{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:42:11Z","timestamp":1791999731798,"version":"4.4.0"},"reference-count":41,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T00:00:00Z","timestamp":1736121600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec id=\"S0007125024002484_sec_a1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>An improved understanding of the factors associated with self-harm in young people who die by suicide can inform suicide prevention measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125024002484_sec_a2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To describe sociodemographic and clinical characteristics and service utilisation related to self-harm in a national sample of young people who died by suicide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125024002484_sec_a3\" sec-type=\"methods\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      We carried out a descriptive study of self-harm in a national consecutive case series (\n                      <jats:italic>N<\/jats:italic>\n                      = 544) of 10- to 19-year-olds who died by suicide over 3 years (2014\u20132016) in the UK as identified from national mortality data. Information was collected from coroner inquest hearings, child death investigations, criminal justice system and National Health Service serious incident reports.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125024002484_sec_a4\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Almost half (49%) of these young people had harmed themselves at some point in their lives, a quarter (26%) in the 3 months before death. Girls were twice as likely as boys to have recent self-harm (40\n                      <jats:italic>v<\/jats:italic>\n                      . 20%;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). Compared to the no self-harm group, young people with recent self-harm were more likely to have a mental illness diagnosis (63\n                      <jats:italic>v.<\/jats:italic>\n                      23%;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001); misused alcohol (19\n                      <jats:italic>v.<\/jats:italic>\n                      9%;\n                      <jats:italic>P<\/jats:italic>\n                      = 0.07); experienced physical, sexual or emotional abuse (17\n                      <jats:italic>v.<\/jats:italic>\n                      3%;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.01); and recent life adversity (95\n                      <jats:italic>v.<\/jats:italic>\n                      75%;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). Furthermore, they were more likely to be in contact with mental health services (60\n                      <jats:italic>v.<\/jats:italic>\n                      10%), or emergency departments or general physicians for a mental health condition (52\n                      <jats:italic>v.<\/jats:italic>\n                      10%) in the 3 months before death.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125024002484_sec_a5\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Presentation to services in young people who self-harm is an important opportunity to intervene through comprehensive psychosocial assessment and treatment of underlying conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjp.2024.248","type":"journal-article","created":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T05:12:01Z","timestamp":1736140321000},"page":"593-600","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["Self-harm in children and young people who die by suicide: UK-wide consecutive case series"],"prefix":"10.1192","volume":"227","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8590-0846","authenticated-orcid":false,"given":"Shilpa","family":"Aggarwal","sequence":"first","affiliation":[{"name":"Gold Coast Health School of Medicine, Deakin University Murdoch Children's Research Institute, Royal Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su-Gwan","family":"Tham","sequence":"additional","affiliation":[{"name":"Centre for Mental Health and Safety, Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saied","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Centre for Mental Health and Safety, Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Turnbull","sequence":"additional","affiliation":[{"name":"Centre for Mental Health and Safety, Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger T.","family":"Webb","sequence":"additional","affiliation":[{"name":"National Institute for Health and Care Research School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Appleby","sequence":"additional","affiliation":[{"name":"Centre for Mental Health and Safety, Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3100-3234","authenticated-orcid":false,"given":"Nav","family":"Kapur","sequence":"additional","affiliation":[{"name":"National Confidential Inquiry into Suicide and Safety in Mental Health (NCISH), Centre for Mental Health and Safety, Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester National Institute for Health and Care Research Mersey Care NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0007-0124","authenticated-orcid":false,"given":"Cathryn","family":"Rodway","sequence":"additional","affiliation":[{"name":"Centre for Mental Health and Safety, Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2025,1,6]]},"reference":[{"key":"S0007125024002484_ref2","volume-title":"Suicide Prevention in England: 5-Year Cross-Sector Strategy","year":"2023"},{"key":"S0007125024002484_ref10","unstructured":"10 Office for National Statistics (ONS). 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Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}