 11.6–17.3%) respectively. The aggregate lifetime and 12-month prevalence of non-suicidal self-injury was 22.1% (95% CI: 16.9–28.4%) and 19.5% (95% CI: 13.3–27.6%) respectively. The aggregate lifetime and 12-month prevalence of deliberate self-harm was 13.7% (95% CI: 11.0–17.0%) and 14.2% (95% CI: 10.1–19.5%) respectively. Subgroup analyses showed that full-time school attendance, non-Western countries, low and middle-income countries, and geographical locations might contribute to the higher aggregate prevalence of suicidal behaviors, deliberate self-harm, and non-suicidal self-injury. Conclusions: This meta-analysis found that non-suicidal self-injury, suicidal ideation, and deliberate self-harm were the three most common suicidal and self-harm behaviors in children and adolescents.

Deliberate self-harm in children and adolescents: an 11-year case note study

2011 ◽  
Vol 28 (4) ◽  
pp. 191-195
Author(s):  
Fiona McNicholas ◽  
John Fagan ◽  
Brid Tobin ◽  
Mairin Doherty ◽  
Neil Adamson
Keyword(s):  
Family History ◽  
Suicidal Ideation ◽  
Children And Adolescents ◽  
Suicidal Behaviour ◽  
Discharge Planning ◽  
Public Health Problem ◽  
Previous Attempt ◽  
Deliberate Self Harm ◽  
Drug Of Choice ◽  
Self Harm

AbstractObjective: To retrospectively examine the case-notes of all children and adolescents admitted with deliberate self-harm (DSH) or suicidal ideation during the study period 1993-2003. The study aimed to identify underlying reasons why children and adolescents engage in DSH, and to identify common psychiatric, psychosocial and familial factors which may predispose or contribute to an individual's engagement in such behaviour.Method: All children presenting to the hospital with DSH or suicidal ideation were identified and data collected from their case notes. A study specific questionnaire was designed to collect demographic details, details on clinical presentation, past attempts, comorbid psychiatry disorders, family history and family circumstances. Information was also recorded on hospital stay and discharge planning.Results: During the 11-year period, 231 children presented with suicidal ideation or behaviour. The mean age was 12.85 with an age range from 6-17 years, with a female:male ratio of 2.5:1. Overdose was the most common method (81.2%) and paracetamol most commonly the drug of choice. More than half of the group (55.7%) expressed a wish to die. More than half (51.8%) had expressed suicidal ideation in the past, 31% had made a previous attempt, and 11.7% had been previously admitted. Of the children 8% presented with suicidal behaviour more than once over the study period. There was a family history of completed suicide in 6.6%.Conclusion: Deliberate self-harm in young people is a significant public health problem in Ireland. During the period of this study, rates have continued to increase. There is an urgent need for national bodies such as the National Suicide Review Group to extend their focus to include those under age 18 and for services to be developed that might reduce DSH behaviours. More research is needed in the area of childhood suicidal behaviour.

Subsequent Deliberate Self-Harm in Patients Referred to a Psychiatrist: A Prospective Study

1982 ◽  
Vol 140 (2) ◽  
pp. 132-137 ◽  
Author(s):  
E. D. Myers
Keyword(s):  
Suicidal Ideation ◽  
Worth Living ◽  
Life Worth Living ◽  
Case Record ◽  
Deliberate Self Harm ◽  
Suicide Behaviour ◽  
Self Harm ◽  
A Prospective Study ◽  
Suicidal Ideas

SummaryOne thousand and five patients referred to a psychiatrist were questioned, during a routine clinical interview, about current and previous suicidal ideas and previous suicide behaviour; they were also specifically asked what made life worth living for them at that time. In a four-year case-record follow-up 102 patients (10.1 per cent) were found subsequently to have attempted deliberately to harm themselves. Such deliberate self-harm (DSH) was significantly associated with female sex, with age below 35, and with evidence of suicidal ideation and/or behaviour at the time of and/or before the initial referral. To the question, “What makes life worth living for you at the present time?” a significant number of subsequent self-harmers had answered ‘Nothing’ or ‘Not much’ while a significant number of subsequent non-self-harmers had answered “Spouse and children” or “Family”.The results suggest that the answers to questions about current and previous suicidal ideas and behaviour and perceptions of what makes life worth living may be useful in the prediction of deliberate self-harm.

scholarly journals Prevalence and Correlates of Suicidal Ideation and Deliberate Self-harm in Canadian Adolescents During the Coronavirus Disease 2019 Pandemic

2021 ◽  
pp. 070674372110366
Author(s):  
Brianna J. Turner ◽  
Christina L. Robillard ◽  
Megan E. Ames ◽  
Stephanie G. Craig
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Suicidal Ideation ◽  
Mental Health Services ◽  
Health Services ◽  
Online Survey ◽  
Warning Signs ◽  
Deliberate Self Harm ◽  
Health Concerns ◽  
Self Harm

