{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:02:01Z","timestamp":1787313721432,"version":"build-2736575974"},"reference-count":56,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T00:00:00Z","timestamp":1625702400000},"content-version":"unspecified","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec id=\"S2056472421009625_sec_a1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Research into the association between childhood sexual abuse (CSA) and self-harm repetition is limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472421009625_sec_a2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We aimed to examine the association between self-harm repetition, mental health conditions, suicidal intent and CSA experiences among people who frequently self-harm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472421009625_sec_a3\" sec-type=\"methods\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      A mixed-methods study was conducted including consecutive patients aged \u226518 years, with five or more self-harm presentations, in three Irish hospitals. Information was extracted from psychiatric records and patients were invited to participate in a semi-structured interview. Data was collected and analysed with a mixed-methods, convergent parallel design. In tandem, the association between CSA and self-harm repetition, suicidal intent and mental health conditions was examined with logistic regression models and independent sample\n                      <jats:italic>t<\/jats:italic>\n                      -test, with psychiatric records data. Thematic analysis was conducted with interview data, to explore CSA experiences and self-harm repetition.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472421009625_sec_a4\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Between March 2016 and July 2019, information was obtained on 188 consecutive participants, with 36 participants completing an interview. CSA was recorded in 42% of the total sample and 72.2% of those interviewed. CSA was positively associated with self-harm repetition (odds ratio 6.26, 95% CI 3.94\u22129.94,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.00). Three themes emerged when exploring participants\u2019 CSA experiences: CSA as a precipitating factor for self-harm, secrecy of CSA accentuating shame, and loss experiences linked to CSA and self-harm.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472421009625_sec_a5\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>CSA was frequently reported among people who frequently self-harm, and associated with self-harm repetition. Identification of patients at risk of repetition is key for suicide prevention. This is an at-risk group with particular characteristics that must be considered; comprehensive patient histories can help inform and tailor treatment pathways.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2021.962","type":"journal-article","created":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T05:16:52Z","timestamp":1625721412000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":15,"title":["Investigating the relationship between childhood sexual abuse, self-harm repetition and suicidal intent: mixed-methods study"],"prefix":"10.1192","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0474-3832","authenticated-orcid":false,"given":"Maria 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