Keith Hawton
Biographic Data
| ID | 136741 |
|---|---|
| NAME | Keith Hawton |
| GIVEN NAMES | Keith |
| FAMILY NAME | Hawton |
| SIGNATURE | HAWTON K |
| AFFILIATIONS | Warneford Hospital |
| ORCID | 0000-0003-4985-5715 |
| VERIFIED | Yes |
| TOTAL WORKS | 52 |
| TOTAL CITATIONS | 102 |
| AUTHOR COUNT | 52 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1978 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 6 |
Childhood bullying involvement and later suicidality
BACKGROUND: Bullying involvement (victim or perpetrator role) in childhood is linked to later suicidality. However, findings are inconsistent, and sex may be a moderator. We investigated whether childhood bullying involvement was associated with suicidality in adolescence, and whether this association varied by sex. METHODS: Childhood bullying involvement was collected from self-reports of children and parents during the 11-year follow-up of the …
Alcohol restrictions and suicide rates in South Africa during the Covid-19 pandemic
BACKGROUND: Alcohol use is a well-established potentially modifiable risk factor for suicide, yet few studies have investigated the impact of alcohol restrictions on suicide rates, particularly in low- and middle-income countries. METHODS: We used data from nationally representative annual surveys of postmortem investigations in 2017 (n=6117) and 2020/21 (n=6586) to estimate changes in suicide rates associated with the COVID-19 pandemic and relat…
Practitioner Review
BACKGROUND: Self-harm is very common in young people and is associated with suicide. Rates of both self-harm and suicide have increased in young people, particularly in females. There is a clear need to identify new approaches to prevent repeat self-harm. METHOD: We significantly update and build on previous reviews with the aim of identifying issues in research relevant to clinical practice. We identify challenges in developing, implementing and…
Loneliness and self-harm in adolescents during the first national Covid-19 lockdown
Adolescents’ loneliness and self-harm have received considerable attention during the COVID-19 pandemic with concerns that the socioecological changes taking place would contribute to an escalation of both loneliness and self-harm. However, empirical evidence is scant. We estimated the prevalence of loneliness and self-harm in adolescent school pupils and investigated the association of loneliness and change in loneliness during the UK’s first lo…
Research Review
Establishing Self-Harm Registers
Self-harm registers (SHRs) are an essential means of monitoring rates of self-harm and evaluating preventative interventions, but few SHRs exist in countries with the highest burden of suicides and self-harm. Current international guidance on establishing SHRs recommends data collection from emergency departments, but this does not adequately consider differences in the provision of emergency care globally. We aim to demonstrate that process mapp…
Utilization and Acceptability of Formal and Informal Support for Adolescents Following Self-Harm Before and During the First Covid-19 Lockdown
More than a third of secondary school students in this sample did not seek any help following self-harm. The majority of those not seeking help did not find this to be a helpful way of coping. Further work needs to determine effective ways of overcoming barriers to help-seeking among adolescents who self-harm and improving perceived helpfulness of the supports accessed
Understanding suicide clusters through exploring self-harm
There was a highly publicised cluster of at least ten suicides in South Wales, United Kingdom, in 2007-2008. We carried out a qualitative descriptive study using cross-case thematic analysis to investigate the experiences and narratives of eight individuals who lived in the area where the cluster occurred and who survived an episode of near-fatal self-harm at the time of the cluster. Interviews were conducted from 01.01.2015 to 31.12.2015. All in…
Suicide trends in the early months of the Covid-19 pandemic
Risk factors for suicide in prisons
Suicide risk and prevention during the Covid-19 pandemic
Parents’ Experience and Psychoeducation Needs When Supporting a Young Person Who Self-Harms
The study highlights the need for support for parents and carers of young people who engage in self-harm, including development and adaptation of resources, such as the "Coping with Self-Harm" booklet, of which an Australian version has now been developed
Self-Harm, Suicidal Behaviours, and Cyberbullying in Children and Young People
Vendor-based restrictions on pesticide sales to prevent pesticide self-poisoning - a pilot study
Our study suggests that vendor-based sales restriction in regions with high rates of self-poisoning has the potential to reduce access to pesticides for self-poisoning. A large-scale study of the effectiveness and sustainability of this approach is needed
Suicide in prisons
BACKGROUND: Prison suicide rates, rate ratios, and associations with prison-related factors need clarification and updating. We examined prison suicide rates in countries where reliable information was available, associations with a range of prison-service and health-service related factors, how these rates compared with the general population, and changes over the past decade. METHODS: We collected data for prison suicides in 24 high-income coun…
A systematic review of the relationship between internet use, self-harm and suicidal behaviour in young people
Making Sense of an Unknown Terrain
