We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
Rajasingh, Charlotte M. Tennakoon, Lakshika and Staudenmayer, Kristan L. 2018. Self-inflicted gunshot wounds: readmission patterns. Journal of Surgical Research, Vol. 223, p. 22.
van Duijn, Erik Vrijmoeth, Eslie M. Giltay, Erik J. and Bernhard Landwehrmeyer, G. 2018. Suicidal ideation and suicidal behavior according to the C-SSRS in a European cohort of Huntington's disease gene expansion carriers. Journal of Affective Disorders, Vol. 228, p. 194.
Tóth, Mónika Ditta Ádám, Szilvia Zonda, Tamás Birkás, Emma and Purebl, György 2018. Risk factors for multiple suicide attempts among Roma in Hungary. Transcultural Psychiatry, Vol. 55, Issue. 1, p. 55.
Normand, D. Colin, S. Gaboulaud, V. Baubet, T. and Taieb, O. 2018. How to stay in touch with adolescents and young adults after a suicide attempt? Implementation of a 4-phones-calls procedure over 1 year after discharge from hospital, in a Parisian suburb. L'Encéphale,
Kim, Bora Lee, Joongyub Kim, Eun-Young Hyun Kim, Se Ha, Kyooseob Shin Kim, Young Leventhal, Bennett L. and Min Ahn, Yong 2018. Sex difference in risk period for completed suicide following prior attempts: Korea National Suicide Survey (KNSS). Journal of Affective Disorders, Vol. 227, p. 861.
Li, Ang Huang, Xiaoxiao Jiao, Dongdong O'Dea, Bridianne Zhu, Tingshao and Christensen, Helen 2018. An analysis of stigma and suicide literacy in responses to suicides broadcast on social media. Asia-Pacific Psychiatry, p. e12314.
Kottler, Chris Smith, Jared G. and Bartlett, Annie 2018. Patterns of violence and self-harm in women prisoners: characteristics, co-incidence and clinical significance. The Journal of Forensic Psychiatry & Psychology, p. 1.
Hunter, Jon Maunder, Robert Kurdyak, Paul Wilton, Andrew S. Gruneir, Andrea and Vigod, Simone 2018. Mental health follow-up after deliberate self-harm and risk for repeat self-harm and death. Psychiatry Research, Vol. 259, p. 333.
Witt, Katrina Milner, Allison Spittal, Matthew J. Hetrick, Sarah Robinson, Jo Pirkis, Jane and Carter, Gregory 2018. Population attributable risk of factors associated with the repetition of self-harm behaviour in young people presenting to clinical services: a systematic review and meta-analysis. European Child & Adolescent Psychiatry,
Giallo, Rebecca Pilkington, Pamela Borschmann, Rohan Seymour, Monique Dunning, Melissa and Brown, Stephanie 2018. The prevalence and correlates of self-harm ideation trajectories in Australian women from pregnancy to 4-years postpartum. Journal of Affective Disorders, Vol. 229, p. 152.
Furuno, Taku Nakagawa, Makiko Hino, Kosuke Yamada, Tomoki Kawashima, Yoshitaka Matsuoka, Yutaka Shirakawa, Osamu Ishizuka, Naoki Yonemoto, Naohiro Kawanishi, Chiaki and Hirayasu, Yoshio 2018. Effectiveness of assertive case management on repeat self-harm in patients admitted for suicide attempt: Findings from ACTION-J study. Journal of Affective Disorders, Vol. 225, p. 460.
Gjelsvik, Bergljot Heyerdahl, Fridtjof Holmes, Jane Lunn, Daniel and Hawton, Keith 2017. Looking Back on Self-Poisoning: The Relationship between Depressed Mood and Reporting of Suicidal Intent in People Who Deliberately Self-Poison. Suicide and Life-Threatening Behavior, Vol. 47, Issue. 2, p. 228.
O'Connor, Rory C Ferguson, Eamonn Scott, Fiona Smyth, Roger McDaid, David Park, A-La Beautrais, Annette and Armitage, Christopher J 2017. A brief psychological intervention to reduce repetition of self-harm in patients admitted to hospital following a suicide attempt: a randomised controlled trial. The Lancet Psychiatry, Vol. 4, Issue. 6, p. 451.