Objective In light of recent evidence that the coronavirus disease 2019 (COVID-19) pandemic has resulted in marked increases in depression, anxiety, substance use, and other mental health concerns among Canadian adolescents, we investigated the rates of self-harm thoughts and behaviours in this population. Specifically, this study explored: (1) the demographic and geographic distributions of suicidal ideation (SI) and deliberate self-harm (DSH), and (2) the associations of mental health and substance use with SI and DSH. Method A total of 809 Canadian adolescents, aged 12–18 years, completed an online survey between June 17, 2020 and July 31, 2020. Results 44% of adolescents reported experiencing SI since the pandemic began, while 32% reported engaging in DSH. SI and DSH were more common among youth who: identified as transgender, non-binary or gender fluid; who did not reside with both parents; and who reported psychiatric concerns or frequent cannabis use. Conclusion Canadian adolescents appear to be experiencing higher rates of self-harm thoughts and behaviours relative to before the COVID-19 pandemic. It is important for adults who are likely to interact with distressed youth to be aware of potential warning signs that a youth is struggling with self-harm, and to refer youth to specialty mental health services where appropriate.

Prevalence and correlates of lifetime deliberate self-harm and suicidal ideation in naturalistic outpatients: The Leiden Routine Outcome Monitoring study

2011 ◽  
Vol 133 (1-2) ◽  
pp. 257-264 ◽  
Author(s):  
Suzanne de Klerk ◽  
Martijn S. van Noorden ◽  
Anne E. van Giezen ◽  
Philip Spinhoven ◽  
Margien E. den Hollander-Gijsman ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Routine Outcome Monitoring ◽  
Deliberate Self Harm ◽  
Outcome Monitoring ◽  
Monitoring Study ◽  
Self Harm

Suicidal ideation and non-fatal deliberate self-harm presentations in the Kimberley from an enhanced police–mental health service notification database

2016 ◽  
Vol 25 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Cate McHugh ◽  
Sivasankaran Balaratnasingam ◽  
Anita Campbell ◽  
Murray Chapman
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Health Service ◽  
Community Mental Health Services ◽  
Population Level ◽  
Indigenous Populations ◽  
Deliberate Self Harm ◽  
Police Services ◽  
High Prevalence ◽  
Self Harm

Objectives: To determine the rate of presentations for suicidal ideation and deliberate self-harm in the Kimberley region of Western Australia, characterized in terms of age, gender, rates of repetition and engagement with community mental health services. Methods: An observational study of health service presentations over 12 months. Setting: 10 sites across the region with police services were included, capturing the overwhelming majority of self-harm presentations in the region. Participants: all Indigenous presentations were analyzed. Of the 433 individuals who presented, 361 were Indigenous. Main outcome measures: suicidal phenomena, including suicidal ideation and any type of deliberate self-harm regardless of intent. Results: Analysis suggests a broadly similar age and sex stratification of self-harm in this population compared with international reports. The rates, however, are 5–20 times higher than those reported in non-Indigenous populations in Australia and abroad, depending on whether the comparison rate is calculated from population surveys or hospital presentations. Conclusions: Prevalence of suicidal phenomena is very high and is likely to be much higher than estimated by this hospital based study. Such high prevalence suggests that a population level intervention is required in addition to interventions involving clinical services.

Clinical Management of Deliberate Self-Harm in Young People: The Need for Evidence-Based Approaches to Reduce Repetition

2005 ◽  
Vol 39 (3) ◽  
pp. 121-128 ◽  
Author(s):  
Jane Burns ◽  
Michael Dudley ◽  
Philip Hazell ◽  
George Patton
Keyword(s):  
Young Adults ◽  
Suicidal Ideation ◽  
Young People ◽  
Experimental Studies ◽  
Adolescents And Young Adults ◽  
Deliberate Self Harm ◽  
Clinical Control ◽  
Quasi Experimental ◽  
Self Harm

Objective: To examine the evidence for the effectiveness of clinical interventions designed to reduce the repetition of deliberate self-harm (DSH) in adolescents and young adults. Methods: Electronic databases were searched for papers describing randomised and clinical control trials (RCTs) and quasi-experimental studies of interventions targeting adolescents and young adults presenting to clinical services following DSH or suicidal ideation. Results: Three RCTs, four clinical control trials and three quasi-experimental studies were identified. Group therapy, trialled in a RCT, was the only specific programme which led to a significant reduction in rates of repetition of self-harm. Attendance at follow-up did not improve significantly regardless of the intervention, while one clinically controlled trial of intensive intervention resulted in poorer attendance at follow-up. One quasi-experimental study of family therapy resulted in a significant reduction in suicidal ideation. Conclusions: The evidence base for treatments designed to reduce the repetition of self-harm in adolescents and young adults is very limited. Expensive interventions such as intensive aftercare offer no clear benefit over routine aftercare. Given that deliberate selfharm among young people is a common clinical problem further good quality treatment studies are warranted. Careful consideration should be given to process evaluation to determine which individual components of any given intervention are effective.

scholarly journals Self-harm as a predisposition for suicide attempts: A study of adolescents' deliberate self-harm, suicidal ideation, and suicide attempts

2020 ◽  
Vol 287 ◽  
pp. 112553 ◽  
Author(s):  
Tiago A. Duarte ◽  
Sofia Paulino ◽  
Carolina Almeida ◽  
Hugo S. Gomes ◽  
Nazaré Santos ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Suicide Attempts ◽  
Deliberate Self Harm ◽  
Self Harm
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