Self-harm is common in young people, and can have profound effects on parents and other family members. We conducted narrative interviews with 41 parents and other family members of 38 young people, aged up to 25, who had self-harmed. Most of the participants were parents but included one sibling and one spouse. This article reports experiences of the parent participants. A cross-case thematic analysis showed that most participants were bewildere…
Suicide prevention strategies revisited
Economic recession and suicidal behaviour
BACKGROUND: A growing body of research evidence from countries around the world indicates that economic recession is associated with increases in suicide, particularly in males of working age. AIMS: To explore contributory and ameliorating factors associated with economic recession and suicide and thereby stimulate further research in this area and encourage policy makers to consider how best to reduce the impact of recession on mental health and…
Taboo and the different death? Perceptions of those bereaved by suicide or other traumatic death
Views differ on how far the subject of death has ever been taboo in Western Society. Walter (1991) criticised the way the 'taboo thesis' has been presented, arguing that it has often been 'grossly overdrawn and lacking in subtlety'. Research suggests that suicide and other traumatic death may be particularly difficult for people to talk about or even acknowledge. We interviewed 80 people bereaved due to suicide, or other traumatic death and used …
Suicide and the 2008 economic recession
The negative impacts of previous economic recessions on suicide rates have largely been attributed to rapid rises in unemployment in the context of inadequate social and work protection programmes. We have investigated trends in indicators of the 2008 economic recession and trends in suicide rates in England and Wales in men and women of working age (16-64 years old) for the period 2001-2011, before, during and after the economic recession, our a…
Risk factors for suicide in individuals with depression
The Power of the Web
Self-harm and suicide in adolescents
A community-based cluster randomised trial of safe storage to reduce pesticide self-poisoning in rural Sri Lanka
This paper describes a large effectiveness study of a community intervention to reduce the burden of intentional poisoning in rural Sri Lanka. The study builds on a strong partnership between provincial health services, local and international researchers, and local communities. We discuss issues in relation to randomisation and contamination, engaging control villages, the intervention, and strategies to improve adherence
Taboo and the different death? Perceptions of those bereaved by suicide or other traumatic death
Views differ on how far the subject of death has ever been taboo in Western Society. Walter (1991) criticised the way the 'taboo thesis' has been presented, arguing that it has often been 'grossly overdrawn and lacking in subtlety'. Research suggests that suicide and other traumatic death may be particularly difficult for people to talk about or even acknowledge. We interviewed 80 people bereaved due to suicide, or other traumatic death and used …
Suicide and the 2008 economic recession
The negative impacts of previous economic recessions on suicide rates have largely been attributed to rapid rises in unemployment in the context of inadequate social and work protection programmes. We have investigated trends in indicators of the 2008 economic recession and trends in suicide rates in England and Wales in men and women of working age (16-64 years old) for the period 2001-2011, before, during and after the economic recession, our a…
Psychosocial influences on prisoner suicide
Suicide in doctors
STUDY OBJECTIVE: To investigate the suicide risk of doctors in England and Wales, according to gender, seniority and specialty. DESIGN: Retrospective cohort study. Suicide rates calculated by gender, age, specialty, seniority and time period. Standardised mortality ratios calculated for suicide (1991-1995), adjusted for age and sex. SETTING: England and Wales. SUBJECTS: Doctors in the National Health Service who died by suicide between 1979 and 1…
Sexual function in a community sample of middle-aged women with partners
Sex therapy for erectile dysfunction
Making Sense of an Unknown Terrain
Self-harm is common in young people, and can have profound effects on parents and other family members. We conducted narrative interviews with 41 parents and other family members of 38 young people, aged up to 25, who had self-harmed. Most of the participants were parents but included one sibling and one spouse. This article reports experiences of the parent participants. A cross-case thematic analysis showed that most participants were bewildere…
Use of paracetamol for suicide and non-fatal poisoning in the UK and France
OBJECTIVE: To investigate the relationship between the availability of paracetamol and its use for overdose and suicide. DESIGN: Analysis of routinely collected information on time trends for paracetamol suicides, non-fatal overdoses, and sales. SETTING: England and Wales and France. RESULTS: There were strong correlations between trends in paracetamol sales in the UK and trends in non-fatal paracetamol overdose in Oxford between 1976 and 1993 (S…
Reliability of routine hospital data on poisoning as measures of deliberate self poisoning in adolescents
STUDY OBJECTIVE--The aim was to assess the extent to which routinely collected data on poisoning in adolescents reflected deliberate self poisoning and, in doing, so to assess the accuracy of the diagnostic information on poisoning in the routine hospital abstracts which form the joint data base of Hospital Activity Analysis and the Oxford Record Linkage Study (ORLS). DESIGN--A comparison was made (a) of all eligible ORLS records during the study…
