{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T02:13:07Z","timestamp":1790647987569,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,3,5]],"date-time":"2018-03-05T00:00:00Z","timestamp":1520208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"publisher","award":["2011\u20100868"],"award-info":[{"award-number":["2011\u20100868"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004348","name":"Stockholms L\u00e4ns Landsting","doi-asserted-by":"publisher","award":["LS\u20101311\u20101462"],"award-info":[{"award-number":["LS\u20101311\u20101462"]}],"id":[{"id":"10.13039\/501100004348","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Self\u2010harm is common in youth and an important risk factor for suicide. Certain self\u2010harm methods might indicate a higher risk of suicide. The main aim of this study was to determine whether some methods of self\u2010harm in adolescents (10\u201317\u00a0years) and young adults (18\u201324\u00a0years) are associated with a particularly high risk of suicide. A secondary aim was to ascertain how different self\u2010harm methods might affect the probability of psychiatric follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Five Swedish registers were linked in a national population\u2010based cohort study. All nonfatal self\u2010harm events recorded in specialist health care, excluding psychiatry and primary care services, among 10\u201324\u00a0year olds between 2000 and 2009 were included. Methods were classified as poisoning, cutting\/piercing, violent method (gassing, hanging, strangulation\/suffocation, drowning, jumping and firearms), other and multiple methods. Hazard Ratios (\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      ) for suicide were calculated in Cox regression models for each method with poisoning as the reference. Odds Ratios (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      ) for psychiatric inpatient care were determined in logistic regression models. Analyses were adjusted for important covariates and stratified by age group and treatment setting (inpatient\/outpatient).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among adolescents with initial medical hospitalisation, use of a violent method was associated with a near eightfold increase in\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      for suicide compared to self\u2010poisoning in the adjusted analysis [\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      7.8; 95% confidence interval (\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ) 3.2\u201319.0]. Among hospitalised young adult women, adjusted\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      s were elevated fourfold for both cutting [4.0 (1.9\u20138.8)] and violent methods [3.9 (1.5\u201310.6)]. Method of self\u2010harm did not affect suicide risk in young adult men. Adolescents using violent methods had an increased probability of psychiatric inpatient care following initial treatment for self\u2010harm.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Violent self\u2010harm requiring medical hospitalisation may signal particularly high risk of future suicide in adolescents (both sexes) and in young adult women. For the latter group this is the case for cutting requiring hospitalisation as well.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.12883","type":"journal-article","created":{"date-parts":[[2018,3,5]],"date-time":"2018-03-05T05:12:40Z","timestamp":1520226760000},"page":"948-956","source":"Crossref","is-referenced-by-count":50,"title":["Method of self\u2010harm in adolescents and young adults and risk of subsequent suicide"],"prefix":"10.1111","volume":"59","author":[{"given":"Karin","family":"Beckman","sequence":"first","affiliation":[{"name":"Centre for Psychiatry Research Department of Clinical Neuroscience Karolinska Institutet Stockholm Sweden"},{"name":"Stockholm Health Care Services Stockholm City Council St G\u00f6ran's Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellenor","family":"Mittendorfer\u2010Rutz","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience Insurance Medicine 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