Fatal and non-fatal repetition of self-harm
Systematic review
Bibliographic Data
| ID | 23369807 |
|---|---|
| Authors | David Owens (0000-0002-5080-2736, University of Leeds, corresponding author), Judith Horrocks (0009-0007-1699-0255, University of Leeds), Allan House (0000-0001-8721-8026, University of Leeds) |
| Year | 2002 |
| Volume | 181 |
| Issue | 3 |
| Pages | 193-199 |
| Publication date | 2002-09-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | The British Journal of Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 0007-1250 • E-ISSN: 1472-1465 |
| Publisher | Royal College of Psychiatrists (PUBLISHER • GB) |
| DOI | 10.1192/bjp.181.3.193 |
| PMID | 12204922 |
| OpenAlex | W2169361101 |
| Language | EN |
| Citations received | 90 |
| References cited | 87 |
BACKGROUND: Non-fatal self-harm frequently leads to non-fatal repetition and sometimes to suicide. We need to quantify these two outcomes of self-harm to help us to develop and test effective interventions. AIMS: To estimate rates of fatal and non-fatal repetition of self-harm. METHOD: A systematic review of published follow-up data, from observational and experimental studies. Four electronic databases were searched and 90 studies met the inclusion criteria. RESULTS: Eighty per cent of studies found were undertaken in Europe, over one-third in the UK. Median proportions for repetition 1 year later were: 16% non-fatal and 2% fatal; after more than 9 years, around 7% of patients had died by suicide. The UK studies found particularly low rates of subsequent suicide. CONCLUSIONS: After 1 year, non-fatal repetition rates are around 15%. The strong connection between self-harm and later suicide lies somewhere between 0.5% and 2% after 1 year and above 5% after 9 years. Suicide risk among self-harm patients is hundreds of times higher than in the general population.
Environmental health · Harm · Injury prevention · Medical emergency · Observational study · Poison control · Population · Psychiatry · Psychological intervention · Repetition (rhetorical device) · Suicide prevention · Gun Ownership and Violence Research · Internal Medicine · Medicine · Psychology · Social Psychology · Suicide and Self-Harm Studies · Treatment of Major Depression
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| Unique citing works | 90 |
|---|---|
| Citations per year | 3,91 |
| Citation span | 2003 - 2025 (23) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 81 |