Deliberate self-harm in rural and urban regions
Relation between attempted suicide and suicide rates among young people in Europe
STUDY OBJECTIVE: To determine if there are associations between rates of suicide and attempted suicide in 15-24 year olds in different countries in Europe. DESIGN: Attempted suicide rates were based on data collected in centres in Europe between 1989 and 1992 as part of the WHO/EURO Multicentre Study of Parasuicide. Comparison was made with both national suicide rates and local suicide rates for the areas in which the attempted suicide monitoring…
The attitudes of psychiatrists to deliberate self‐poisoning
The attitudes of junior psychiatrists to deliberate self‐poisoning were assessed on the basis of their answers to a series of questions concerning four case vignettes. They spontaneously indicated goals for the behaviour in only a minority of cases. Emphasis should be placed on identifying instrumental aspects of overdoses during training in the assessment of self‐poisoning patients. The psychiatrists attributed similar reasons for the cases as d…
The reasons people give for taking overdoses
A representative sample of 41 cases of self‐poisoning was studied in depth. In each case ‘reasons’ for taking the overdose, both stated spontaneously and chosen from a presented list, were recorded. The commonest spontaneous reason was the ‘wish to die’. Nearly one‐third indicated some non‐suicidal purpose early in the interview and consistently denied suicidal intent subsequently. Apart from suicidal intent, reasons chosen from the list bore lit…
Variation in deliberate self-harm around Christmas and New Year
Sex Therapy Research
(1992). Sex Therapy Research: Has it Withered on the Vine? Annual Review of Sex Research: Vol. 3, No. 1, pp. 49-72
Why people take overdoses
There was considerable agreement between 50 psychiatrists in their choices of reasons to explain patients' overdoses after reading transcripts of interviews with self‐poisoning patients. The reasons attributed in each case were similar to those chosen by three psychiatrists in an earlier study. Most psychiatrists chose more than one reason for each case. Multidimensional scaling anlysis of the psychiatrists' choices across the cases suggested fou…
Deliberate self‐poisoning and self‐injury in the psychiatric hospital
Acts of self‐poisoning and self‐injury carried out by in‐patients and day patients while in treatment at two psychiatric hospitals were recorded over a one‐year period. Comparison with results from a survey based on referrals to a general hospital in the same area demonstrated that the rate at which these events occurred was over 50 times greater for patients in psychiatric care than in the general population. A larger proportion of the psychiatr…
The reasons people give for taking overdoses
A representative sample of 41 cases of self‐poisoning was studied in depth. In each case ‘reasons’ for taking the overdose, both stated spontaneously and chosen from a presented list, were recorded. The commonest spontaneous reason was the ‘wish to die’. Nearly one‐third indicated some non‐suicidal purpose early in the interview and consistently denied suicidal intent subsequently. Apart from suicidal intent, reasons chosen from the list bore lit…
The attitudes of psychiatrists to deliberate self‐poisoning
The attitudes of junior psychiatrists to deliberate self‐poisoning were assessed on the basis of their answers to a series of questions concerning four case vignettes. They spontaneously indicated goals for the behaviour in only a minority of cases. Emphasis should be placed on identifying instrumental aspects of overdoses during training in the assessment of self‐poisoning patients. The psychiatrists attributed similar reasons for the cases as d…
Content analysis of brief psychotherapy sessions
In studying the process of psychotherapy, detailed and reliable methods of describing the components are required. Such a method for content analysis of brief psychotherapy sessions is described. It is comprehensive and has satisfactory inter‐rater reliability. It proved to have predictive validity in that it identified characteristics of the treatment approach, and most of the changes in therapeutic activity during the course of treatment, that …
Why people take overdoses
There was considerable agreement between 50 psychiatrists in their choices of reasons to explain patients' overdoses after reading transcripts of interviews with self‐poisoning patients. The reasons attributed in each case were similar to those chosen by three psychiatrists in an earlier study. Most psychiatrists chose more than one reason for each case. Multidimensional scaling anlysis of the psychiatrists' choices across the cases suggested fou…
Reliability of routine hospital data on poisoning as measures of deliberate self poisoning in adolescents
STUDY OBJECTIVE--The aim was to assess the extent to which routinely collected data on poisoning in adolescents reflected deliberate self poisoning and, in doing, so to assess the accuracy of the diagnostic information on poisoning in the routine hospital abstracts which form the joint data base of Hospital Activity Analysis and the Oxford Record Linkage Study (ORLS). DESIGN--A comparison was made (a) of all eligible ORLS records during the study…
Sex Therapy Research
(1992). Sex Therapy Research: Has it Withered on the Vine? Annual Review of Sex Research: Vol. 3, No. 1, pp. 49-72