Asare-Doku, Winifred Osafo, Joseph and Akotia, Charity S. 2017. The experiences of attempt survivor families and how they cope after a suicide attempt in Ghana: a qualitative study. BMC Psychiatry, Vol. 17, Issue. 1,
Aggarwal, Shilpa Patton, George Reavley, Nicola Sreenivasan, Shreenivas A and Berk, Michael 2017. Youth self-harm in low- and middle-income countries: Systematic review of the risk and protective factors. International Journal of Social Psychiatry, Vol. 63, Issue. 4, p. 359.
Wadman, Ruth Clarke, David Sayal, Kapil Armstrong, Marie Harroe, Caroline Majumder, Pallab Vostanis, Panos and Townsend, Ellen 2017. A sequence analysis of patterns in self-harm in young people with and without experience of being looked after in care. British Journal of Clinical Psychology, Vol. 56, Issue. 4, p. 388.
Abbasi, Adeel Devers, Cynthia Muratore, Christopher S. Harrington, Colin and Ventetuolo, Corey E. 2017. Examining the role of extracorporeal membrane oxygenation in patients following suspected or confirmed suicide attempts: A case series. Journal of Critical Care,
Crona, Lisa Stenmarker, Margaretha Öjehagen, Agneta Hallberg, Ulrika and Brådvik, Louise 2017. Taking care of oneself by regaining control - a key to continue living four to five decades after a suicide attempt in severe depression. BMC Psychiatry, Vol. 17, Issue. 1,
View all Google Scholar citations for this article.
Non-fatal self-harm frequently leads to non-fatal repetition and sometimes to suicide. We need to quantify these two outcomes of self-harm to help us to develop and test effective interventions.
To estimate rates of fatal and non-fatal repetition of self-harm.
A systematic review of published follow-up data, from observational and experimental studies. Four electronic databases were searched and 90 studies met the inclusion criteria.
Eighty per cent of studies found were undertaken in Europe, over one-third in the UK. Median proportions for repetition 1 year later were: 16% non-fatal and 2% fatal; after more than 9 years, around 7% of patients had died by suicide. The UK studies found particularly low rates of subsequent suicide.
After 1 year, non-fatal repetition rates are around 15%. The strong connection between self-harm and later suicide lies somewhere between 0.5% and 2% after 1 year and above 5% after 9 years. Suicide risk among self-harm patients is hundreds of times higher than in the general population.
To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Find out more about the Kindle Personal Document Service.
To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.
To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.
Declaration of interest
J.H.'s salary is paid by the mental health charity Leeds Mind from a research grant awarded by the UK National Lottery Charities Board.
Email your librarian or administrator to recommend adding this journal to your organisation's collection.
Full text views reflects the number of PDF downloads, PDFs sent to Google Drive, Dropbox and Kindle and HTML full text views.
Loading metrics...
Abstract views reflect the number of visits to the article landing page.
Loading metrics...
* Views captured on Cambridge Core between 3rd January 2018 - 6th March 2018. This data will be updated every 24 hours.
Rajasingh, Charlotte M. Tennakoon, Lakshika and Staudenmayer, Kristan L. 2018. Self-inflicted gunshot wounds: readmission patterns. Journal of Surgical Research, Vol. 223, p. 22.
van Duijn, Erik Vrijmoeth, Eslie M. Giltay, Erik J. and Bernhard Landwehrmeyer, G. 2018. Suicidal ideation and suicidal behavior according to the C-SSRS in a European cohort of Huntington's disease gene expansion carriers. Journal of Affective Disorders, Vol. 228, p. 194.
Tóth, Mónika Ditta Ádám, Szilvia Zonda, Tamás Birkás, Emma and Purebl, György 2018. Risk factors for multiple suicide attempts among Roma in Hungary. Transcultural Psychiatry, Vol. 55, Issue. 1, p. 55.
Normand, D. Colin, S. Gaboulaud, V. Baubet, T. and Taieb, O. 2018. How to stay in touch with adolescents and young adults after a suicide attempt? Implementation of a 4-phones-calls procedure over 1 year after discharge from hospital, in a Parisian suburb. L'Encéphale,
Kim, Bora Lee, Joongyub Kim, Eun-Young Hyun Kim, Se Ha, Kyooseob Shin Kim, Young Leventhal, Bennett L. and Min Ahn, Yong 2018. Sex difference in risk period for completed suicide following prior attempts: Korea National Suicide Survey (KNSS). Journal of Affective Disorders, Vol. 227, p. 861.
