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Related Experiment Videos

Self-harm.

Keren Skegg1

  • 1Department of Psychological Medicine, University of Otago Medical School, PO Box 913 Dunedin, New Zealand. keren.skegg@stonebow.otago.ac.nz

Lancet (London, England)
|October 26, 2005
PubMed
Summary

Self-harm, encompassing behaviors like cutting and poisoning, affects 5-9% of adolescents. Understanding risk factors and protective elements is crucial for effective prevention and intervention strategies.

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Area of Science:

  • Psychiatry
  • Public Health
  • Epidemiology

Background:

  • Self-harm involves diverse behaviors and intentions, with significant international variations in prevalence.
  • Adolescent self-harm rates in Western countries range from 5-9%, influenced by socioeconomic factors and psychiatric conditions.
  • Cultural factors may offer protection against self-harm and suicide, contributing to observed international rate differences.

Purpose of the Study:

  • To review the epidemiology, risk factors, and management of self-harm.
  • To highlight the high risk of repetition and subsequent suicide following self-harm events.
  • To emphasize the need for further research into protective factors and effective treatments.

Main Methods:

  • Literature review and synthesis of existing research on self-harm.
  • Analysis of risk factors including socioeconomic status, psychiatric illness (depression, substance abuse, anxiety), and cultural influences.
  • Examination of assessment criteria for suicide risk following self-harm, including intent, lethality, and psychiatric comorbidities.

Main Results:

  • Self-harm is prevalent among adolescents, with significant risk factors identified.
  • A substantial proportion of individuals who self-harm are at high risk for repetition and future suicide.
  • Effective management involves building trust, problem identification, crisis support, and vigorous treatment of psychiatric conditions.

Conclusions:

  • Established risk factors for self-harm necessitate comprehensive assessment and management strategies.
  • Further exploration of protective factors and large-scale treatment studies are needed for specific subgroups.
  • Integrated care addressing psychiatric illness and social support is vital for individuals engaging in self-harm.

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