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Prevalence and Associated Risk Factors of Self-Harm Among Health Care Workers: Protocol for Systematic Review and
Nor Asiah Muhamad1, Nur Hasnah Maamor1, 'Izzah 'Athirah Rosli1
1Sector for Evidence-based Healthcare, National Institutes of Health, Ministry of Health, Selangor, Malaysia.
JMIR Research Protocols
|September 17, 2025
Summary
This systematic review synthesizes global self-harm prevalence among health care workers (HCWs) and identifies associated risk factors. Findings will inform prevention and management strategies for HCW mental health.
Area of Science:
- Public Health
- Mental Health Research
- Epidemiology
Background:
- Self-harm is a growing global public health issue, exacerbated by the COVID-19 pandemic.
- Health care workers (HCWs) face unique stressors including workload, workplace bullying, and limited support, increasing their risk of self-harm.
Purpose of the Study:
- To determine the pooled global prevalence of self-harm among HCWs.
- To identify key risk factors contributing to self-harm in this population.
Main Methods:
- Systematic review of observational and experimental studies.
- Searches across major databases (PubMed, PsycINFO, Embase, CINAHL) until March 2025.
- Meta-analysis using PRISMA and Joanna Briggs Institute guidelines, with subgroup analyses by sex, region, and profession.
Main Results:
- Data analysis is scheduled for completion by August 2025.
- Manuscript preparation is expected by October 2025.
- The review is anticipated for publication by January 2026.
Conclusions:
- This review will offer a comprehensive overview of self-harm prevalence in HCWs.
- Results will guide the development of targeted interventions to prevent and manage self-harm among HCWs.
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