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Related Experiment Videos

Suicidal intent and repeated self-harm.

D Pierce

    Psychological Medicine
    |August 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Identifying repeat self-harm patients with rising suicidal intent is crucial. Younger patients and first-time repeaters show increased intent, highlighting critical intervention points for suicide prevention.

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    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Public Health

    Background:

    • Identifying patients who self-harm and repeat is vital for suicide prevention.
    • Understanding changes in suicidal intent with repeated self-harm episodes is poorly understood.

    Purpose of the Study:

    • To investigate the relationship between repeated self-harm episodes and changes in suicidal intent.
    • To identify patient characteristics associated with escalating suicidal intent upon repetition.

    Main Methods:

    • A study measured changes in suicidal intent using an intent scale in patients who repeated self-harm.
    • Data analyzed over a 7-year period, focusing on episode intervals and patient demographics.
    • Suicide rates were compared between patients with rising intent and other groups.

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    Main Results:

    • Patients repeating self-harm once within 5 years showed significantly higher intent in second episodes.
    • Multiple repeaters tended to have lower intent in second episodes compared to first repeaters.
    • Patients under 35 were at higher risk for repetition with increasing intent within 2 years.
    • No correlation was found between intent rise and time interval between episodes.
    • Rising intent repeaters had a higher 5-year suicide rate.

    Conclusions:

    • Early repetition of self-harm, particularly in younger individuals, is a marker for increasing suicidal intent and risk.
    • Clinical assessment should focus on intent changes in first-time repeaters for effective suicide prevention strategies.
    • The findings underscore the importance of monitoring suicidal intent in specific patient subgroups prone to escalation.