Li, Ang Huang, Xiaoxiao Jiao, Dongdong O'Dea, Bridianne Zhu, Tingshao and Christensen, Helen 2018. An analysis of stigma and suicide literacy in responses to suicides broadcast on social media. Asia-Pacific Psychiatry, p. e12314.
Kottler, Chris Smith, Jared G. and Bartlett, Annie 2018. Patterns of violence and self-harm in women prisoners: characteristics, co-incidence and clinical significance. The Journal of Forensic Psychiatry & Psychology, p. 1.
Hunter, Jon Maunder, Robert Kurdyak, Paul Wilton, Andrew S. Gruneir, Andrea and Vigod, Simone 2018. Mental health follow-up after deliberate self-harm and risk for repeat self-harm and death. Psychiatry Research, Vol. 259, p. 333.
Witt, Katrina Milner, Allison Spittal, Matthew J. Hetrick, Sarah Robinson, Jo Pirkis, Jane and Carter, Gregory 2018. Population attributable risk of factors associated with the repetition of self-harm behaviour in young people presenting to clinical services: a systematic review and meta-analysis. European Child & Adolescent Psychiatry,
Giallo, Rebecca Pilkington, Pamela Borschmann, Rohan Seymour, Monique Dunning, Melissa and Brown, Stephanie 2018. The prevalence and correlates of self-harm ideation trajectories in Australian women from pregnancy to 4-years postpartum. Journal of Affective Disorders, Vol. 229, p. 152.
Furuno, Taku Nakagawa, Makiko Hino, Kosuke Yamada, Tomoki Kawashima, Yoshitaka Matsuoka, Yutaka Shirakawa, Osamu Ishizuka, Naoki Yonemoto, Naohiro Kawanishi, Chiaki and Hirayasu, Yoshio 2018. Effectiveness of assertive case management on repeat self-harm in patients admitted for suicide attempt: Findings from ACTION-J study. Journal of Affective Disorders, Vol. 225, p. 460.
Gjelsvik, Bergljot Heyerdahl, Fridtjof Holmes, Jane Lunn, Daniel and Hawton, Keith 2017. Looking Back on Self-Poisoning: The Relationship between Depressed Mood and Reporting of Suicidal Intent in People Who Deliberately Self-Poison. Suicide and Life-Threatening Behavior, Vol. 47, Issue. 2, p. 228.
O'Connor, Rory C Ferguson, Eamonn Scott, Fiona Smyth, Roger McDaid, David Park, A-La Beautrais, Annette and Armitage, Christopher J 2017. A brief psychological intervention to reduce repetition of self-harm in patients admitted to hospital following a suicide attempt: a randomised controlled trial. The Lancet Psychiatry, Vol. 4, Issue. 6, p. 451.
Asare-Doku, Winifred Osafo, Joseph and Akotia, Charity S. 2017. The experiences of attempt survivor families and how they cope after a suicide attempt in Ghana: a qualitative study. BMC Psychiatry, Vol. 17, Issue. 1,
Aggarwal, Shilpa Patton, George Reavley, Nicola Sreenivasan, Shreenivas A and Berk, Michael 2017. Youth self-harm in low- and middle-income countries: Systematic review of the risk and protective factors. International Journal of Social Psychiatry, Vol. 63, Issue. 4, p. 359.
Wadman, Ruth Clarke, David Sayal, Kapil Armstrong, Marie Harroe, Caroline Majumder, Pallab Vostanis, Panos and Townsend, Ellen 2017. A sequence analysis of patterns in self-harm in young people with and without experience of being looked after in care. British Journal of Clinical Psychology, Vol. 56, Issue. 4, p. 388.
Abbasi, Adeel Devers, Cynthia Muratore, Christopher S. Harrington, Colin and Ventetuolo, Corey E. 2017. Examining the role of extracorporeal membrane oxygenation in patients following suspected or confirmed suicide attempts: A case series. Journal of Critical Care,
Crona, Lisa Stenmarker, Margaretha Öjehagen, Agneta Hallberg, Ulrika and Brådvik, Louise 2017. Taking care of oneself by regaining control - a key to continue living four to five decades after a suicide attempt in severe depression. BMC Psychiatry, Vol. 17, Issue. 1,
View all Google Scholar citations for this article.
Fatal and non-fatal repetition of self-harm: Systematic review
eLetters
No eLetters have been published for this article.