Sex therapy for erectile dysfunction
Sexual function in a community sample of middle-aged women with partners
Psychosexual functioning of partners of men with presumed non-organic erectile dysfunction
Do Patients With "Pure" Chronic Fatigue Syndrome (Neurasthenia) Have Abnormal Sleep
OBJECTIVE: To determine whether patients with "pure" chronic fatigue syndrome (neurasthenia) have sleep abnormalities which may contribute to subjective measures of daytime fatigue. METHOD: Sleep characteristics of 20 patients meeting research criteria for chronic fatigue syndrome (CFS) but not depression, anxiety, or sleep disorder were compared with sleep characteristics of 20 healthy subjects matched for age and sex. Measures of sleep included…
Use of paracetamol for suicide and non-fatal poisoning in the UK and France
OBJECTIVE: To investigate the relationship between the availability of paracetamol and its use for overdose and suicide. DESIGN: Analysis of routinely collected information on time trends for paracetamol suicides, non-fatal overdoses, and sales. SETTING: England and Wales and France. RESULTS: There were strong correlations between trends in paracetamol sales in the UK and trends in non-fatal paracetamol overdose in Oxford between 1976 and 1993 (S…
Relation between attempted suicide and suicide rates among young people in Europe
STUDY OBJECTIVE: To determine if there are associations between rates of suicide and attempted suicide in 15-24 year olds in different countries in Europe. DESIGN: Attempted suicide rates were based on data collected in centres in Europe between 1989 and 1992 as part of the WHO/EURO Multicentre Study of Parasuicide. Comparison was made with both national suicide rates and local suicide rates for the areas in which the attempted suicide monitoring…
Suicide in doctors
STUDY OBJECTIVE: To investigate the suicide risk of doctors in England and Wales, according to gender, seniority and specialty. DESIGN: Retrospective cohort study. Suicide rates calculated by gender, age, specialty, seniority and time period. Standardised mortality ratios calculated for suicide (1991-1995), adjusted for age and sex. SETTING: England and Wales. SUBJECTS: Doctors in the National Health Service who died by suicide between 1979 and 1…
Deliberate self harm in adolescents
Objective: To determine the prevalence of deliberate self harm in adolescents and the factors associated with it. Design: Cross sectional survey using anonymous self report questionnaire. Setting: 41 schools in England. Participants: 6020 pupils aged 15 and 16 years. Main outcome measure: Deliberate self harm. Results: 398 (6.9%) participants reported an act of deliberate self harm in the previous year that met study criteria. Only 12.6% of episo…
Suicide following deliberate self-harm
BACKGROUND: Deliberate self-harm (DSH) is the strongest risk factor for future suicide. Up-to-date information on the extent of risk is lacking. AIMS: To investigate the risk of suicide after DSH during a long follow-up period. METHOD: A mortality follow-up study to 2000 was conducted on 11 583 patients who presented to hospital after DSH between 1978 and 1997. Data were obtained from a general hospital DSH register in Oxford and the Office for N…
Helping people bereaved by suicide
Factors associated with suicidal phenomena in adolescents
Variation in deliberate self-harm around Christmas and New Year
Deliberate self‐harm within an international community sample of young people
Background: Deliberate self‐harm among young people is an important focus of policy and practice internationally. Nonetheless, there is little reliable comparative international information on its extent or characteristics. We have conducted a seven‐country comparative community study of deliberate self‐harm among young people. Method: Over 30,000 mainly 15‐ and 16‐year‐olds completed anonymous questionnaires at school in Australia, Belgium, Engl…
Help-seeking before and after episodes of self-harm
There are both push and pull factors' acting on young people in their understanding of what leads them to want to harm themselves and potential mechanisms for seeking help. The implications for community based prevention programmes are discussed
Suicide
Evaluation of acceptability and use of lockable storage devices for pesticides in Sri Lanka that might assist in prevention of self-poisoning
Introduction of lockable boxes for storing pesticides to farming households in Sri Lanka appeared to be acceptable. Most households used the boxes responsibly, although there was some decline in the proper usage over time. A large-scale trial of lockable storage devices in farming households in rural areas as a means of prevention of suicide and accidental poisoning is now indicated
Internet Gamblers
A community-based cluster randomised trial of safe storage to reduce pesticide self-poisoning in rural Sri Lanka
This paper describes a large effectiveness study of a community intervention to reduce the burden of intentional poisoning in rural Sri Lanka. The study builds on a strong partnership between provincial health services, local and international researchers, and local communities. We discuss issues in relation to randomisation and contamination, engaging control villages, the intervention, and strategies to improve adherence
Medicine (35 works) · Suicide and Self-Harm Studies (31 works) · Psychology (30 works) · Poison control (27 works) · Psychiatry (26 works) · Suicide prevention (25 works) · Injury prevention (21 works) · Medical emergency (17 works) · Harm (15 works) · Occupational safety and health (14 works)